여성 난임 한의표준임상진료지침 개작을 위한 일반인 대상 의료 이용 경험 조사
A Survey on the Public’s Experience of Medical Use for Developing Korean Medicine Clinical Practice Guideline of Female Infertility
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Objectives: This study is aimed to survey public’s experience of medical use for developing Korean medicine clinical practice guideline of female infertility. Methods: The study engaged women who had experienced infertility despite regular conjugal relations, selected from an online survey company's national panel. Participants were surveyed from November 3 to 8, 2021. The questionnaire, developed from prior studies on Korean medicine, was emailed to 29,465 adults; 550 responses were analyzed after exclusions. The study received an IRB exemption from Pusan National University Korean Medicine Hospital and utilized Microsoft Excel for statistical analysis. Results: Among 550 respondents, 32.2% had experienced infertility, predominantly due to unexplained causes (52%). About half had received medical treatment (49.3%), primarily at hospitals and general hospitals (54.2%) and obstetrics and gynecology clinics (49.4%), with Korean medicine facilities also utilized (24.7% for clinics, 14.4% for hospitals). The most common treatments included herbal medicine in Korean medicine and ovulation induction in Western medicine, with most treatments lasting less than six months (71.4%) and costing between 1 to 5 million won (50.5%). Efforts to conceive included lifestyle adjustments such as maintaining a warm lower abdomen, supplement intake, and avoiding alcohol and tobacco. Conclusions: It is necessary that the guidelines be revised to address female infertility and to integrate recommendations for combining Korean medical treatments and Western medical treatments, which will enhance patient care in managing female infertility.
Abstract
Objectives: This study is aimed to survey public’s experience of medical use for developing Korean medicine clinical practice guideline of female infertility. Methods: The study engaged women who had experienced infertility despite regular conjugal relations, selected from an online survey company's national panel. Participants were surveyed from November 3 to 8, 2021. The questionnaire, developed from prior studies on Korean medicine, was emailed to 29,465 adults; 550 responses were analyzed after exclusions. The study received an IRB exemption from Pusan National University Korean Medicine Hospital and utilized Microsoft Excel for statistical analysis. Results: Among 550 respondents, 32.2% had experienced infertility, predominantly due to unexplained causes (52%). About half had received medical treatment (49.3%), primarily at hospitals and general hospitals (54.2%) and obstetrics and gynecology clinics (49.4%), with Korean medicine facilities also utilized (24.7% for clinics, 14.4% for hospitals). The most common treatments included herbal medicine in Korean medicine and ovulation induction in Western medicine, with most treatments lasting less than six months (71.4%) and costing between 1 to 5 million won (50.5%). Efforts to conceive included lifestyle adjustments such as maintaining a warm lower abdomen, supplement intake, and avoiding alcohol and tobacco. Conclusions: It is necessary that the guidelines be revised to address female infertility and to integrate recommendations for combining Korean medical treatments and Western medical treatments, which will enhance patient care in managing female infertility.
참고문헌 (23)
- Gurunath S, "Defining infertility-a systematic review of prevalence studies", Human Reproduction Update, 17(5), pp.575~588 (2011)
- Lee HS, "Analysis of the results of the 2022 Gyeonggi-do korean medicine infertility support project", J Korean Obstet Gynecol, 36(4), pp.78~95 (2023)
- Korean Society Of Gynecologic Endocrinology, "Gynecologic Endocrinology", pp.285~300 (2022), KoonJa Publishing Co
- "Birth Statistics"[URL]
- "Statistics of national concern/behavior"[URL]
- The Society of Korean Medicine Obstetricsand Gynecology, "Korean Medicine Obstetrics & Gynecology (2nd vol)", pp.157~181 (2016), Euiseongdang
- Jung HJ, "A survey on korean medicine doctors’ recognition and treatment for developing korean medicine clinical practice guideline of female infertility", J Korean Med, 43(3), pp.122~138 (2022)
- Korean Society of Obstetrics and Gynecology, "Obstetrics & Gynecology", pp.493~506 (2015), KoonJa Publishing Co
- Kim YM, "Factors influencing infertility-related quality of life in infertile women", Korean J Women Health Nurs, 26(1), pp.49~60 (2020)
- Ministry of Health and Welfare, "2023Mother and child health program guide", 97~100 (2023)
- Kwon NY, "A study on the results of the Incheon metropolitan city korean medicine infertility support program in 2021", J Korean Obstet Gynecol, 35(4), pp.143~160 (2022)
- Park SY, "A survey on patient’s experience on health care utilization and perception of health care system for developing of a korean medicine clinical practice guideline for traffic injuries", J of Korean Med Rehabilitation, 30(2), pp.139~152 (2020)
- Lee HS, "A survey on korean medicine doctors' recognition and treatment method for developing clinical practice guideline of nausea and vomiting of pregnancy", J Korean Obstet Gynecol, 36(2), pp.69~84 (2023)
- Special Countermeasures Committee for Low Fertility and Population Aging of The Association of Korean Medicine, "Korean Medicine Clinical Practice Guideline for Infertility", The Association of Korean Medicine, 1~144 (2010)
- The Society of Korean Medicine Obstetrics and Gynecology, "Korean Medicine Standard Recommendation for Female Infertility", J Korean Obstet Gynecol, pp.1~26 (2017)
- Choi SJ, "A survey on korean medicine doctors’ recognition and treatment for developing korean medicine clinical practice guideline of climacteric and postmenopausal syndrome", J Korean Obstet Gynecol, 30(4), pp.135~148 (2017)
- 2022Years National Survey for Traditional Korean Medicine (TKM) Usage, "Ministry of Health and Welfare", National Development Institute of Korean Medicine, ~ (2023)
- Choi MS, "A survey study on use condition of korean medical institution and demand of korean medical treatment project of infertility in infertile couple", J Korean Obstet Gynecol, 26(2), pp.151~165 (2013)
- WHO, "WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple" (2000), Cambridge University Press
- Janathan S. Berek, "Berek & Novak’s Gynecology", pp.947~ (2020), Wolters Kluwer
- Hwang NM, "Status of unexplained infertility among beneficiaries of support projects for infertile couples and policy challenges", Korea Institute for Health and Social Affairs, 313, pp.1~4 (2016)
- Choi SJ, "A study on the subfertility support project of korean medicine in gyeonggi-do", J Korean Obstet Gynecol, 31(4), pp.73~88 (2018)
- Cho SY, "A study reporting the korean medicine treatment infertility support program in chungcheongnam-do in 2019", J Korean Obstet Gynecol, 34(2), pp.142~156 (2021)