난임 부부의 섭생 지도 항목과 중요도에 대한 한의사 대상 설문조사
A Survey of Korean Medical Doctors on the Items and Importance of Lifestyle Management for Infertile Couple
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Objectives: This study was conducted to reflect Korean Medicine doctors (KMD)' perception of lifestyle management in the process of developing a Korean Medicine (KM) Clinical Practice Guidelines (CPG) of female infertility. Methods: We sent four e-mails containing links to online questionnaires to 25,286 KMD belonging to the Association of Korean Medicine. The questionnaire consisted of sexual intercourse, weight, diet, exercise, drinking, smoking, caffeine intake, stress etc. KMD responded to self-administered questionnaires, and we analyzed 786 responds. Results: KMD put stress first among the infertile women's lifestyle management items, weight and sexual intercourse were next. Also KMD put stress first among the spouses' lifestyle management items, drinking and sexual intercourse were next. In relation to sexual intercourse, ‘Recognizing the Fertile Window' was the most important. In relation to stress in the emotional domain, ‘Depression' and ‘Anxiety' were the most important, and in relation to stress in the relationship domain, ‘Deteriorating of marital relationship' was the most important. Conclusions: We surveyed the status of KMD' awareness of infertility lifestyle management for patient education, and reflected it in the modification of the CPG for female infertility.
Abstract
Objectives: This study was conducted to reflect Korean Medicine doctors (KMD)' perception of lifestyle management in the process of developing a Korean Medicine (KM) Clinical Practice Guidelines (CPG) of female infertility. Methods: We sent four e-mails containing links to online questionnaires to 25,286 KMD belonging to the Association of Korean Medicine. The questionnaire consisted of sexual intercourse, weight, diet, exercise, drinking, smoking, caffeine intake, stress etc. KMD responded to self-administered questionnaires, and we analyzed 786 responds. Results: KMD put stress first among the infertile women's lifestyle management items, weight and sexual intercourse were next. Also KMD put stress first among the spouses' lifestyle management items, drinking and sexual intercourse were next. In relation to sexual intercourse, ‘Recognizing the Fertile Window' was the most important. In relation to stress in the emotional domain, ‘Depression' and ‘Anxiety' were the most important, and in relation to stress in the relationship domain, ‘Deteriorating of marital relationship' was the most important. Conclusions: We surveyed the status of KMD' awareness of infertility lifestyle management for patient education, and reflected it in the modification of the CPG for female infertility.
참고문헌 (35)
- The Society of Korean Medicine Obstetrics and Gynecology, "Korean medicine obstetrics & gynecology. Vol. 2", pp.169~ (2021), Euiseongdang
- Korean Society of Obstetrics and Gynecology, "Gynecology", pp.515~589 (2021), Koonja
- Deyhoul N, "Infertility-Related Risk Factors : A Systematic Review", Int J Womens Heal Reprod Sci, 5(1), pp.24~29 (2017)
- "Statistics of national concern/behavior"[URL]
- "Vital statistics of Korea. The number of marriages, crude marriage rate"[URL]
- Field MJ, "Clinical practice guidelines: Directions for a new program" (1990), National Academy Press
- "Clinical Practice Guidelines DB"[URL]
- Korean Medicine Clinical Practice Guideline for Infertility, "Special Countermeasures Committee for Low Fertility and Population Aging of The Association of Korean Medicine", The Association of Korean Medicine, 1~144 (2020)
- The Society of Korean Medicine Obstetrics and Gynecology, "Korean Medicine Standard Recommendation for Female Infertility", J Korean Obstet Gynecol, pp.1~26 (2017)
- 정효정, "여성 난임 한의표준임상진료지침 개작을 위한 한의사의 인식과 치료에 관한 실태조사", 대한한의학회지, 43(3), pp.122~138 (2022), 대한한의학회
- 김누리, "월경전증후군 한의표준임상진료지침 개발을 위한 한의사의 의견과 치료에 대한 실태조사", 대한한방부인과학회지, 35(4), pp.77~90 (2022), 대한한방부인과학회[DOI]
- 허순영, "조사연구에서 순위절차를 이용한 항목순위결정에 관한 연구", 조사연구, 9(2), pp.29~49 (2008), 한국조사연구학회
- 김소영, "학습성과와 효과적인 교수법에 대한 대학생의 인식 조사연구", 평생학습사회, 10(1), pp.59~82 (2014), 미래원격교육연구원
- Kopitzke EJ, "Physical and emotional stress associated with components of the infertility investigation : perspectives of professionals and patients", Fertil Steril, 55(6), pp.1137~1143 (1991)
- Perloff WH, "In vivo survival of spermatozoa in cervical mucus", Am J Obstet Gynecol, 88(4), pp.439~442 (1964)
- Ferreira-Poblete A, "The probability of conception on different days of the cycle with respect to ovulation : an overview", Adv Contracept, 13(2-3), pp.83~95 (1997)
- Stanford JB, "Timing Intercourse to Achieve Pregnancy : Current Evidence", Obstet Gynecol, 100(6), pp.1333~1341 (2002)
- Wise LA, "An internet-based prospective study of body size and time-to-pregnancy", Hum Reprod, 25(1), pp.253~264 (2010)
- Gesink Law DC, "Obesity and time to pregnancy", Hum Reprod, 22(2), pp.414~420 (2007)
- Clark AM, "Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment", Hum Reprod, 13(6), pp.1502~1505 (1998)
- Boutari C, "The effect of underweight on female and male reproduction", Metabolism, 107, pp.154229~ (2020)
- Clark AM, "Maximizing weight loss in the overweight infertile patient : a prospective randomized controlled trial", Hum Reprod, 15, pp.65~66 (2000)
- Zaadstra BM, "Fat and female fecundity : prospective study of effect of body fat distribution on conception rates", BMJ, 306(6876), pp.484~487 (1993)
- Chavarro JE, "Diet and lifestyle in the prevention of ovulatory disorder infertility", Obstet Gynecol, 110(5), pp.1050~1058 (2007)
- Gaskins AJ, "Diet and fertility : a review", Am J Obstet Gynecol, 218(4), pp.379~389 (2018)
- Jensen TK, "Does moderate alcohol consumption affect fertility?;Follow up study among couples planning first pregnancy", BMJ, 317(7157), pp.505~510 (1998)
- Augood C, "Smoking and female infertility : a systematic review and meta-analysis", Hum Reprod, 13(6), pp.1532~1539 (1998)
- Lyngsø J, "Association between coffee or caffeine consumption and fecundity and fertility : a systematic review and dose-response meta-analysis", Clin Epidemiol, 9, pp.699~719 (2017)
- Hakimi O, "Effect of Exercise on Ovulation : A Systematic Review", Sports Med, 47(8), pp.1555~1567 (2017)
- Palomba S, "Lifestyle and fertility : the influence of stress and quality of life on female fertility", Reprod Biol Endocrinol, 16(1), pp.113~ (2018)
- An Y, "Pituitary-adrenal and sympathetic nervous system responses to psychiatric disorders in women undergoing in vitro fertilization treatment", Fertil Steril, 96(2), pp.404~408 (2011)
- Gdańska P, "Anxiety and depression in women undergoing infertility treatment", Ginekol Pol, 88(2), pp.109~112 (2017)
- Rooney KL, "The relationship between stress and infertility", Dialogues Clin Neurosci, 20(1), pp.41~47 (2018)
- Schneider MG, "Associations of psychosocial factors with the stress of infertility treatment", Health Soc Work, 30(3), pp.183~191 (2005)
- 안인숙, "난임한방진료시범사업에 참가한 여성의 스트레스 양상에 대한 연구", 대한한방부인과학회지, 30(1), pp.56~67 (2017), 대한한방부인과학회[DOI]