시호가용골모려탕가미로 호전된 입원 환자의 섬망 치험 1례
A Case Study of an In-Patient with Delirium Treated with Shihogayonggolmoryo-tang-gami
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective: In this case study, we describe the use of Shihogayonggolmoryo-tang-gami to treat an in-patient with delirium. Methods: An in-patient with symptoms of delirium was treated with Korean medicine therapies, including the herbal medication Shihogagyonggolmoryo-tang-gami, for 7 days. To evaluate its therapeutic effect, we used the Nursing Delirium Screening Scale (Nu-DESC) and Memorial Delirium Assessment Scale (MDAS). Results: After the treatment, Nu-DESC and MDAS scores improved. Of note, instances of the patient calling out improved, in addition to the patient’s sleeping pattern. Although all the symptoms of delirium did not disappear completely, Shihogayonggolmoryo -tang-gami had therapeutic effects. Conclusion: These results suggest that Shihogayonggolmoryo-tang-gami may have a beneficial effect on delirium, without using other antipsychotic medications.
Abstract
Objective: In this case study, we describe the use of Shihogayonggolmoryo-tang-gami to treat an in-patient with delirium. Methods: An in-patient with symptoms of delirium was treated with Korean medicine therapies, including the herbal medication Shihogagyonggolmoryo-tang-gami, for 7 days. To evaluate its therapeutic effect, we used the Nursing Delirium Screening Scale (Nu-DESC) and Memorial Delirium Assessment Scale (MDAS). Results: After the treatment, Nu-DESC and MDAS scores improved. Of note, instances of the patient calling out improved, in addition to the patient’s sleeping pattern. Although all the symptoms of delirium did not disappear completely, Shihogayonggolmoryo -tang-gami had therapeutic effects. Conclusion: These results suggest that Shihogayonggolmoryo-tang-gami may have a beneficial effect on delirium, without using other antipsychotic medications.
참고문헌 (16)
- Caine ED, "Diagnostic and Statistical Manual of Mental Disorders", pp.83~87 (2000), American Psychiatric Association
- Bae JH, "Changing Trends in the Occurence and Managment of Delirium for 5 years in a University Hospital", Korean journal of psychosomatic medicine, 20(2), pp.112~119 (2012)
- Kim JH, "A case with Delirium during Medication for Hallucination and Disorientation", The Journal of Oriental Neuropsychiatry, 17(2), pp.227~235 (2006)
- Lee SJ, "A Case Report of Elderly Delirium Treated with Shihogayonggolmoryo-tang", The Journal of Internal Korean Medicine, 43(2), pp.144~151 (2022)
- Kang DH, "Application of Giungoroen-Therapy through a Postoperative Delirium Case", J Oriental Neruopsychiatry, 33(3), pp.339~349 (2022)
- Jung JE, "The Effect of Oriental Medical Treatments on the Patients with Delirium; 4 Cases Report", The Journal of Rehabilitation Medicine, 19(2), pp.303~313 (2009)
- Kim KS, "A study about trends of using Shihogayonggolmoryo-tang granule", The Korean Journal of Oriental Medical Prescription, 20(1), pp.159~166 (2012)
- Seo MS, "Delirium Management : Diagnosis, Assessment, and Treatment in Palliative Care", The Korean Journal of Hospice and Palliative Care, 19(3), pp.201~210 (2016)
- Stollings JL, "Delirium in critical illness : clnical manifestations, outcomes, and management", Intensive Care Med, 47(10), pp.1089~1103 (2021)
- Kim HS, "Comparison of the Efficacy between Risperidone and Quetiapine in Elderly Patients with Delirium", Journal of Korean Geriatric Psychiatry, 11(1), pp.29~34 (2007)
- Lovell N, "Mirtazapine for chronic breathlessness? A review of mechanistic insights and therapeutic potential", Expert review of respiratory medicine, 13(2), pp.173~180 (2019)
- AbdelFattah MR, "Efficacy of Antidepressents in the Treatment of Obstructive Sleep Apnea Compared to Placebo. A Systematic Review with Meta-Analysis", Sleep Breathing Physiology and Disorders-Review, 24(2), pp.443~453 (2020)
- Ankravs MJ, "A multicentre point prevalence study of delirium assessment and management in patients admitted to Australian and New Zealand intensive care units", Critial Care and Resuscitation, 22(4), pp.355~360 (2020)
- Mutschler J, "Quetiapine-Induced Hyperventilation and Dyspnea", Clinical Neuropharmacology, 33(4), pp.214~ (2010)
- Kim JS, "Sleep-promoting and Anti-anxiety Effects of Shihogayonggolmoryo-tang in Mice", Journal of Physicology and Pathology of Korean Medicine, 35(1), pp.8~14 (2021)
- Shuichi Mizuno, "The latest Clinical Oriental Medicine Diagnosis and Prescription", pp.668~714 (2009), Shinheung Medscience