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Patient's Perception for Developing Research Questions of a Clinical Practice Guideline of Korean Medicine for Degenerative Lumbar Spinal Stenosis: A Descriptive Cross-Sectional Survey
퇴행성 요추 척추관 협착증의 한의표준임상진료지침 핵심질문 설정에 대한 환자 인식 설문 조사: 단면 설문 연구
Korean J Acupunct 2018;35:130-138
Published online September 27, 2018;  https://doi.org/10.14406/acu.2018.020
© 2018 Society for Meridian and Acupoint.

Seo Young Choi1 , Ji Min Bae1 , Ji Won Choi1 , Gi Young Yang1,2 , Byung Ryul Lee1,2 , Kun Hyung Kim1,2
최서영1, 배지민1, 최지원1, 양기영1,2, 이병렬1,2, 김건형1,2

1Department of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital, 2Division of Clinical Medicine, School of Korean Medicine, Pusan National University
1부산대학교 한방병원 침구의학과, 2부산대학교 한의학전문대학원 임상의학부
Correspondence to: Kun Hyung Kim
Department of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital, Geumo-ro 20, Mulgeum-eup, Yangsan 50612, Korea
Tel: +82-55-360-5971, Fax: +82-55-360-5509, E-mail: pdchrist@gmail.com
Received August 27, 2018; Revised September 17, 2018; Accepted September 17, 2018.
This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Objectives : The purpose of this study is to explore patients’ perceptions that deserve attention when designing core questions for a clinical practice guideline of Korean medicine(KM) for degenerative lumbar spinal stenosis (LSS).
Methods : Patients who had been admitted to Pusan National Korean Medicine Hospital from November 1, 2015 to October 31, 2016 were invited to the survey. Patients were eligible if they were both clinically and radiologically confirmed as degenerative LSS. The structured questionnaire was distributed by mail and outpatient visits. Questions included types of experienced Korean/Western medical interventions for LSS, their perceived effectiveness on symptoms, the necessity for studies of KM for degenerative LSS, the types of KM interventions to be investigated and the types of outcome measures after treatments. Data were descriptively analysed.
Results : Twenty of thirty-one invited participants responded to the questionnaire. Acupuncture and herbal medicine were the most frequently used KM interventions. Eighteen respondents reported that KM treatments were helpful for their improvement. Sixteen patients who mentioned that research on KM is needed chose acupuncture as the top priority(88%) among KM interventions. The most important outcomes in the view of nineteen respondents included functional recovery (68%) and pain relief (53%). Thirteen respondents (65%) replied that both short-term and long-term outcome were important for them.
Conclusions : Our findings may have limited validity due to the small number of respondents and the potential selection and information bias. Further qualitative studies and large-scale surveys to comprehensively identify patients’ views are warranted.
Keywords: Korean medicine, degenerative lumbar spinal stenosis, patient survey, Acupuncture research


September 2018, 35 (3)
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