The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology (한방안이비인후피부과학회지)

The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology (대한한방안이비인후피부과학회)
권호 표지
DOI QR코드

DOI QR Code

Qualitative Study on the Experience of Patients with Facial Palsy Symptoms Treated with Korean Medicine after Western Treatment

안면마비 증상을 호소하는 환자의 양방 치료 후 한방 치료 경험에 대한 질적 연구

  • Yoon, Seok-Yeong (Dep. of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Dongshin University) ;
  • Lee, Ji-Hyun (Dep. of Internal Medicine, College of Korean medicine, Dongshin University) ;
  • Kim, Kyuseok (Dep. of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Kyung Hee University) ;
  • Kim, Jong-Han (Dep. of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Dongshin University)
  • 윤석영 (동신대학교 한의과대학 안이비인후피부과학교실) ;
  • 이지현 (동신대학교 한의과대학 한방내과학교실) ;
  • 김규석 (경희대학교 한의과대학 안이비인후피부과학교실) ;
  • 김종한 (동신대학교 한의과대학 안이비인후피부과학교실)
  • Received : 2022.10.17
  • Accepted : 2022.11.10
  • Published : 2022.11.25
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The purpose of this study was to explore the experience of patients with facial palsy symptoms treated with Korean medicine treatment(KMT) after western treatment. Methods : We conducted an individual in-depth interview with 10 participants who had experience in both western and KMT for facial palsy symptoms. This qualitative study adopted the grounded theory of Strauss and Corbin, and collected data was analyzed by using coding(open-axial-selective) that was performed to create paradigm model, which can explain this study's main theme. Results : The central phenomenon of this study was 'choosing Korean medicine treatment after western treatment preceded', and the core category was derived as 'selecting process of KMT after western medical treatment and improvement plan of Korean medicine treatment'. Conclusions : For patients with facial palsy, KMT was perceived as an essential treatment rather than an alternative, and recognized as the main treatment. Patients didn't settle for western treatment which was in progress, actively selected KMT and suggested the specific plan for improvement of KMT. Through this, we should be considered the direction of the KMT for facial palsy symptom which is the common disease of KMT.

Keywords

References

  1. Hamlet C, Williamson H, Hotton M, Rumsey N. 'Your face freezes and so does your life': A qualitative exploration of adults' psychosocial experiences of living with acquired facial palsy. British Journal of Health Psychology. 2021;26:977-94. https://doi.org/10.1111/bjhp.12515
  2. Han DG, Kang AH, Seo HJ, Sung JY, Oh JH, Lee YR, et al. A Case Report of Facial Nerve Palsy Treated with Korean Medicine Treatment. J Int Korean Med. 2018;39(2):277-85. https://doi.org/10.22246/jikm.2018.39.2.277
  3. Fu L, Bundy C, Sadiq SA. Psychological distress in people with disfigurement from facial palsy. Eye. 2011;25:1322-6. https://doi.org/10.1038/eye.2011.158
  4. Hauser WA, Karnes WE, Annis J, Kurland LT. Incidence and prognosis of Bell's palsy in the population of Rochester, Minnesota. Mayo Clin Proc. 1971;46:258-64.
  5. Sullivan FM, Swan IR, Donnan PT, Morrison JM, Smith BH, McKinstry B, et al. Early Treatment with Prednisolone or Acyclovir in Bell's Palsy. The New England Journal of Medicine. 2007;357(16):1598-607. https://doi.org/10.1056/NEJMoa072006
  6. Ho AL, Scott AM, Klassen AF, Cano SJ, Pusic AL, VanLaeken N. Measuring quality of life and patient satisfaction in facial paralysis patients: a systematic review of patient-reported outcome measures. Plastic and reconstructive surgery. 2012;130(1):91-9.
  7. Yoon KH, Lee SM, Lim JS, Cho YE, Lee HJ, Kim JH, et al. Experience of Bell's Palsy Patients on Facial Qigong Exercise and Efficient Educational Program: a Qualitative Study. The Acupuncture. 2015;32(1):67-78. https://doi.org/10.13045/acupunct.2015006
  8. Korea Insurance Review & Assessment Service. 2021[cited 2021 NOV 5]. Available from:URL:https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045020000
  9. Kwon NH, Shin YJ, Kim CY, Kho PS, Yi WI, Joh BJ, et al. Comparative Clinical Study between Oriental Medical and Oriental-Western Medical Treatment on Bell's Palsy. The Acupuncture. 2008;25(3):19-28.
  10. Park IB, Kim SW, Lee CW, Kim HG, Heo SW, Youn HM, et al. Comparative Clinical Study between Oriental Medicine and Oriental -Western Medicine Treatment on Bell's palsy. The Acupuncture. 2004;21(5):191-203.
  11. Suk KH, Lee JH, Ryu SH, Lee SY, Kim HG, Ryoo DW, et al. Effectiveness of East-West collaborative hospital treatment on the prognosis of Bell's palsy: A retrospective study. The Acupuncture. 2015;32(4):167-75. https://doi.org/10.13045/acupunct.2015071
  12. Cho KH, Jung WS, Hong JW, Hwang JW, Na BJ, Park SU, et al. The effectiveness of oriental medical therapy compared to oriental-western medical therapy on acute bell's palsy. The Journal of Korean Medicine. 2008;29(1):146-55.
  13. Lee SM, Yang SP, Kim ES, Lee MJ, Park JM, Nam DW, et al. Admission care for Bell's palsy patients: a qualitative report on patient experiences. The Acupuncture. 2013;30(5):11-23. https://doi.org/10.13045/acupunct.2013042
  14. Lee HJ, Kim BY, Yun YJ. Utilization of Korean Medicine among Children with Cerebral Palsy- Qualitative Study by Grounded Theory. Journal of Society of Preventive Korean Medicine. 2019;23(2):25-42. https://doi.org/10.25153/spkom.2019.23.2.003
  15. Kim SH, Jo HR, Bong SM, Sung WS, Cho HS, Kim EJ. A Qualitative Research on the Treatment Experiences of Patients with Serious Injury in Traffic Accidents Treated with Traditional Korean Medicine. J Korean Med. 2019;40(2):72-88.
  16. Wang JW, Yang ZQ, Liu C, Chen SJ, Shen Q, Zhang TR, et al. Cancer survivors' perspectives and experience on western medicine and traditional Chinese medicine treatment and rehabilitation: a qualitative study. Patient Preference and Adherence. 2015;9:9-16.
  17. Shazia Jamshed. Qualitative research method interviewing and observation. J Basic Clin Physiol Pharmacol. 2014;5(4):87,88.
  18. Roulston K. Considering quality in qualitative interviewing. Qualitative Research. 2010;10(2):199-228. https://doi.org/10.1177/1468794109356739
  19. Corbin J, Strauss A. Basics of Qualitative Research 3rd ed. Thousand Oaks. CA:Sage. 2008:89.
  20. Strauss A, Corbin J. Basics of Qualitative Research. Seoul:Hyeonmoonsa. 2001;11:91-147.
  21. Creswell JW, Miller DL. Determining validity in qualitative inquiry. Theory Into Practice. 2002;39:124-30. https://doi.org/10.1207/s15430421tip3903_2
  22. Tong A, Sainsbury P, Craig JC. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57. https://doi.org/10.1093/intqhc/mzm042
  23. Turner, Stephen P. The concept of face validity. Quality and Quantity 13.1. 1979:85-90.
  24. You KW, Jung JW, Kim YS, Kim HB. Understanding Qualitative Research Methods. 2nd ed. Seoul:PYMATE. 2018:32,75-9,82-103,389-403.
  25. Neville C, Venables V, Aslet M, Nduka C, Kannan R. An objective assessment of botulinum toxin type A injection in the treatment of post-facial palsy synkinesis and hyperkinesis using the synkinesis assessment questionnaire, Journal of plastic, reconstructive & aesthetic surgery. 2017;70(11):1624-8. https://doi.org/10.1016/j.bjps.2017.05.048
  26. Ma B, Yang J, Yuan AH, Li CF, Gao T, Song ST. Effect of acupuncture and moxibustion on brain functional connectivity network inpatients with refractory facial paralysis. Zhongguo zhen jiu = Chinese acupuncture & moxibustion. 2019;39(12):1321-6.
  27. Wang DD, Li B, Zha YM, Zou H, Yao TT, Gu W, et al. Professor Zhang Qing-ping's clinical experience of acupuncture for peripheral facial paralysis. Zhongguo zhen jiu = Chinese acupuncture & moxibustion. 2021;41(3):313-5.
  28. Hersh W, Helfand M, Wallace J, Kraemer D, Patterson P, Shapiro S, et al. A systematic review of the efficacy of telemedicine for making diagnostic and management decisions. J Telemed Telecare. 2002;8(4):197-209. https://doi.org/10.1258/135763302320272167
  29. CHO JJ. Experience of thread-embedding therapy for facial cosmetics: a qualitative research. Dept. of Clinical Korean Medicine, Graduate School Kyung Hee University. 2017:45-8.
  30. Ahn JH, Cho YE, Kim JH, Lee SH, Kang JW Lee JD. Patients' Perceptions of Korean Medicine Treatment for Osteoporosis in a Clinical Trial of an Osteoporosis Herbal Medicine Drug: a qualitative Study. J. Int. Korean Med. 2017;38(2):201-16. https://doi.org/10.22246/jikm.2017.38.2.201
  31. Park IB, Kim SW, Lee CW, Kim HG, Heo SW, Youn HM, et al. Comparative Clinical Study between Oriental Medicine and OrientalWestern Medicine Treatment on Bell's palsy. Journal of Acupuncture Research. 2004;21(5):191-203.
  32. Sok SH, Kim BY. A study of the satisfaction of medical service of patients and family in an oriental hospital. Journal of East-West Nursing Research. 2006;12(1):68-77.
  33. Kim JW. Research on the Acceptability of the Main Project, based on the Application of the Diseases Subject to the Pilot Project of Packed Herbal Medicine in the National Health Insurance-Focus on facial paralysis, menstrual pain, sequelae of cerebrovascular disease-. Dept. of Health Administration, Graduate School Yonsei University. 2021:104-17.
  34. Choi MK, Lee JH, Lee TR, Rhee HS, Rhim KH. The Recognition and Attitude of Users Using the Combined Western-Oriental Medical Institutions. Journal of Health Informatics and Statistics. 2005;30(1):35-44.
  35. Kim DS, Park YH, Yu MK, Park SY, Choi JH, Kim JH, et al. Clinical study on the improving period of the bell's palsy patients with D.I.T.I. J Korean Med Ophthalmol Otolaryngol Dermatol. 2006;19(2):202-11.
  36. Yin CS, Bae YM, Choi YS, Ko JM, Kim S, Kang U, et al. Clinical Observation on Blood Flow of Facial Acupuncture Points in Bell's Palsy Patients by Doppler Ultrasound. Journal of Acupuncture Research. 2009;26(2):49-58.
  37. Kim CY, Kim JI, Lee SH, Park DS, Koh HK. A Study of Correlation between Electromyography(EMG) and the Heart Rate Variability(HRV) Test, and Their Role as Predicting Factors for Peripheral Facial Palsy Prognosis. Journal of Acupuncture Research. 2008;25(2):189-97.
  38. Ernst G, Strzyz H, Hagmeister H. Incidence of adverse effects during acupuncture therapy-a multicentre survey. Complementary Therapies in Medicine. 2003;11(2):93-7. https://doi.org/10.1016/S0965-2299(03)00004-9