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  • P-ISSN 1010-0695
  • E-ISSN 2288-3339

비대면 한의진료를 통한 교육으로 완치한 욕창환자 3례에 대한 증례보고

Case series of 3 Pressure Ulcers Cured with Education through Telemedicine

대한한의학회지 / Journal of Korean Medicine, (P)1010-0695; (E)2288-3339
2024, v.45 no.2, pp.122-136
진한빛 (원광대학교)
이미진 (어부바방문간호센터)
김정철 (김정철한의원)
민백기 (기백한의원)
방호열 (동방신통부부한의원, 거제 재택의료센터)
임정태 (원광대학교)
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Abstract

Objectives: The case series with pressure ulcers who was cured by education through telemedicine will be presented as a model for how a Korean medicine doctor can participate in the telemedicine of pressure ulcers. We also aim to report on the perspectives of medical staff and patients regarding the improved telemedicine services in Korean medicine. Methods: The study included three cases of pressure ulcers in home care, and education on pressure ulcer management was provided to patients, caregivers, and collaborators via telemedicine. Basic training was provided to teach the sealed wet dressing therapy method. After the basic training, feedback on the treatment was provided by taking photos or videos of the patient's treatment process, and the feedback process was repeated until the dressing method was perfected. Results: A combination of telemedicine, home visits, and home care successfully treated pressure ulcers in home care patients using a multidisciplinary approach. The education through telemedicine alone improved the National Pressure Ulcer Advisory Panel (NPUAP) stages and the total score of the Pressure Ulcer Scale for Healing (PUSH) Tool, and all three cases were finally cured with an average treatment duration of 26.7 days. The patient's and clinician's perspectives also showed that telemedicine can effectively engage patients, caregivers, and collaborators, and motivate them to manage pressure ulcers. Conclusions: For patients having trouble visiting the hospital or desiring treatment at home, consideration can be given to telemedicine for traditional Korean medicine education in pressure ulcer management.

keywords
Telemedicine, Pressure Ulcer, Korean Traditional Medicine


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