成年抑郁症患者使用韩医治疗的相关因素分析:基于韩国健康小组 2019 年度数据

Tae-Hyeon Lee, Il-Su Park, Chan-Young Kwon
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引用次数: 2

摘要

研究目的本研究利用2019年韩国健康小组研究的数据,分析了韩国成年抑郁症患者接受西医(WM)和韩医(KM)门诊服务的相关因素:方法:利用卡方检验(Chi-square test)和二元逻辑回归(binary logistic regression)结果,确定了827人中各组的一般特征,以及使用整合医学(IM)医疗服务的影响因素。这些因素根据安德森医疗利用模型进行了分类。回归分析结果以几率比(OR)和 95% 置信区间(CI)表示:在研究对象中,658 人(79.6%)属于 WM 组,169 人(20.4%)属于 IM 组。在 WM 组和 IM 组中,有自杀倾向的人分别占 37.7% 和 43.2%。回归分析结果显示,居住在釜山/大邱/日山/庆尚与居住在首尔/京畿/仁川相比[OR = 0.522 (95% CI = 0.328 to 0.830)],存在肌肉骨骼[OR = 1.686 (95% CI = 1.071 to 2.653)]和情绪障碍[OR = 1.737 (95% CI = 1.106 to 2.726)]是对使用即时医疗服务影响最大的因素:本研究在韩国首次分析了情绪抑郁成人使用医疗机构的模式以及在 KM 治疗中使用的因素。研究结果初步证明了在抑郁症的背景下,知识管理对国民心理健康的贡献。
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Analysis of factors related to the use of Korean medicine treatment in adult patients with depressed mood: Based on the Korea Health Panel Annual Data 2019
Objectives: This study analyzed the factors related to outpatient service to Western medicine (WM) and Korean medicine (KM) of Korean adults with depressed mood using data from the 2019 Korea Health Panel Study.Methods: The general characteristics according to group of 827 individuals, and the factors influencing the use of integrative medicine (IM) medical service were identified using the Chi-square test and binary logistic regression results. The factors were classified based on the Andersen healthcare utilization model. The results of regression analysis were presented as odds ratio (OR) and 95% confidence interval (CI).Results: Among the individuals of the study, 658 (79.6%) were in the WM group and 169 (20.4%) were in the IM group. In the WM group and the IM group, the presence of suicidal ideation was common at 37.7% and 43.2%, respectively. As a result of regression analysis, the living in Busan/Daegu/Ulsan/Gyeongsang compared to living in Seoul/Gyeonggi/Incheon [OR = 0.522 (95% CI = 0.328 to 0.830)], and presence of musculoskeletal [OR = 1.686 (95% CI = 1.071 to 2.653)] and mood disorders [OR = 1.737 (95% CI = 1.106 to 2.726)] were the most influential factors on the use of IM medical service.Conclusions: This study is the first in Korea to analyze the patterns of medical institution use and factors used in KM treatment among adults with depressed mood. The results of this study provide preliminary evidence for the contribution of KM to national mental health in the context of depression.
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