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뇌성마비 아동의 한방의료 이용행태 ? 근거이론에 의한 질적연구

Utilization of Korean Medicine among Children with Cerebral Palsy - Qualitative Study by Grounded Theory

대한예방한의학회지 2019년 23권 2호 p.25 ~ 42
이현주 ( Lee Hyeon-Joo ) - 부산대학교 한의학전문대학원 한의학과

김부영 ( Kim Bu-Young ) - 신라대학교 물리치료학과
윤영주 ( Yun Young-Ju ) - 부산대학교 한의학전문대학원 동서협진의학

Abstract


Objectives : The purpose of this study was to identify factors that affect the utilization of Korean medicine (KM) among children with cerebral palsy (CP) and explore a processing model of decision-making by their parents.

Methods : We conducted an individual in-depth interview with 21 mothers of children with CP who were recruited during the observational study. A grounded theory of Strauss and Corbin was used for qualitative analysis. Thus, collected data were classified into open coding including 121 concepts, 27 sub-categories and 7 categories.

Results : The central phenomenon of the process of using KM for children with CP is ‘KM as an optional treatment not essential’. Therefore there are many obstacles to starting KM treatment and it is easily interrupted for various reasons, unlike general rehabilitation treatment. However, if the patient experiences the therapeutic effect, the parents want to continue KM treatment. They try to provide treatment as much as possible if they can afford it. The parents give priority to general rehabilitation treatment and value the information and experience provided by the caregivers in similar situation as well as expert opinions.

Conclusions : To expand and generalize KM treatment for children with CP, efforts to change interventional conditions such as treatment effect, treatment cost, treatment compliance, and convenience of treatment based on the understanding of the strategy used by the parents in KM utilization.

키워드

cerebral palsy; utilization of health care; Korean medicine; qualitative research; grounded theory
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