상담자 요소가 이명재훈련치료의 효과에 미치는 영향

김우진; 공지선; 박소영; 정기환; 김래형; 여상원; 박시내

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자료유형: 학술저널

저자정보: 김우진 공지선 박소영 정기환 김래형 여상원 박시내

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제60권 제5호

발행연도: 2017.1

수록면: 209 - 214 (6page)

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연구주제

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연구배경

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연구방법

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연구결과

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Background and Objectives Tinnitus retraining therapy (TRT) is one of the most effective treatment modalities of tinnitus based on the neurophysiological model proposed by Jastreboff and Hazell. This study was performed to evaluate the effect of counselor factor on treatment outcomes of TRT. Subjects and Method The total of 78 patients who had TRT from three different counselors in a tinnitus clinic of tertiary referral center from Jan 2015 to Dec 2015 were included in this study. Their medical records were retrospectively reviewed to evaluate the therapeutic response to TRT. Results Among 78 patients who were followed-up for more than 6 months, 47, 20, and 11 patients were treated by counselors A, B, C (all ENT specialists), respectively. Counselor A had 15-year-experience of TRT counseling, whereas counselor B and C were well trained but beginners of TRT counseling. Initial clinical characteristics including Tinnitus Handicap Inventory (THI) and tinnitus Visual Analogue Scale (VAS) scores of the patients among three groups were not significantly different. Treatment responses evaluated via THI and most of the tinnitus VAS scores after at least 6 months after TRT were significantly improved in all three groups (p＜0.05) with no significant difference between the senior (A) and junior (B, C) group. Conclusion TRT seems to be an effective treatment modality of tinnitus even in this short term follow-up study. Treatment outcomes of TRT may not depend on the counselors once they are well trained and follow the same protocol. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(5):209-14

#Counselor #Tinnitus #Tinnitus retraining therapy.

참고문헌 (15)

참고문헌 신청

Bauer CA / 2001 / Assessing tinnitus and prospective tinnitus therapeutics using a psychophysical animal model / J Assoc Res Otolaryngol 2 (1) : 54 ~ 64

Han JJ / 2015 / Assessing the effects of tinnitus retraining therapy in patients lost to follow-up: a telephone survey / Otol Neurotol 36 (4) : 581 ~ 587

Jastreboff PJ / 1990 / Phantom auditory perception (tinnitus): mechanisms of generation and perception / Neurosci Res 8 (4) : 221 ~ 254

Jastreboff PJ / 1996 / Neurophysiological approach to tinnitus patients / Am J Otol 17 (2) : 236 ~ 240

Jastreboff PJ / 2000 / Tinnitus retraining therapy (TRT) as a method for treatment of tinnitus and hyperacusis patients / J Am Acad Audiol 11 (3) : 162 ~ 177

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