The Journal of Korean Obstetrics and Gynecology (대한한방부인과학회지)

The Society of Korean Medicine Obstetrics and Gynecology (대한한방부인과학회)
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A Study on Aadjustment of the Patterns, and the Correlation between the Diagnostic Tool for Climacteric and Postmenopausal Syndrome Pattern Identification (CaPSP) and Korean Medicine Doctors' Diagnosis

갱년기장애 및 폐경기 후 증후군 변증진단 도구의 변증분류 조정과 진단의 간의 진단일치도 연구

  • Lee, In-Seon (Dept. of OB & GY, College of Korean Medicine, Dong-Eui University) ;
  • Kim, Jong-Won (Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Dong-Eui University) ;
  • Jeon, Soo-Hyung (Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Dong-Eui University) ;
  • Chi, Gyoo-Yong (Dept. of Pathology, College of Korean Medicine, Dong-Eui University) ;
  • Kang, Chang-Wan (College of Production Information Technology Engineering Major, Dong-Eui University)
  • 이인선 (동의대학교 한의과대학 부인과교실) ;
  • 김종원 (동의대학교 한의과대학 사상체질의학과교실) ;
  • 전수형 (동의대학교 한의과대학 사상체질의학과교실) ;
  • 지규용 (동의대학교 한의과대학 병리학교실) ;
  • 강창완 (동의대학교 생산정보기술공학)
  • Received : 2020.12.08
  • Accepted : 2021.02.26
  • Published : 2021.02.26
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Abstract

Objectives: We studied for the adjustment of the patterns of 'The Diagnostic Tool for Climacteric and Postmenopausal Syndrome Pattern Identification (hereinafter CaPSPI)' (studyI) and the correlation between CaPSPI and Korean medicine doctors' diagnosis which was carried out without knowing the results of CaPSPI (studyII). Methods: The studyI followed the previous study method in 2018 (2018-3). The studyII was conducted from June 1, 2019 to July 10, 2020 with ◯◯ University Korean Medicine Hospital IRB's approval (2019-4). Doctors' diagnosis was conducted face-to-face with the subjects. Doctors' diagnosis was carried out based on the Kupperman's questionnaire, 'Diagnosis System of Oriental Medicine (hereinafter DSOM)' and four examinations (四診) records. The diagnosis was marked with 0 for 'no', 1 for 'somewhat', 2 for 'yes' and 3 for 'very yes'. The correlation between CaPSPI and the mean of doctors diagnostic scores were investigated statistically. Results: The studyI showed that heart-heat (心火) pattern was added. The Factor loading coefficient for heart-heat was 0.551 to 0.789, and the Cronbach's coefficient was 0.896. The studyII showed that the diagnosis (Kappa statistic) of two doctors showed statistically significant concordance (all eight patterns), with correlation of them were 0.3 or higher. And the correlation between the CaPSPI score and the mean of doctors' diagnostic score showed a statistically significant correlation, with liver qi depression (肝鬱) being the highest at 0.552 and dual deficiency of the heart-spleen (心脾兩虛) being the lowest at 0.301. Conclusions: Since the diagnosis results of CaPSPI showed a significant correlation with the diagnosis of Korean traditional medicine experts, it was believed that the CaPSPI results can be trusted and used for clinical purposes.

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