대한한방부인과학회지 (The Journal of Korean Obstetrics and Gynecology)

  • 제34권2호
  • /
  • Pages.16-30
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  • 2021
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  • 1229-4292(pISSN)
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  • 2508-3619(eISSN)
대한한방부인과학회 (The Society of Korean Medicine Obstetrics and Gynecology)
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산후풍의 진단적 정의 확립을 위한 전문가 델파이 조사 연구

A Study for the Establishment of the Diagnostic Definition of Sanhupung (U32.7) using the Delphi Method

  • 오수경 (서리풀동의보감한의원) ;
  • 노은지 (동국대학교 한의과대학 부인과교실) ;
  • 최수지 (동국대학교 한의과대학 부인과교실) ;
  • 김동일 (동국대학교 한의과대학 부인과교실)
  • Oh, Su-Kyoung (Seoripul Donggam Korean Medical Clinic) ;
  • Noh, Eun-Ji (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University) ;
  • Choi, Su-Ji (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University) ;
  • Kim, Dong-Il (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University)
  • 투고 : 2021.03.12
  • 심사 : 2021.05.28
  • 발행 : 2021.05.28
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초록

Objectives: The aim of this study was to establish a clear diagnostic definition of Sanhupung using the Delphi method. Methods: This study used the Delphi technique. A panel consisting of 21 experts of Korean medicine, particularly in of gynecologic medicine, participated in the Delphi examination that included answering the 4th round survey. The Delphi examination was carried out through evaluating and correcting the questionnaire by e-mail. Results: Through the Delphi survey, we have reached on an agreement regarding the basic concepts, time, cause, essential symptoms, and accessory symptoms of Sanhupung. They are as follows: 1) Sanhupung is a culture bound syndrome reflecting Korea's cultural specificity. 2) Sanhupung can be diagnosed even after the miscarriage. 3) For the diagnosis of Sanhupung, the main cause of symptoms should not be classified as other disease. 4) Sanhupung can be diagnosed based on essential symptoms and accessory symptoms. 5) Essential symptoms include local symptoms such as joint pain at specific areas, partial sensory impairment and general symptoms including pain of all the joints, whole body sensory impairment, increased sweating, feeling of wind coming into the body, worsened symptoms with the cold, intolerance to cold, and pain of all the muscles. Conclusions: The basic concepts and diagnostic definition of Sanhupung were suggested based on the Delphi survey among experts in the field. Further research is necessary to improve reliability and validity of diagnostic definition of Sanhupung in clinical trials.

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