• 제목/요약/키워드: 사상체질의 진단

검색결과 208건 처리시간 0.024초

사상체질 전문가의 체질진단 일치도 및 타당도 평가 (The Concordance and Validity Assessment of Diagnosis for the Expert in Sasang Constitution)

  • 백영화;김호석;이시우;장은수
    • 사상체질의학회지
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    • 제26권3호
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    • pp.295-303
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    • 2014
  • Objectives It is very important to diagnose Sasang Constitution (SC) correctly. The aim of this study was to reveal the concordance and validity of the specialists in Sasang Constitutional Medicine (SCM). Methods Three experts who had more than 5 years of experience and used more than 90% of Sasang Constitutional prescription in clinical practice of SCM participated in this study. The data composed of body shape, face, voice, temperament and physio-pathological symptoms were collected in the Korea Constitutional Multicenter Bank and 81 subjects' data were extracted randomly. The experts reviewed all 81 subjects data independently. Kappa analysis was conducted. Results 1) The concordance is from 52.5% to 68.4% among three experts. 2) The validity between individual expert and gold standard is from 54.3% to 63% and Kappa's coefficients are from 0.283 to 0.421. 3) The validity is from 68.5% to 70.7% when two or three experts agree the Sasang constitution independently and 75.7% when all of experts agree it. Conclusions The concordance and validity of experts in SCM seems to be moderate. We think further study is needed.

사상체질에 따른 임상적 진단검사 결과 비교 (Comparison of the Results of Clinical Diagnostic Assay according to Sasang Constitution Classification)

  • 박지원
    • 성인간호학회지
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    • 제15권2호
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    • pp.215-225
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    • 2003
  • Purpose: Sasang constitutional medicine is Korea's creative medical science, that has attracted public attention. But for lack of indices in objectifying constitutions, there are difficulties for most of health professionals in approaching Sasang medicine. The purpose of this study was to compare the results of clinical diagnostic data according to the type of Sasang constitution. Method: The subjects were 195 examinees who had a general health check-up at A hospital. The instrument used for this study were Questionnaire of Sasang Constitution Class II(QSCCII) program for personal computer developed by Kim Sun Ho et al. Result: The distribution of constitutions of the subjects were the So-eum 46.7%, the Tae-eum 36.9% and the So-yang 16.4%. The level of body compositionrelated indices(body weight, obesity) of the Tae-eum were significantly higher than those of other constitutions. In heart-related indices, systolic BP were the highest in the Tae-eum. In liver-related indices, the level of triglyceride, SGPT were significantly higher in the Tae-eum. But the hematologic indices and lung-related indices were not showed significantly difference among any constitutions. Conclusion: The results of this study showed that there were significant difference of clinical diagnostic data according to Sasang constitutions, especially in the Tae-eum. So, to understand the human nature of nursing clients, nurses need to apply the oriental based medical theory, like Sasang constitution, to the discipline of nursing.

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안면 체형 음성 및 설문 기반 사상체질 진단 툴 베타버전과 전문가의 체질진단 일치도 예비 연구 (The Preliminary Study on the Coincidence between Sasang Constitutional Analysis Tool β-version and Expert of Sasang Constitution)

  • 장은수;진희정;도준형;이시우;김종열
    • 사상체질의학회지
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    • 제24권2호
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    • pp.1-7
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    • 2012
  • 1. Objectives : In Sasang constitutional medicine, it has been known that diagnosing Sasang constitution correctly is mostly important. We had developed an Integrated Sasang Constitutional Analysis Tool (SCAT) ${\beta}$-version using face, voice, body shape and questionnaire before. The purpose of this study is to suggest whether SCAT ${\beta}$-version is reliable or not. 2. Methods : We collected 371 subjects from 6 oriental medical clinics. We analyzed the Sasang constitutional diagnostic results using Kappa and coincidence rates between experts in Sasang constitution and SCAT ${\beta}$-version which was developed on the basis of face, body shape, voice and characteristics and symptom questionnaire data. 3. Results : The agreement rates between SCAT ${\beta}$-version and experts was 69.3% in total, and 73.2%, in Taeeumin, 70.8% in Soeumin, and 56.9% in Soyangin in detailed. The Kappa was 0.510 (p value<.000). There was an increasing trend of agreement rates and kappa value corresponded to increasing constitutional probability. When The constitutional probabilities were changed from below 40%, to over 40%, 50%, 60%, the agreement rates corresponded from 50.8% to 79.5%, 91.4%, 95.7% respectively. 4. Conclusions : A SCAT combined with a constitutional probability seemed to help experts to diagnose a patient's Sasang constitution correctly.

의사결정나무법을 이용한 체질진단에 관한 연구 (A study of constitution diagnosis using decision tree method)

  • 이영섭;박성식;박은경
    • 사상체질의학회지
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    • 제13권2호
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    • pp.144-155
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    • 2001
  • By the increasing concern about Sasang Constitution Medicine, its practical use is considered very important in disease prevention and medical treatment. However, the method of constitution classification is depending on the doctor's clinical trials because of the lack of the objective test criteria. This study is trying to improve the objectiveness of diagnosis using a new statistical method, decision tree. Decision tree method-a classification technique in the statistical analysis- was used to analyze the result of QSCCII instead of using discriminant analysis. As a result, 16 among 121 QSCCII questions was selected as important questions and 21 terminal nodes was built to classify the constitution. Using only 16 questions shown in the result of decision tree, we can diagnose and interpret the constitution easily and effectively.

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환자용 사상체질진단 설문지의 체질별 응답차이에 관한 연구 (A Study on the Response Differences to the Sasang Constitution Questionnaire by Sasang Constitutions)

  • 이시우;주종천;이수경;이혜정;장은수
    • 사상체질의학회지
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    • 제19권3호
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    • pp.89-98
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    • 2007
  • 1. Objectives This study aims to evaluate newly developing Sasang Constitution Diagnosis Questionnaire for accuracy and efficiency. 2. Methods Three hundred and twenty eight patients from 4 multi centers are involved in this study. Excluding 16 constitution-unidentified patients and 2 Taeyang-in patients, 310 patients' questionnaires are analyzed statistically by their constitutions. 3. Results Sixty one questions are statistically significant in whole 229 questions of Sasang Constitution Diagnosis Questionnaire. We have selected 30 questions from 61 questions by comparing total data from 4 multi centers with those of each center. Thirty questions are made up of 10 body shape questions, 10 appearance questions, 5 character questions and 5 symptom questions. 3. Conclusions There might be needs for revision of character and symptom questions. From results, we suggest to diagnose Sasang Constitution for screening by short-form questionnaire consisted of questions on body shapes and appearances.

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월경장애 여고생을 대상으로 환자용 사상체질진단 설문지의 체질별 응답차이 연구 (A Study on the Response Differences to the Sasang Constitution Questionnaire by Sasang Constitutions in High School Girls with Menstrual Disorders)

  • 전수형;김규곤;이인선
    • 사상체질의학회지
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    • 제27권1호
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    • pp.161-170
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    • 2015
  • Objectives The purpose of this study was to investigate whether the menstrual disorders affect the Sasang constitutions questionnaire response in high school girls. Methods Using a structured menstrual history questionnaire, we evaluated the degree of menstrual disorders of 795 high school girls who participated in this clinical trial. Based on the survey we classified them into menstrual disorders group and control group. They filled out SSCQ-P (Sasang Constitution Questionnaire for Patients) and we had compared the difference in response by Sasang constitutions. Each group included 97 girls respectively. From 68 girls in menstrual disorders group and 81 girls in control group, 149 questionnaire was analyzed statistically by their constitutions. Results Four questions in Soyangin, twenty one questions in Taeeumin, ten questions in Soeumin were statistically significant in response between menstrual disorders group and control group. Conclusions Soyangin's menstrual disorders don't have a significant impact on SSCQ-P survey. Water retention of PMS may be affect divergence of lung and cause various symptoms in Taeeumin. Soeumin's menstrual disorders may be more affect negative emotions and activity decrease than other constitutions.

월경통 환자를 대상으로 환자용 사상체질진단 설문지의 체질별 응답차이 연구 (A Study on the Response Differences to the Sasang Constitution Questionnaire by Sasang Constitutions in Adult Women with Menstrual Pain)

  • 나영주;강석환;김종원;전수형
    • 사상체질의학회지
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    • 제28권4호
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    • pp.330-337
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    • 2016
  • Objectives The purpose of this study was to investigate whether the menstrual pain affect the Sasang constitutions questionnaire response in adult women. Methods Using a structured menstrual history questionnaire, we evaluated the degree of menstrual pain of 550 adult women who participated in this clinical trial. Based on the survey we classified them into menstrual pain group and control group. They filled out SSCQ-P (Sasang Constitution Questionnaire for Patients) and we had compared the difference in response by Sasang constitutions. From 329 women in menstrual pain group and 212 women in control group, 541 questionnaire was analyzed statistically by their constitutions. Results 7 questions in Soyangin, 11 questions in Taeeumin and 20 questions in Soeumin were statistically significant in response between menstrual pain group and control group. Conclusions Soyangin's menstrual pain shows less influence on SSCQ-P than Taeeumin and Soeumin. Taeeumin who has Taeyangin's appearances and characteristics has more menstrual pain. In Soeumin, menstrual pain may result in negative and less expressive characteristics.

사상의학 객관화의 연구성과와 향후방향 (Established Studies & Future Subjects in the Objectification of Sasang Constitutional Medicine)

  • 한성수;최선미;윤유식;김종열
    • 한국한의학연구원논문집
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    • 제10권2호
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    • pp.51-62
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    • 2004
  • Through the survey of related studies for last ten years, it was known that accurate sample data of sasang constitution are the most important condition in sceintific research of sasang constitutional medicine. So we can propose three step for scientific sasang constitution medicine: firstly, the construction of SCIM(Sasang Constitutional Information Bank); secondly, the development of instruments for constitution diagnosis; thirdly, the new diagnosis methods based on the organic definition of sasang constitution.

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체질진단분류(體質診斷分類)에 따른 질병(疾病) 및 증상유형(症狀類型)에 관한 임상적 연구 - 문진표를 중심으로 - (A CLINLCAL STUDY OF the TYPE OF DISEASE AND SYMTOM ACCORDING TO SASANG CONSTITUTION CLASSWICATION (in the field of questionnaire analysis))

  • 김종원
    • 사상체질의학회지
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    • 제8권1호
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    • pp.337-347
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    • 1996
  • 동의대학교 한의과대학 부속한방병원에 내원한 76명을 대상으로 체질진단분류와 질병 및 증상유형과의 관계를 문진표 (19개 항목 123문항)를 중심으로 비교 분석하여 다음과 같은 결론을 얻었다. 1. 체중감소증상은 체질에 따라 유의한 차이가 있었고 태음인이 소양인이나 소음인에 비하여 더욱 빈발하였다. 2. 구토증상은 체질에 따라 유의한 차이가 있었고 태음인이 소양인이나 소음인에 비하여 더욱 빈발하였다. 3. 목이 쉬는 증상은 체질에 따라 유의한 차이가 있었고 소음인이 소양인이나 태음인에 비하여 더욱 빈발하였다. 4. 호흡곤란 증상은 체질에 따라 유의한 차이가 있었고 태음인이 소양인이나 소음인에 비하여 더욱 빈발하였다. 5. 관절통 증상은 체질에 따라 유의한 차이가 있었고 소양인이 소음인이나 태음인에 비하여 더욱 빈발하였다. 6. 생리통증상은 체질에 따라 유의한 차이가 있었고 소음인이 소양인이나 태음인에 비하여 더욱 빈발하였다. 7. 과거력은 체질에 따라 유의한 차이가 없었으며 다만 과거력은 나이에 따라 일부 유의한 차이가 있었을 뿐이다. 이상의 결과로 볼 때 체질과 각종 질병이나 증상유형에 대한 임상적인 연구가 더욱 필요할 것으로 사려된다.

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