• 제목/요약/키워드: Oriental medicine instrument

검색결과 162건 처리시간 0.029초

경계정충(驚悸怔忡) 변증도구 개발을 위한 기초 연구 (Preliminary Study to Develop the Instrument of Pattern Identification for Jing Ji and Zheng Chong)

  • 박대명;이상룡;강위창;정인철
    • 동의신경정신과학회지
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    • 제21권2호
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    • pp.1-15
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    • 2010
  • Objectives : This study was performed to develop a standard instrument of Pattern Identification for jing ji and zheng chong. Methods : The advisor committee on this study was organized by 15 neuropsychiatry professors of oriental medical colleges. The items and structure of the instrument were based on review of published literature. We took consultation 2 times from the advisor committee and we also took additional advices by e-mail. Results : 1. We divided the symptoms and signs of jing ji and zheng chong into 9 pattern identification. - heart deficiency with timidity(心膽虛怯), heart qi deficiency(心氣虛), heart blood deficiency(心血虛), heart yang inactivity(心陽不振), heart blood stasis(心血瘀阻), phlegm turbidity obstructing(痰濁阻滯), yin deficiency with effulgent fire(陰虛火旺), water qi intimidating the heart(水氣凌心), dual deficiency of the heart and spleen(心脾兩虛). 2. We got the mean weights that reflect standard deviation to each symptom of 9 pattern identification which had been scored on a 100-point scale. 3. We made out the Korean instrument of the pattern identification for jing ji and zheng chong. It was composed of 17 questions in question-and-answer form. Conclusions : Instrument of Pattern Identification for jing ji and zheng chong was developed through experts' disscussion. If the validity and reliability of this instrument is confirmed through additional clinical trial, the instrument of pattern identification for jing ji and zheng chong is expected to be applied to the subsequent research.

우울증 변증도구의 신뢰도, 타당도 평가 (Reliability and Validity Analysis of the Instrument on Pattern Identifications for Depression)

  • 이헌수;강위창;정인철
    • 동의신경정신과학회지
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    • 제26권4호
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    • pp.407-416
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    • 2015
  • Objectives: This study was performed to evaluate the reliability and validity of the instrument on pattern identifications for depression. Methods: Two assessors carried out an evaluation about the instrument on pattern identifications for depression, targeting 201 participants, who after taking the HAM-D score over 12 or under 7 twice. Results: Inter-assessor reliability was higher than intra-assessor reliability in a reliability analysis about classification of pattern identification evaluated by the instrument on pattern identifications for depression. Reliability of intra-assessor and inter-assessor showed a moderate to strong agreement when reliability analysis about classification score of the pattern identification had been performed. Reliability analysis to evaluate the validity of the instrument on pattern identifications for depression showed moderate agreement. Conclusions: The results reveal that reliability analysis of the instrument on pattern identifications for depression showed an over moderate agreement and validity analysis represented a positive correlation.

불면증 변증도구 개발을 위한 기초 연구 (Preliminary Study to Develop the Instrument on Pattern Identifications for Insomnia)

  • 이헌수;김환;윤용기;이수진;전주현;김보경;이은정;정인철
    • 동의신경정신과학회지
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    • 제27권4호
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    • pp.223-234
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    • 2016
  • Objectives: This study was carried out to develop a standard tool of pattern identifications for insomnia in Korean Medicine. Methods: The advisory committee for this study was organized by 17 Korean Medicine neuropsychiatry professors who were faculty members of different Korean Medicine colleges. The pattern identifications and symptoms for this tool were extracted from published Korean and Chinese literature. The Instrument on Pattern Identifications for Insomnia was developed following discussions among internal experts and after consultations with members of the advisory committee. Results: 1) Five pattern identifications were set for the tool. 2) The mean weights which represent the importance of each symptom and scored on a hundred-point scale were obtained. 3) The Instrument on Pattern Identifications for insomnia was designed in the self-reporting format composed of 47 questions. Conclusions: An Instrument on Pattern Identifications for Insomnia was created in this study. However, owing to any clinical trials has not been set yet. Therefore its validity and reliability were not confirmed. To make up for this limitation, the further clinical study would be performed in the near future.

한.양방 협진의 진료협력수준 측정도구개발 및 타당도 연구 (Measurement of Care Coordination between Korean Medicine and Western Medicine: Development and Validation of an Instrument)

  • 박민정;최병희;백윤희;박정혜
    • 대한예방한의학회지
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    • 제19권1호
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    • pp.71-82
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    • 2015
  • Objective : The purpose of this study is to present the desirable model for the promotion of care coordination between Korean Medicine and Western Medicine and develope the instrument to measure the level of coordination. Moreover, we verified the validity and reliability of the developed Instrument. Method : In this study, We developed the 16 items regarding care coordination in Korean Medicine and Western Medicine by literature review and expert interviews. In addition, we verified the validity and reliability of the instrument as a methodological research. Results : We developed two factors such as 'Inter-professional activities' and 'Organizational support' as the instrument to measure the level of care coordination, and each of seven, eight total of 15 measurement items are listed. Conclusion : Since the legal permission, the level and type of care coordination and the effects of them are needed to be checked. So, the measurement instrument driven by this study has a political signification in healthcare system specially in these times. In addition, by utilizing this instrument, we propose to perform a variety of future studies on the levels of healthcare coordination and related outcomes.

전립선비대증 변증도구 개발 기초 연구 (Development of a Basic Standard Tool for Pattern Identification of Benign Prostatic Hyperplasia (BPH))

  • 정호영;이지윤;박양춘;정인철;조충식
    • 대한한방내과학회지
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    • 제38권3호
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    • pp.301-318
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    • 2017
  • Objective: The purpose of this study was to develop a standard tool of pattern identification, which will be applied to clinical research, for benign prostatic hyperplasia. Method: The items and structure of the instrument were based on a review of the published literature in China and Korea. The advisory committee on this study included 11 kidney-endocrine professors of the Korean Medical Colleges Division and 4 Korean medicine doctors who had a doctor's degree in the Kidney-Endocrine Division. The advisory committee was questioned regarding pattern identification importance, symptom weight, treatment importance, changes in the symptoms, rare changes in the symptoms, and frequency of prescriptions regarding benign prostatic hyperplasia. Results: The Korean instrument of pattern identification was completed; it was composed of four questions for benign prostatic hyperplasia. Conclusion: We sincerely look forward to improving the instrument through the continuous clinical studies.

3D체형측정기와 수동측정 방법간의 사상체질별 ${\cdot}$ 성별 진단정확률 비교연구 (Diagnosis Accuracy Rate Comparative Study of Each Sasang Constitutions and Sex Distinction by Body Measurement Method between 3D Body Measuring Instrument and Hand-operating)

  • 권석동;설유경;이의주;김규곤;김종원
    • 사상체질의학회지
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    • 제19권1호
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    • pp.60-77
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    • 2007
  • 1. Objectives This is the comparative study with hand-operated measurement method and Automatic measurement method, in order to convert the automatic measurement method. 2. Methods We measured the body of patients(hand-operated Width 5 Places and hand-operated circumference 8 place,Automatic Width 5 and automatic circumference 8 place by 3D body measuring instrument) and analyzed the anthropometric data divding into sex&age. 362 patient's data are used in the analysis. 3. Results and Conclusions 1) 1th circumference variable which standing was not a sasang constitutional difference. 2) Diagnostic accuracy rate of the body measurement was 50-80%. 3) Diagnostic accuracy rate of man is higher than Diagnostic accuracy rate of women 4) Diagnostic accuracy rate of Automatic & hand-operated measuring was not a big difference.

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경계정충 변증도구 신뢰도 평가 및 개선방안 연구 (A Study to Assess the Reliability and Improvement of the Instrument of Pattern Identification for Jing Ji and Zheng Chong)

  • 최우창;이헌수;서복남;강위창;정인철
    • 동의신경정신과학회지
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    • 제25권4호
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    • pp.371-382
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    • 2014
  • Objectives: The purpose of this study is to examine the test-retest reliability and to suggest methods to enhance reliability. Methods: Participants consisted of 145 patients with generalized anxiety disorder who were diagnosed by the Structured Clinical Interview for DSM-IV Axis I Disorders. Participants were tested twice within one week. Results: The test-retest reliability of the Instrument of Pattern Identification for Jing Ji and Zheng Chong was examined in 145 patients and it was calculated as 0.3919. Internal Reliability of each part was calculated as 0.320~0.502. Reliability and concordance rate of symptoms are presented in the table. Frequency of symptoms and correlation between weight and frequency are also presented in the table. Conclusions: Based on these results, we have modified the Instrument of Pattern Identification for Jing Ji and Zheng Chong.

치매 환자의 임상증상에 대한 조사 연구 (A Clinical Survey Study on Clinical Symptoms of Dementia Patients)

  • 서현욱;조성훈;정선용;김종우
    • 동의신경정신과학회지
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    • 제22권1호
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    • pp.13-23
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    • 2011
  • Objectives : The aim of this survey study is to analysis clinical symptoms and patterns of dementia patients. The results of this study will be used to support development of the oriental herbal medicine for dementia. Methods : Clinical data were collected from 41 dementia patients and 20 aged persons who have no cognitive impairment in 3 sites including 2 hospitals and 1 sanatorium. 'The instrument of oriental medical evaluation for dementia' is used to evaluate clinical symptoms and patterns of all subjects. Results : 1. Subjects of deficiency syndrome patterns were nearly three times more than subjects of excess syndrome patterns. 2. In dementia patient group, the average rate for 4 clinical symptoms, related with treatment principle of clear heat, was 26.9%. 3. The average rate for 4 clinical symptoms, related with condition of urine and feces, was 15.6%. 4. The average rate for 5 clinical symptoms, related with anger, irritation, anxiety and restlessness, was 40.0%. Conclusions : 1. It is needed to develop new herbal medicine for dementia focuing on clear heat, anger, irritation, anxiety, restlessness, and condition of urine and feces. 2. 'The instrument of oriental medical evaluation for dementia' has strong tendency that excessively reflects general geriatric symptoms, related to deficiency syndrome patterns. so, more clinical symptoms of excess syndrome should be added in this tool.

삶의 질 측정도구의 개괄 및 한의학에서의 이용 (An Overview of HRQOL (Health Related Quality of Life) Instrument and Application in Oriental Medicine)

  • 정태영;조정효;손창규
    • 대한한의학회지
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    • 제31권2호
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    • pp.64-70
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    • 2010
  • Objective: This study aimed to construct an overview of health-related quality of life (HRQOL) scales for application in studies of traditional Korean medicine (TKM). Methods: We analyzed all HRQOL scales from the PROQOLID web site (www.proqolid.org) regarding to classification, application purposes, and translation to Korean version. We also searched clinical studies focused on "Quality of Life" using TKM. Results: A total of 660 HRQOL instruments were analyzed; 99 were for general condition while 559 were disease-specific. Twenty clinical studies for TKM were conduced using HRQOL scales. Conclusion: The adaptation of the international HRQOL instrument is strongly recommended in TKM-associated clinical study, and development of a TKM-specific HRQOL scale is needed for globalization of TKM.

화병 변증도구의 신뢰도, 타당도 평가와 활용 가이드라인 연구 (Guidelines for the Reliability and Validity of the Instrument on Pattern Identifications for Hwa-byung)

  • 김국기;서복남;강위창;정인철
    • 동의신경정신과학회지
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    • 제24권4호
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    • pp.331-342
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    • 2013
  • Objectives: The purpose of this study is to examine the validity, the test-retest reliability and to provide guidelines for the Instrument on Pattern Identifications for Hwa-byung. Methods: Participants are 97 patients with Hwa-byung who were diagnosed by Hwa-Byung Diagnostic Interview Schedule. Participants were tested twice within one week. Results: The test-retest reliability of the Instrument on Pattern Identifications for Hwa-byung was examined for 97 patients and calculated to be 0.3146. The reliability of the Instrument on Pattern Identifications for Hwa-byung was 0.605 with a difference of 5% or more for the first and the second. To confirm the validity of the Instrument on Pattern Identifications for Hwa-byung, we analyzed the relevance between symptoms, Pattern Identifications that belong to the group and other Pattern Identifications that do not belong. Conclusions: It can be diagnosed in the first pattern identification by the Instrument of Pattern Identifications for Hwa-byung when there is a difference of 5% or more in the first and second pattern identification. Based on this result, we derived an Instrument for Pattern Identifications of Hwa-byung that has been further modified through additional studies.