지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Objectives: To develop and investigate the reliability of the pathologic aging scale based on korean medical theory and korean medical pattern identification for dementia.
Methods: We searched the textbook of korean neurophychiatry and Donguibogam and selected items through professional consensus. We compared between dementia(n=40) and normal elderly(n=38) and tested the reliability of two scales.
Results: After professional consensus, we drafted the Korean Medical Pathologic Aging Scale(12 items, Likert 3 scale) and Korean Medical Pattern Identification for Dementia(4 patterns, 28 items, Likert 5 scale). On Korean Medical Pathologic Aging Scale, There is no significant difference between two groups. We had good internal consistency(Cronbach’s alpha = 0.6) and test-retest reliability(r=0.631) but low inter-rater reliability(r=0.430). On Korean Medical Pattern Identification for Dementia, dementia patients diagnosed with Qi deficiency are significantly more than those in normal group. We had fairly good internal consistency(Cronbach’s alpha = 0.574) and excellent test-retest(kappa= .800) and inter-rater reliability(kappa = .733).
Conclusions: Korean Medical Pattern Identification for Dementia is appropriate for diagnosing korean medical pattern. But Korean Medical Pathologic Aging Scale isn"t appropriate to discriminate dementia from normal elderly because of many subjective items. Therefore objective measurement of sensory dysfunction would be needed to measure pathologic aging based on korean medical theory.
Methods: We searched the textbook of korean neurophychiatry and Donguibogam and selected items through professional consensus. We compared between dementia(n=40) and normal elderly(n=38) and tested the reliability of two scales.
Results: After professional consensus, we drafted the Korean Medical Pathologic Aging Scale(12 items, Likert 3 scale) and Korean Medical Pattern Identification for Dementia(4 patterns, 28 items, Likert 5 scale). On Korean Medical Pathologic Aging Scale, There is no significant difference between two groups. We had good internal consistency(Cronbach’s alpha = 0.6) and test-retest reliability(r=0.631) but low inter-rater reliability(r=0.430). On Korean Medical Pattern Identification for Dementia, dementia patients diagnosed with Qi deficiency are significantly more than those in normal group. We had fairly good internal consistency(Cronbach’s alpha = 0.574) and excellent test-retest(kappa= .800) and inter-rater reliability(kappa = .733).
Conclusions: Korean Medical Pattern Identification for Dementia is appropriate for diagnosing korean medical pattern. But Korean Medical Pathologic Aging Scale isn"t appropriate to discriminate dementia from normal elderly because of many subjective items. Therefore objective measurement of sensory dysfunction would be needed to measure pathologic aging based on korean medical theory.
목차
서론
한의학 병리적 노화 척도와 치매 한의학적 변증진단 개발
한의학 병리적 노화 척도와 치매 한의학적 변증진단 신뢰도평가
결과
논의
결론
참고문헌
참고문헌 (20)
참고문헌 신청
Ku BD, Kim SG, Lee JY, Park KH, Shin JH, Kim KK, et al. Clinical practice guideline for dementia by Clinical Research Center for Dementia of South Korea. Journal of Korean Medical Association. 2011;54(8):861-75.
The Textbook Compilation Committee of Neuropsychiatry of Korean Medical Schools in Nation. Third edition. The Neuropsychiatry of Oriental medicine. Seoul:Jipmoon-Dong. 2016: 319-27.
Jung IC. The Literature Review of Dementia. Journal of oriental neuropsychiatry. 1996;7(1): 77-94.
Hur J. Donguibogam. Seoul:Namsandang, 2007.
Ryu CH, Jung IC, Cho SH, Hwang WW, Kang WC, Lee SR. Preliminary Study to Develop the Instrument of Oriental Medical Evaluation for dementia. Journal of oriental neuropsychiatry. 2010;21(4):123-35.
Jung IC. The Literature Review of Dementia. Journal of oriental neuropsychiatry. 1996;7(1): 77-94.
Hur J. Donguibogam. Seoul:Namsandang, 2007.
Ryu CH, Jung IC, Cho SH, Hwang WW, Kang WC, Lee SR. Preliminary Study to Develop the Instrument of Oriental Medical Evaluation for dementia. Journal of oriental neuropsychiatry. 2010;21(4):123-35.
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UCI(KEPA) : I410-ECN-0101-2018-519-001329147