The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
권호 표지

Preliminary Study to Develop a Korean Oriental Medical Assessment Tool for Syndrome Differentiation of Chronic Obstructive Pulmonary Disease

만성 폐쇄성 폐질환에 대한 한의학적 변증 평가도구 개발을 위한 기초연구

  • Lee, Beom-Joon (Division of Allergy, Immune and Respiratory System, Department of Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Jung, Hee-Jae (Division of Allergy, Immune and Respiratory System, Department of Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Choi, Jun-Young (Department of Internal Medicine, Korean Medicine Hospital, School of Korean Medicine, Pusan National University) ;
  • Kang, Wee-Chang (Department of Business and Information Statistics, College of Business Adminstration, Dae-Jeon University) ;
  • Jung, Sung-Ki (Division of Allergy, Immune and Respiratory System, Department of Internal Medicine, College of Oriental Medicine, Kyung-Hee University)
  • 이범준 (경희대학교 한의과대학 폐계내과학 교실) ;
  • 정희재 (경희대학교 한의과대학 폐계내과학 교실) ;
  • 최준용 (부산대학교 한의학전문대학원 내과학교실) ;
  • 강위창 (대전대학교 경영대학 비즈니스정보통계학과) ;
  • 정승기 (경희대학교 한의과대학 폐계내과학 교실)
  • Received : 2012.05.20
  • Accepted : 2012.08.02
  • Published : 2012.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The aim of study was to develop a standard clinical oriental medicine evaluation instrument for chronic obstructive pulmonary disease (COPD). Methods: We appointed 10 respiratory professors of oriental medicine as the advisory committee. The committee was organized and met several times to discuss the patterns of syndrome differentiation (辨證) and its items based on clinical symptoms of COPD patients and review of published literature. Then the committee investigated the importance of items by e-mail and decided the weight and final weight, respectively. Results: According to the answers and conferences, we determined the Korean oriental medical assessment tool for COPD comprised of the 7 type of patterns of syndrome differentiation which have 9 items with the mean weight and final weight of each item, respectively. Conclusions: This Korean oriental medical assessment tool for COPD was newly developed through expert consensus. We expect to apply this tool to subsequent research as its validity and reliability is further confirmed.

Keywords

References

  1. Global Initiative for Chronic Obstructive Lung Disease. Global Chronic Obstructive Lung Disea se [GOLD]: Global strategy for the diagnosis, management, and prevention of COPD. 2011. Avail able at URL: http://www.goldCOPD.com/. Acce ssed Jan 20, 2012.
  2. World Health organization. World health report. Geneva. 2012. Avilable at http://www.who.int/ respiratory/COPD/burden/en/index.html. Accessed Jan 20, 2012.
  3. Celli BR, MacNee W. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur Respir J. 2004;23:932-46. https://doi.org/10.1183/09031936.04.00014304
  4. Kim DS, Kim YS, Jung KS, Chang JH, Lim CM, Lee JH, et al. Prevalence of chronic obstructive pulmonary disease in Korea: a population-based spirometry survey. Am J Respir Crit Care Med. 2005;172:842-7. https://doi.org/10.1164/rccm.200502-259OC
  5. Jung YM, Lee H. Chronic obstructive pulmonary disease in Korea: prevalence, risk factors, and quality of life. J Korean Acad Nurs. 2011;41(2): 149-56. https://doi.org/10.4040/jkan.2011.41.2.149
  6. Kang KH. The Clinical Manifestation and Diagnosis of COPD. Tuberc Respir Dis. 2005; 59(1):14-22. https://doi.org/10.4046/trd.2005.59.1.14
  7. 전국 한의과대학 폐계내과학실 편저. 동의폐계내과학, 서울: 도서출판 나도. 2008:495-513.
  8. Band JH, Kim JH, Choi GH, Jung HJ, Jung SK. A Clinical Case Report of a Severe Chronic Obstructive Pulmonary Disease(COPD) Patient Treated by Cheonsagunja-tang gagam. Korean J Orient Int Med. 2010;fal:238-46.
  9. Shinozuka N. Tatsumi K, Nakamura A, Terada J, Kuriyama J. The traditional herbal medicine Hochuekkito improves systemic inflammation in patients with chronic obstructive pulmonary disease. Journal of the American Geriatrics Society. 2007;55(2):313-4. https://doi.org/10.1111/j.1532-5415.2007.01057.x
  10. Suzuki M, Namura K, Ohno Y, Tanaka H, Egawa M, Yokoyama Y, et al. The effect of acupuncture in the treatment of chronic obstructive pulmonary disease. J Altern Complement Med. 2008;14(9): 1097-105. https://doi.org/10.1089/acm.2007.0786
  11. Lau KS, Jones AY. A single session of Acu-TENS increases FEV1 and reduces dyspnoea in patients with chronic obstructive pulmonary disease: a randomised, placebo-controlled trial. Aust J Physiother. 2008;54(3):179-84. https://doi.org/10.1016/S0004-9514(08)70024-2
  12. Ngai SP, Jones AY, Hui-Chan CW, Ko FW, Hui DS. Effect of 4 weeks of Acu-TENS on functional capacity and beta-endorphin level in subjects with chronic obstructive pulmonary disease: a randomized controlled trial. Respir Physiol Neurobiol. 2010;173(1):29-36. https://doi.org/10.1016/j.resp.2010.06.005
  13. Chan AW, Lee A, Suen LK. Tam WW. Tai chi Qigong improves lung functions and activity tolerance in COPD clients: a single blind, randomized controlled trial." Complement Ther Med. 2011;19(1):3-11. https://doi.org/10.1016/j.ctim.2010.12.007
  14. Leung RW, Alison JA, McKeough ZJ, Peters MJ. A study design to investigate the effect of short-form Sun-style Tai Chi in improving functional exercise capacity, physical performance, balance and health related quality of life in people with Chronic Obstructive Pulmonary Disease (COPD). Contemp Clin Trials. 2010;32(2): 267-72.
  15. Ng BH, Tsang HW, Jones AY, So CT, Mok TY. Functional and psychosocial effects of health qigong in patients with COPD: a randomized con trolled trial." J Altern Complement Med. 2011; 17(3):243-51. https://doi.org/10.1089/acm.2010.0215
  16. Cheong MH, Lee SR, Kang WC, Jung IC. Preliminary study to develop the instrument of oriental medical evaluation for Hwa-Byung. J of Oriental Neuropsychiatry. 2010;21(2):141-55.
  17. Ryu CH, Jung IC, Cho SH, Hwang WW, Kang WC, Lee SR. Preliminary study to develop the instrument of oriental medical evaluation for dementia. J of Oriental Neuropsychiatry. 2010; 21(4):123-35.
  18. Park DM, Lee SR, Jung IC. A case series of Hwa-Byung patients using instrument of pattern identification for Hwa-Byung and instrument of oriental medical evaluation for Hwa-Byung. J of Oriental Neuropsychiatry. 2011;22(1):25-35. https://doi.org/10.7231/JON.2011.22.1.025
  19. Lee KH. Diagnosis of chronic obstructive pulmonary disease. Korean J Med. 2009;77(4):401-06.
  20. 中國中醫藥學會內科學會臨床中醫內科學編委 會. 臨床中醫內科學. 北京:北京出版社. 1994: 1647-52.
  21. 陳永輝. 常見呼吸系疾病中西醫診斷輿治療:北京. 中國醫葯科技出版社. 1998:45-68, 121-36.
  22. 王钢, 孔薇. 中医内科查房手册(Chafang shouce): 南京. 江苏科学技术出版社. 2004:635-65.
  23. 周德生, 肖志杰. 内科释疑:長沙. 湖南科学技术出版社. 2008:12-20, 70-5.
  24. 陶凯. 周晓园, 鄭升杞. 慢性阻塞性肺疾病(Chronic obstructive pulmonary disease):西安. 陕西科学技术出版社. 2001:1-41.
  25. 張文康. 中西醫結合醫學(Integrated traditional chinese and western medicine):北京. 中國中醫葯出版社. 2000:601-23.
  26. 水野修一. (漢方)内科学:各分野の専門医が示す漢方治療の適応と役割:京都. メディカルユーコン. 2007:152-6.
  27. 中華中醫藥學會內科分會肺系病傳業委員會. 慢 性阻塞性肺疾病中醫診療指南（２０１１版). Journal of Traditional Chinese Medicine. 2012; 53(1):80-4.
  28. Kang MK, Lee CE. Fuzzy Hypotheses Testing of Likert Fuzzy Scale. International Journal of Fuzzy Logic and Intelligent Systems. 2005;15(5): 533-7. https://doi.org/10.5391/JKIIS.2005.15.5.533
  29. Ryu SH, Yoon JH. The use of Likert Scale in community nutrition research: analysis of the articles published in korean journal of community nutrition. Korean J Community Nutrition. 2009; 14(5):600-7.