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치매 한의진단 평가도구 적용 연구

Study on the Application of Oriental Medical Evaluation to Dementia

  • 김가나 (경희대학교 한의과대학 신경정신과) ;
  • 배현수 (경희대학교 한의과대학 생리학교실) ;
  • 황의완 (경희대학교 한의과대학 신경정신과) ;
  • 조성훈 (경희대학교 한의과대학 신경정신과)
  • Kim, Ka-Na (Department of Neuropsychiatry, College of Korean Medicine, Kyung-Hee University) ;
  • Bae, Hyunsu (Department of Physiology, College of Korean Medicine, Kyung-Hee University) ;
  • Hwang, Wei-Wan (Department of Neuropsychiatry, College of Korean Medicine, Kyung-Hee University) ;
  • Cho, Seung-Hun (Department of Neuropsychiatry, College of Korean Medicine, Kyung-Hee University)
  • 투고 : 2014.11.30
  • 심사 : 2014.12.09
  • 발행 : 2014.12.30

초록

Objectives: Patients with dementia are increasing in Korea. So the importance of accurate diagnosis and treatment of dementia is growing. In this paper, we evaluated the result of employing the Korean medical diagnostic pattern as a tool in clinics. Methods: Patients diagnosed with Alzheimer's disease were evaluated using the Korean medical diagnostic pattern tool. Results: The number of patients with liver-kidney yin deficiency pattern/syndrome was 35. Analyzing the ratio difference between the 'liver-kidney yin deficiency' group and the 'not liver-kidney yin deficiency' group revealed that the ratio of the responses to the fourth question was less than zero. The ratio of the responses to the fifth, seventh, and eight questions were all less than 10%. The ratio of the responses to the first and second questions were greater than 30%. Conclusions: Of the six diagnostic patterns, liver-kidney yin deficiency was the greatest in the study subjects. The fourth question in the liver-kidney yin deficiency tool tests for the lack of appropriateness whereas the fifth, seventh, and eight questions test for lack of discrimination. Applying more weight to the first and second questions was an excellent choice to increase the discrimination.

키워드

참고문헌

  1. Statistics Korea. 2008 national prevalence of dementia research. 2009.
  2. Statistics Korea. 2012 Cause of Death Statistics. 2013:7.
  3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), American Psychiatric Association, Arlington, VA.2013.
  4. Mohamed S, Rosenbeck R, Lyketsos CG, et al. Caregiver burden in Alzheimer disease: cross-sectional and longitudinal patient correlates. American Journal of Geriatric Psychiatry 2010;18:146-53. https://doi.org/10.1097/JGP.0b013e3181bf9f0f
  5. Lancet. Amnesic disorders. 2012;380(9851):1429-40. https://doi.org/10.1016/S0140-6736(11)61304-4
  6. Textbook Compilation Committee For Korean Medicine Neuropsychiatry. Korean Medicine Neuropsychiatry. Jipmoondang; 2007:256.
  7. Ryu CH, Jung IC, Cho SH, et al. Preliminary study to develop the instrument of oriental medical evaluation for dementia. Journal of oriental neuropsychiatry 2010; 21(4):123-5.
  8. Folstein, MF, Folstein SE, McHugh PR. "Mini-Mental State": A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research. 1975;12:189-98. https://doi.org/10.1016/0022-3956(75)90026-6
  9. Kang YW, Na DL, Han SH. A Validity Study on the Korean Mini-Mental State Examination (K-MMSE) in Dementia Patients. Journal of the Korean neurological association. 1997;15(2):300-8.
  10. Yesavage, J.A., Brink, T.L., Rose, T.L. et al. Development and Validation of a Geriatric Depression Screening Scale: A Preliminary Report. Journal of Psychiatric Research. 1983;17:37-49.
  11. Cho MJ, Bae JN, Suh GH, et al. Validation of Geriatric Depression Scale, Korean Version(GDS) in the Assessment of DSM-III-R Major Depression. Journal of Korean Neuropsychiatric Association. 1999;38(1):48-62.

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