The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Preliminary Study to Develop the Korean Medical Pathologic Aging Scale and Korean Medical Pattern Identification for Dementia

한의학 병리적 노화 척도와 치매 한의학적 변증진단 개발 및 신뢰도 평가

  • Lee, Go eun (Department of Korean Rehabilitation Medicine, National Rehabilitation Center) ;
  • Moon, Kwang Su (Department of Psychology, Chung-Ang University) ;
  • Kim, Nam Kwen (Ophthalmology & Otolaryngology & Dermatology, School of Korean Medicine, Pusan National University) ;
  • Chung, sun yong (Department of Korean Neuropsychiatry, Gangdong Kyung Hee University Hospital) ;
  • Jung, In Chul (Department of Korean Neuropsychiatry, Dunsan Korean Medicine Hospital of Daejeon University) ;
  • Kang, Hyung Won (Department of Korean Neuropsychiatry Medicine, Wonkwang University Sanbon Hospital)
  • 이고은 (국립재활원 한방재활의학과) ;
  • 문광수 (중앙대학교 심리학과) ;
  • 김남권 (부산대학교 한의학전문대학원 한방안이비인후피부과) ;
  • 정선용 (강동경희대병원 한방병원 한방신경정신과) ;
  • 정인철 (대전대학교 둔산한방병원 한방신경정신과) ;
  • 강형원 (원광대산본병원 한방신경정신과)
  • Received : 2017.08.24
  • Accepted : 2017.09.14
  • Published : 2017.09.30
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Abstract

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.

Keywords

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