• Title/Summary/Keyword: 변증설문지

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Analysis of Inter-Questionnaire Agreement in Determining Sasang Constitution (설문지(設問紙)에 의한 사상체질(四象體質) 판정(判定)의 일치도(一致度) 분석(分析))

  • Park, Seong-sik;Park, Eun-kyung;Choi, Jae-young
    • Journal of Sasang Constitutional Medicine
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    • v.11 no.1
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    • pp.103-117
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    • 1999
  • 1. Background and Purpose : Sasang Constitutional medicine is baon dividing individuals' constitutions into four categories. Determination of an individual's constitution, however, can be different according to who he or she consults with since it depends solely on the examiner's own perception and methods. Currently, the use of self-reporting questionnaires is accepted as a general approach in clinical settings, but the results of different questionnaires tend to be inconsistent. In this study, we investigated how different the results of the questionnaires are and what the inter-questionnaires agreement is. 2. Method : 1595 peoples who volunteered our research from 1997 to 1999 and were evaluated disease free were asked to mark out three questionnaires: Sasang Pattern Identification Questionnaire, QSCC I and QSCCII(QSCC I was completed by 348 patients only). 3. Results and Conclusions : Three questionnaires above produced different results as excepted. In Sasang Pattern Identification Questionnaire, the Soeumin accounted for 55.9%. With the modified version of Sasang Pattern Identification Questionnaire, the Taeumin was the majoriy(39.1 %) and, QSCCII also showed similar results(34.8% of Taeumin). In contrast, the QSCC I revealed the majority consisted of the Soyangin (59.1 %). In terms of analysis on inter-questionnaire agreement, Sasang Pattern Identification Questionnaire and its modified version showed the highest agreement of 66.3, followed by 55.6% of QSCCII and the modified version from Sasang Pattern Identification Questionnaire. Therefore, we concluded that the ideal choice to determine an individual's constitution, as far as questionnaires go, is to take results from both the modified version from Sasang Pattern Identification Questionnaire and QSCCII. We found the use of QSCC I can be confusing to reach a satisfactory agreement.

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Patent and paper information analysis : questionnaire and program for syndrome differentiation (변증(辨證)을 위한 설문지 및 프로그램에 대한 특허정보 및 논문을 통한 연구 동향 분석)

  • Moon, Jin-Seok;Cha, Min-Ho;Yoon, Yoo-Sik;Choi, Sun-Mi
    • Korean Journal of Oriental Medicine
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    • v.12 no.3 s.18
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    • pp.17-29
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    • 2006
  • The Syndrome Differentiation(辨證) means to make diagnosises and to classify symptoms based oriental medicine theory. Questionnaires and clinical decision support system would assist the doctor checks up symptoms of a patient. We analyze about domestic and foreign patents and papers of these diagnosis tools and catch the trend. In patents, the system examines by telemedicine and offers medical information and prescriptions to patient. Papers was itemized fields ; theory, methods of analysis, clinical application, questionnaire, clinical decision support system. The results of this research can be applied to develop the high-quality tool to support syndrome differentiation.

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A Study for the objective diagnosis by statistical analysis to the Bian Zheng questionnaire (설문지 통계분석을 통한 변증진단 객관화 연구)

  • Song, Nak-Kun;Kim, Joong-Kil;Shin, Seon-Hwa;Kim, Yong-Ho;Hwang, Gyu-Dong;Ahn, Kyoo-Seok;Choi, Sun-Mi
    • Korean Journal of Oriental Medicine
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    • v.11 no.1
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    • pp.127-138
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    • 2005
  • We have examined the phase of Bian Zheng(辨證) by individual characteristics, who underwent the Oriental Medical Physical Examination, based on the Bian Zheng questionnaire of Korea Institute of Oriental Medicine. Since the correlations in all Bian Zhengs showed meaningful results at 0.01(p-value<0.05) in terms of level of significance and all coefficients are in positive value, the correlation in these Bian Zhengs could be said to exhibit the change toward the same direction with close correlation rather than contradictory change. The mean Bian Zheng score of women was generally higher than that of men, particularly in Blood-Deficiency, Qi-Stasis, Qi-Deficiency. But there is no difference of the mean Bian Zheng score in Sasang Constitution. We performed the Linear regression analysis to see the change of Bian Zheng score by age and could presume that the older they are, the higher Bian Zheng score, but statically the result is not meaningful. By the above result, we could come to the conclusion that the Bian Zhen questionnaire is more useful to the patient than the healthy people.

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A Study on Reliability and Validity of the Yukmijiwhang-tang Patternization Questionnaire (육미지황탕증(六味地黃湯證) 변증설문지(辨證設問紙)의 신뢰도(信賴度) 타당도(妥當度) 연구(硏究))

  • Cho, Sang-Won;Park, Young-Jae;Park, Young-Bae;Kim, Min-Yong;Lee, Sang-Chul
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.13 no.1
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    • pp.54-64
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    • 2009
  • Background and purpose : We previously developed questionnaire of Yukmijiwhang-tang symptom on the Delphi method. But developed a questionnaire was not verified in the clinical. So, to ensure objectivity, quantification and validity, verification is needed for questionnaire items before applying a clinical. On this study, we looked at whether questionnaire items had been validity in the clinical. Methods : The previously developed questionnaire of Yukmijiwhang-tang symptom was applied to 200 patients who visited 12 local oriental medicine clinics. Item data were analyzed by factor analysis and reliability test. Results : The developed questionnaire showed remarkable reliability.(Cronbach's $\alpha$=0.869) In factor analysis, items were clustered to 6 factors. Conclusions : The results of this study indicate that the developed quetionnaire is reliable and valid for Yukmijiwhang-tang symptom. It can be used to evaluate Yukmijiwhang-tang symptom objectively.

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A reliability analysis of syndrome differentiation questionnaire for obesity (비만변증 설문지에 대한 신뢰도 분석)

  • Kang, Byeong-Kab;Moon, Jin-Seok;Choi, Sun-Mi
    • Korean Journal of Oriental Medicine
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    • v.13 no.1 s.19
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    • pp.109-114
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    • 2007
  • The high position condition 10 escape which the obesity person appeals. Obesity Pattern-Identification question it will yell and 243 subjects which to the obesity in the patient of 517 subjects which draw up correspond. (longitude obesity 153 person, altitude obesity 90 person) against it analyzes. In order to analyze the reliability of the items which diagnose each Pattern-Identification it used Cronbach alpha coefficient and escape it did the alpha of each item. Alpha value of each Pattern-Identification than appears more highly the item which it will be able to consider an elimination in the item which decreases a reliability. In that phlegm-retention syndrome is bigger alpha coefficient 0.784 than 'meal quantity is few'(0.787) a possibility of seeing in the item which decreases a reliability to the place where it diagnoses it puts in phlegm-retention syndrome.

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Research In Developing of Diagnosis Questionnaires on Cold, Heat, Deficiency and Excess (한열허실(寒熱虛實) 변증(辨證) 진단(診斷) 설문지의 개발에 대한 연구)

  • Cho, Hye-Sook;Bae, Geung-Mee
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.2
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    • pp.288-293
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    • 2009
  • This study was investigated developing of Diagnosis Questionnaires which were used by Oriental Medical hospital of Dong-Eui University. We analyzed the results of Questionnaires about 620 outpatients who had participated study of diagnosis Dong-Eui University from April 2006 to March 2007. Pretest score in outcome reliability were similar on Cold, Heat, Deficiency and Excess. In Diagnosis Questionnaires, the number of variables below applied to Cold was 13, Hot was 8, Deficiency was 9, Excess was 7.

Reliability Study of the Pattern Identification Questionnaire Developed by Korean Institute of Oriental Medicine (한국한의학연구원 개발 변증설문지의 신뢰도 연구)

  • Kim, Bum-Su;Lim, Jung-Hwa;Lee, Min-Hee;Yun, Young-Ju
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.17 no.1
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    • pp.29-44
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    • 2013
  • Objectives This study is aimed at assessing the reliability of the Pattern identification questionnaire (PIQ) developed by Korea Institute of Oriental Medicine and examining the validity of the PIQ by comparing the pattern identification scores of different groups. Methods We conducted a survey of 258 participants (79 teachers and 179 graduate students at one School of Korean Medicine) using self-reported questionnaire and all the samples were retested. The test-retest reliability was assessed by Kappa coefficient(${\kappa}$) and Pearson correlation coefficient. Also we compared the differences in pattern identification scores according to sex, age and occupation. Results 1. One of 116 questions are impossible to calculate; 22 of them (18.97%) scored under 0.4 in ${\kappa}$; 90(77.59%) ranged from 0.4 to 0.8 in ${\kappa}$; and three questions (3.58%) scored 0.8 or over in ${\kappa}$. 2. Pearson correlation coefficients between test score and retest score of all pattern identification items are 0.4 or over. 3. The mean score for pattern identification in women was generally higher than that in men, particularly in patterns of blood-deficiency, blood-stasis, yang-deficiency and kidney disease. 4. The mean score for pattern identification in the graduate student group was generally higher than that in the teacher group. Conclusion In test-retest reliability, the PIQ showed relatively high reliability. The mean pattern identification score showed differences in regards to retaining knowledge about Korean medicine. Therefore, future research involving modification of questionnaire items and confirming the validity of this questionnaire is required.

Co-relation between Questionnaire for Buzhongyiqi-Tang and Electrogastrography (보중익기탕 변증설문지와 위전도의 상관성 연구)

  • Kim, Sun-Hyeok;Park, Young-Bae;Park, Young-Jae;Oh, Hwan-Sup
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.13 no.2
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    • pp.34-44
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    • 2009
  • Background : Currently, as a method of standardization of prescription, questionnaire for Buzhongyiqi-Tang[補中益氣湯] was developed, and which is a Objectives : The purpose of this thesis is to testify whether differentiation of Lao Juan Shang[勞倦傷] etiology is relative to mobility of gastric smooth muscle. Methods : The subjects(20 to 65 years old; 14 males, 46 females) were isolated from drinking alcohols for 24 hours before the experiment, and fasted for 8 hours, and measured for electrogastrography(EGG) and they filled out Questionnaire for Buzhongyiqi-Tang. Results : 1. Six factors from the factor analysis of Questionnaire for Buzhongyiqi -Tang were named and classified as Spleen-Qi deficiency syndrome factor [脾虛] (factor 1), Lung-Qi deficiency syndrome factor [肺虛] (factor 2), Working factor [習慣] (factor 3), Yin-Fire factor [陰火] (factor 4), Jung-Qi deficiency syndrome factor [中氣虛] (factor 5), and Stomach-Qi deficiency syndrome factor [胃虛] (factor 6). 2. As for the reliability of Questionnaire for Buzhongyiqi-Tang, we used Cronbach's alpha coefficient. Cronbach's alpha coefficient was 0.772 for the mean of the item-total. 3. Lung-Qi deficiency syndrome factor(factor2) had significant correlation with Bradygastria Time (r=-0.312, p<0.05). 4. Working factor(factor3) had significant correlation with Bradygastria Time (r=-0.329, p<0.05). 5. Yin-Fire factor(factor4) had significant correlation with Power Ratio (r=-0.328, p<0.05). Conclusions : It is shown that Bradygastria Time and Power Ratio tended to decrease against postprandial DP increased and postprandial frequency decreased in normal case.

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A Study of Blood Stasis Pattern for Frozen Shoulder Using Blood Stasis Pattern Questionnaires (BSPQ) and the Relationship of Pain, Shoulder Range of Motion and BSPQ Score (어혈변증 설문지를 통한 오십견의 어혈변증 평가 및 통증, 견관절 운동범위와 어혈변증과의 관계)

  • Kwon, Sin-Ae;Lee, Jung-Woo;Kim, Min-Jung;Song, Ji-Yeon;Sung, Won-Seok;Seo, Byung-Kwan;Woo, Hyun-Su;Baek, Yong-Hyeon;Park, Dong-Suk
    • Journal of Acupuncture Research
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    • v.28 no.4
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    • pp.49-55
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    • 2011
  • Objectives : The purpose of this study was 1) to investigate the possibility of taking blood stasis pattern as a clinical parameter of frozen shoulder, using blood stasis pattern questionnaire (BSPQ) to frozen shoulder group comparing with normal group, and 2) to find out the relationship of the severity of main frozen shoulder symptoms (pain and limited range of motion of shoulder) and the level of blood stasis pattern through BSPQ analysis. Methods : During the period of January 2010 to July 2010, fifty five frozen shoulder patients who visited outpatient clinic of department of acupuncture and moxibustion in East-West Neo Medical Center, Kyung Hee University and fifty five normal people without shoulder pain nor limited ROM in shoulder joint were evaluated through BSPQ, and to the frozen shoulder group, also evaluated three different visual analogue scales (VAS) of pain (pain on average, pain at night, and pain on motion) and active / passive range of motion (ROM) of shoulder joint. Results : Mean blood stasis pattern score of frozen shoulder patients group was significantly higher than the score of normal group (patients vs normal group : $4.85{\pm}1.68$ vs $3.49{\pm}1.54$). Three different types of pain VAS (on average, at night and on motion) showed low to very low positive correlation with BSPQ scores when analyzed with Pearson's correlation coefficient. ROM levels in shoulder joint were not significantly related to BSPQ scores, though active external rotation range showed low positive correlation with BSPQ scores. Conclusions : Patients with frozen shoulder showed higher blood stasis pattern score in BSPQ but the level of blood stasis pattern is not significantly related to the severity of pain or limitation of ROM in shoulder joint.

A Study on a concept of Food Accumulation using Multidimensional Scaling - Comparison between Pyungweesan Questionnaire and Health Related Questionnaires - (다차원척도법을 이용한 식적(食積)의 개념에 관한 고찰 - 평위산(平胃散) 변증(辨證) 설문지와 건강 관련 설문지와의 비교 연구 -)

  • Lee, Cheong-Hee;Park, Young-Jae;Kim, Min-Yong;Lee, Sang-Chul;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.15 no.2
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    • pp.141-148
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    • 2011
  • Objectives: In comparison with functional dyspepsia, food accumulation is known to have wider concept. On this study, we will make a proposal on the concept of food accumulation by a statistical comparison between pyungweesan questionnaire and health related questionnaires. Methods: We studied the similarities between six factors of pyungweesan questionnaire and four health related questionnaires(Rome II criteria of functional dyspepsia, subjective symptoms of fatigue test, beck depression inventory, state-trait anxiety inventory, etc.) using multidimensional scaling. Results and Conclusions: 1. Physical-emotional axis and acute-chronic axis were labelled in a two-dimensional scaling solution. 2. Seup-dam(濕痰) factor and sik-che(食滯) factor of food accumulation were closely related to fatigue. 3. Bi-seup(脾濕) factor of food accumulation was closely related to depression and anxiety. 4. The findings suggest that a concept of food accumulation reflects some aspects of physical fatigue and emotional depression as well as dyspepsia.