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- P-ISSN 1010-0695
- E-ISSN 2288-3339
‘한방 진단 프로그램’ DSOM(r) D.1.1 와 이전 설문지를 비교한 결과는 다음과같다. 1. DSOM(r) R.1.1 의 문항수는 188 개이며, DSOM(r) S.1.1 는 문항수는 137 개, DSOM(r) D.1.1의 문항수는 80개 이다. 2. 신뢰도는 氣虛陰虛陽虛寒熱肝脾腎의 8 개 병기는 세 설문지 모두에서 90%이상의 신뢰도를 보였고 이중 腎 병기를 제외하면 DSOM(r) D.1.1 에서 다소 높아지는 경향을 보였다. 血虛와 痰은 각각 약 89%에서 92%로, 80%에서 85%로 신뢰도가 상승하였다. 氣滯血瘀心은 90%이상의 신뢰도를 보이다가 80%대의 낮아진 신뢰도를 보였으며, 血瘀는 약 8%정도 신뢰도가 하락하였다 3. 세 설문지의 표준화 크론박 계수를 비교하면 DSOM(r) D.1.1 에서 대체로 낮아졌으며 특히 血虛陽虛熱痰은 0.6 에 미치지 못하였다 4. 세 설문지의 진단 일치도는 DSOM(r) D.1.1 은 DSOM(r) S.1.1 와 57 개의 문항수 차이를 보이며, 설문결과는 心血虛를 제외하고는 80%이상의 비교적 높은 일치도를 보이고 신뢰도도 血瘀를 제외하고는 비슷하였다. DSOM(r) D.1.1 은 DSOM(r) R.1.1 와는 108 개의 문항수 차이를 보이며, 10 개 병기에서만 80%이상의 진단 일치도를 보였다. 5. 설문결과 값의 변동 경향은 氣虛 熱痰濕腎은 점수가 낮아지고, 寒心氣滯燥의 경우 점수가 높아졌다. 6. 病機산출 도수는 다른 두 설문지에 비해 DSOM(r) D.1.1 에서 痰氣虛熱血瘀가 매우 낮아졌고 陽虛에서 다소 낮아졌으며, 寒에서 높아졌다.
Objectives : This study was investigated so that reliability of disease mechanism diagnosis would be examined, the estimation about disease mechanism item of Questionnaires and the relations of disease mechanism would be inquired about 'diagnosis program' Questionnaires which were used for the object diagnosis of Oriental medicine in the department of Oriental OB&GY, Oriental Medical hospital of Dong-Eui University. Method : We analyzed the results of Questionnaires for 3504 outpatients who had OB&GY disease in the Oriental Medical hospital of Dong-Eui University from April 2000 to April 2005. Result & Conclusions: 1. The research Questionnaires was the figures 188, the summary Questionnaires was the figures 137, the diagnosis Questionnaires was the figure 80. 2. The reliability of all Questionnaires shows above 90% in deficiency of qi ․deficiency of Yim․ insufficiency of Yang․ coldness․ heat syndrome․ liver․ spleen․ kidney, 8 case disease mechanism. They are higher than the research Questionnaires and the summary Questionnaires, in the diagnosis Questionnaires, except kidney disease mechanism. 3. Cronbach α of the Questionnaires got down. Especially blood deficiency ․ phlegm ․ heat syndrom ․ insufficiency of Yang, 4 case disease mechanism are lower than 0.6. 4. The correspondence degree of a meeting point, both the diagnosis Questionnaires and the summary Questionnaires was above 80% with the exception of heart ․ blood deficiency 2 case disease mechanism. A meeting point both the diagnosis Questionnaires and the research Questionnaires was above 80% in deficiency of qi ․ blood stasis ․ deficiency of Yim ․ insufficiency of Yang․ damp ․ dryness ․ liver ․ spleen ․ kidney ․ phlegm 10 case disease mechanism. 5. The alteration in the result value of questionnaires, it was fallen a grade of deficiency of qi ․heat syndrome․phlegm ․damp ․kidney ․ and was raised a grade of coldness ․heart ․disorder of qi ․ dryness 6. The computation degree of disease mechanism in DSOM(r) D.1.1, it has much fallen on phlegm ․deficiency of qi ․ heat syndrome․ disorder of blood, has rather fallen on insufficiency of Yang․ and was raised on coldness than the different two questionnaires.