ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
사전등록 바로가기
 

논문 상세

Home > 논문 상세
  • P-ISSN 1010-0695
  • E-ISSN 2288-3339

이전

다음

38권 3호
Citation Share

한의학 병리적 노화 척도와 치매 한의학적 변증진단 개발 및 신뢰도 평가

Preliminary Study to Develop the Korean Medical Pathologic Aging Scale and Korean Medical Pattern Identification for Dementia

대한한의학회지 / Journal of Korean Medicine, (P)1010-0695; (E)2288-3339
2017, v.38 no.3, pp.111-123
https://doi.org/10.13048/jkm.17030
이고은 (국립재활원 한방재활의학과)
문광수 (중앙대학교)
김남권 (부산대학교)
정선용 (경희대학교)
정인철 (대전대학교)
강형원 (원광대학교)
이고은, 문광수, 김남권, 정선용, 정인철, & 강형원. (2017). 한의학 병리적 노화 척도와 치매 한의학적 변증진단 개발 및 신뢰도 평가. 대한한의학회지, 38(3), 111-123, https://doi.org/10.13048/jkm.17030
  • 다운로드 수
  • 조회수

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
Dementia, Pathologic aging, Korean medicine, Oriental medicine


참고문헌

1

1. Ku BD, Kim SG, Lee JY, Park KH, Shin JH, Kim KK, et al. Clinical practice guideline for dementia by Clinical Research Center for Dementia of South Korea. Journal of Korean Medical Association. 2011;54(8):861-75.

2

2. The Textbook Compilation Committee of Neuropsychiatry of Korean Medical Schools in Nation. Third edition. The Neuropsychiatry of Oriental medicine. Seoul:Jipmoon-Dong. 2016:319-27.

3

3. Jung IC. The Literature Review of Dementia. Journal of oriental neuropsychiatry. 1996;7(1):77-94.

4

4. Hur J. Donguibogam. Seoul:Namsandang, 2007.

5

5. Ryu CH, Jung IC, Cho SH, Hwang WW, Kang WC, Lee SR. Preliminary Study to Develop the Instrument of Oriental Medical Evaluation for dementia. Journal of oriental neuropsychiatry. 2010;21(4):123-35.

6

6. Heo EJ, Kang HW, Jeon WK. Preliminary Research for Development of Instrument for Cold-Heat &Deficiency-Excess Pattern Identification of Dementia. Journal of oriental neuropsychiatry. 2013;27(5):553-62.

7

7. Der G, Allerhand M, Starr JM, Hofer SM, Deary IJ. Age-related changes in memory and fluid reasoning in a sample of healthy old people. Aging, Neuropsychology, and Cognition. 2009;17(1):55-70.

8

8. Reid LM, MacLullich AM. Subjective memory complaints and cognitive impairment in older people. Dementia and geriatric cognitive disorders. 2006;22(5-6):471-85.

9

9. Hirschman KB, Paik HH, Pines JM, McCusker CM, Naylor MD, Hollander JE. Cognitive impairment among older adults in the emergency department. Western Journal of Emergency Medicine. 2011;12(1):56.

10

10. Ravdin LD, HL Katzen. Handbook on the Neuropsychology of Aging and Dementia. Springer. 2013:4-5

11

11. Bakker R. Sensory loss, dementia, and environments. Generations. 2003;27(1):46-51.

12

12. Doty RL, Bayoda EA, Leon-Ariza DS, Cuadros J, Chung I, Vazquez B, et al. The lateralized smell test for detecting Alzheimer's disease:Failure to replicate. Journal of the neurological sciences. 2014;340(1):170-3.

13

13. Park JW, Lim CK, Kim KJ. Study on Connection between Physiology of Old People and Pathological Symptom in Dongeuibogam. Journal of Physiology & Pathology in Korean Medicine. 2012;26(1):10-8.

14

14. Gros A, Manera V, De March CA, Guevara N, Konig A, Friedman L, et al. Olfactory disturbances in ageing with and without dementia: towards new diagnostic tools. The Journal of Laryngology & Otology. 2017:1-8.

15

15. Survey and Statistical Analysis for Psychology and Social Science, Yang BH. Seoul:HakJisa. 2013.

16

16. AMOS 18.0 Structure Equation Model Analysis, Kim GS. Seoul:Hannarae. 2013.

17

17. McGraw-Hill. Nunnally JC, Hillsdale NJ. Psychometric Theory. 2nd. 1978.

18

18. Pedhazur EJ, Schmelkin LP. Measurement, design, and analysis: An integrated approach. Psychology Press. 2013.

19

19. Cortina JM. What is coefficient alpha? An examination of theory and applications. Journal of applied psychology. 1993;78(1):98.

20

20. Standardization of the Pattern Identification for Stroke in Oriental Medicine. Team of Fundamental Study for Standarization and Objectification of Differentiation and Pattern Identification of Symptoms of Oriental Medicine for Stroke. Seoul:Elsevier. 2014:24.

  • 다운로드 수
  • 조회수
  • 0KCI 피인용수
  • 0WOS 피인용수

권호 내 다른 논문

추천 논문

상단으로 이동

권호 목록

소개

규정 및 지침

게시판

대한한의학회지

  학술지 홈페이지 이용 환경은   크롬 브라우저 사용을 권장합니다.

대한한의학회지

논문 투고 OA 정책