한의학 병리적 노화 척도와 치매 한의학적 변증진단 개발 및 신뢰도 평가Preliminary Study to Develop the Korean Medical Pathologic Aging Scale and Korean Medical Pattern Identification for Dementia
- Authors
- 이고은; 문광수; 김남권; 정선용; 정인철; 강형원
- Issue Date
- Sep-2017
- Publisher
- 대한한의학회
- Keywords
- Dementia; Pathologic aging; Korean medicine; Oriental medicine
- Citation
- 대한한의학회지, v.38, no.3, pp 111 - 123
- Pages
- 13
- Journal Title
- 대한한의학회지
- Volume
- 38
- Number
- 3
- Start Page
- 111
- End Page
- 123
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/5451
- DOI
- 10.13048/jkm.17030
- ISSN
- 1010-0695
- 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.
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.
- Files in This Item
-
Go to Link
- Appears in
Collections - College of Social Sciences > Department of Psychology > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/5451)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.