[논문]위식도역류질환 변증도구의 신뢰도 및 타당도 평가

조윤재; 하나연; 고석재; 박재우; 김진성

doi:10.22246/jikm.2022.43.1.1

위식도역류질환 변증도구의 신뢰도 및 타당도 평가
A Study of the Reliability and Validity of Standard Tools for the Pattern Identification of Gastroesophageal Reflux Disease 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.43 no.1, 2022년, pp.1 - 21

조윤재 (경희대학교 대학원 임상한의학과) , 하나연 (경희대학교한방병원 위장소화내과) , 고석재 (경희대학교 대학원 임상한의학과) , 박재우 (경희대학교 대학원 임상한의학과) , 김진성 (경희대학교 대학원 임상한의학과)

Abstract ▼ AI-Helper

Purpose: The standard tool for the pattern identification is used for identifying patterns in patients using a questionnaire. The purpose of this study is to reorganize the standard tool for the pattern identification of gastroesophageal reflux disease (GERD) developed in 2017 and to analyze the reliability and validity of the standard tool for pattern identification by applying it to GERD patients. Methods: To reorganize the standard tool for the pattern identification of GERD developed in the previous study, we searched the literature in the main databases, OASIS (Oriental Medicine Advanced Searching Integrated System) and CNKI (China National Knowledge Infrastructure). We added the search results to the data used in the previous study and went through the reorganizing courses, such as evaluating the validity of the translation, the Delphi technique, and a small survey. After reorganization, the patients who visited the Kyunghee University Korean Medicine Center for GERD symptoms were provided the questionnaire, including the reorganized standard tool for pattern identification. We analyzed the survey results to evaluate their reliability and validity. Results: Fifty patients completed the questionnaire. Reliability analysis results showed a pattern identification match rate of 86%, Cronbach's α coefficient of 0.834, and intraclass correlation coefficient of 0.907. The Mann - Whitney U test and logistic regression were implemented to check the relations between the survey questions and pattern identification results; the Pearson correlation, compared with other scales, showed a moderate score. Conclusion: We reorganized the standard tool for the pattern identification of GERD to be updated on current issues and so that it is easily used. The analysis results of the questionnaire showed that the reorganized standard tool had high reliability and moderate validity.

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표/그림 (14)

표 Table 1. Inclusion and Exclusion Criteria
표 Table 2. Symptoms and Weight Score of Liver-stomach Disharmony Pattern
표 Table 3. Symptoms and Weight Score of Middle qi Deficiency Counterflow Pattern
표 Table 4. Symptoms and Weight Score of Qi Depression Phlegm Obstructing Pattern
표 Table 5. Symptoms and Weight Score of Stomach Yin Insufficiency Pattern
표 Table 6. Symptoms and Weight Score of Spleen-stomach Dampness-heat Pattern
표 Table 7. Statistical Results of Pattern Identification Score
표 Table 8. Correlation Analysis Result between Question and Liver-stomach Disharmony Pattern
표 Table 9. Correlation Analysis Result between Question and Middle Qi Deficiency Counterflow Pattern
표 Table 10. Correlation Analysis Result between Question and Qi Depression Phlegm Obstructing Pattern
표 Table 11. Correlation Analysis Result between Question and Stomach Yin Insufficiency Pattern
표 Table 12. Correlation Analysis Result between Question and Spleen-stomach Dampness-heat Pattern
표 Table 13. Correlation Analysis with Other Evaluation Tool
표 Table 14. Correlation Analysis with Other Standard Tool for Pattern Identification

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저자의 다른 논문 :

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용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

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