갱년기장애 및 폐경기 후 증후군 변증진단 도구의 변증분류 조정과 진단의 간의 진단일치도 연구

Objectives: We studied for the adjustment of the patterns of ''CaPSPI(the diagnostic tool for climacteric and postmenopausal syndrome pattern identification)''(studyⅠ) and the correlation between CaPSPI and Korean medicine doctors’ diagnosis which was carried out without knowing the results of CaPSPI(studyⅡ). Methods: The studyⅠ followed the previous study method in 2018(2018-3). The studyⅡ was conducted from June 1, 2019 to July 10, 2020 with ○○ University Korean Medicine Hospital IRB’s approval (2019-4). Doctors’ diagnosis was conducted face-to-face with the subjects. Doctors’ diagnosis was carried out based on the Kupperman’s questionnaire, DSOM and four examinations(四診) records. The diagnosis was marked with 0 for ''no'', 1 for ''somewhat,'' 2 for ''yes'' and 3 for ''very yes''. The correlation between CaPSPI and the mean of doctors diagnostic scores were investigated statistically. Results: The studyⅠ showed that heart-heat(心火) pattern was added. The Factor loading coefficient for heart-heat was 0.551 to 0.789, and the Cronbach’s coefficient was 0.896. The studyⅡ showed that the diagnosis (Kappa statistic) of two doctors showed statistically significant concordance(all eight patterns), with correlation of them were 0.3 or higher. And the correlation between the CaPSPI score and the mean of doctors’ diagnostic score showed a statistically significant correlation, with liver qi depression(肝鬱) being the highest at 0.552 and dual deficiency of the heart-spleen(心脾兩虛) being the lowest at 0.301. Conclusions: Since the diagnosis results of CaPSPI showed a significant correlation with the diagnosis of Korean traditional medicine experts, it was believed that the CaPSPI results can be trusted and used for clinical purposes.