設問紙에 의한 四象體質 判定의 一致度 分析 (Analysis of Inter-Questionnaire Agreement in Determining Sasang Constitution)

서지정보

· 발행기관 : 사상체질면역의학회
· 수록지 정보 : 사상체질면역의학회지 / 11권 / 1호 / 103 ~ 117페이지
· 저자명 : 박성식, 박은경, 최재영

초록

1. Background and Purpose : Sasang Constitutional medicine is baon dividing individuals' constitutions into four categories. Determination of an individual's constitution, however, can be different according to who he or she consults with since it depends solely on the examiner's own perception and methods. Currently, the use of self-reporting questionnaires is accepted as a general approach in clinical settings, but the results of different questionnaires tend to be inconsistent. In this study, we investigated how different the results of the questionnaires are and what the inter-questionnaires agreement is.
2. Method : 1595 peoples who volunteered our research from 1997 to 1999 and were evaluated disease free were asked to mark out three questionnaires: Sasang Pattern Identification Questionnaire, QSCC I and QSCCII(QSCC I was completed by 348 patients only).
3. Results and Conclusions : Three questionnaires above produced different results as excepted. In Sasang Pattern Identification Questionnaire, the Soeumin accounted for 55.9%. With the modified version of Sasang Pattern Identification Questionnaire, the Taeumin was the majoriy(39.1 %) and, QSCCII also showed similar results(34.8% of Taeumin). In contrast, the QSCC I revealed the majority consisted of the Soyangin (59.1 %).
In terms of analysis on inter-questionnaire agreement, Sasang Pattern Identification Questionnaire and its modified version showed the highest agreement of 66.3, followed by 55.6% of QSCCII and the modified version from Sasang Pattern Identification Questionnaire.
Therefore, we concluded that the ideal choice to determine an individual's constitution, as far as questionnaires go, is to take results from both the modified version from Sasang Pattern Identification Questionnaire and QSCCII. We found the use of QSCC I can be confusing to reach a satisfactory agreement.


1. 연구배경 및 목적: 사상의학은 사람의 체질을 넷으로 나누면서부터 출발한다. 그러나 체질을 판별하기 위해서는 사진(四診)을 중심으로 종합적으로 판단하게 되어 있어 객관성이 부족하기 쉽다. 체질을 객관적으로 진단하기 위한 여러 가지 방법 중에서 자기보고식 설문조사법이 일반적으로 많이 사용되고 있다. 그러나 설문조사법도 설문지의 종류에 따라서 다른 결과를 나타내는 경우가 많다. 본 연구는 사상체질을 진단하기 위해 사용되는 설문지별 체질분포 특성과 설문지간의 판정 일치도를 비교 분석하여 설문지로 사상체질 유형을 가려내는데 도움을 주고자 하였다.
2. 방법: 1997년부터 1999년까지 특별한 질병이 없는 한국인 1595명(단QSCC I은 348명)을 대상으로 하여 사상변증내용설문조사지(I), 사상체질분류검사 I(QSCC I), 사상체질분류검사II(QSCCII)의 세가지 설문지를 작성하게 하여 그 결과를 비교하였다.
3. 연구결과 및 결론: 체질분포 특성은 사상변증내용설문조사지(I)은 소음인(55.9%), 태음인(21.2%), 소양인(12.8%), 태양인(3.9%)의 순서를 보였고, 사상변증내용설문조사지(I)을 판별식을 이용하여 재분석한 결과에서는 태음인(39.1%), 소음인(33.6%), 소양인(27.3%)의 순서로 체질분포 경향을 보였다. QSCC I에서는 소양인(559.1%), 태양인(34.8%), 태음인(5.6%), 소음인(0.6%)의 순서를 보였고, QSCCII에서는 태음인(34.8%), 소음인(34.7%), 소양인(30.5%)의 순서로 체질분포 경향을 보였다.
체질판정 일치율은 사상변증내용설문조사지(I)과 이 자료를 판별식을 이용하여 판별한 결과가 제일 높았으나 이것은 동일 설문지를 재분석한 것이며, 다음은 사상변증내용설문조사지(I)의 판별식에 의한 분석법과 QSCCII의 일치율이 55.6%로 높게 나타났다.
설문지를 이용하여 체질을 임상적으로 진단할 때는 사상변증내용설문조사지(I)을 판별식을 이용한 결과와 QSCCII의 결과를 함께 참고하여 체질진단에 이용하는 것이 가장 타당한 방법이라고 생각되며, QSCC I을 체질진단에 이용하는 것은 바람직하지 않은 것으로 나타났다.

영어초록

1. Background and Purpose : Sasang Constitutional medicine is baon dividing individuals' constitutions into four categories. Determination of an individual's constitution, however, can be different according to who he or she consults with since it depends solely on the examiner's own perception and methods. Currently, the use of self-reporting questionnaires is accepted as a general approach in clinical settings, but the results of different questionnaires tend to be inconsistent. In this study, we investigated how different the results of the questionnaires are and what the inter-questionnaires agreement is.
2. Method : 1595 peoples who volunteered our research from 1997 to 1999 and were evaluated disease free were asked to mark out three questionnaires: Sasang Pattern Identification Questionnaire, QSCC I and QSCCII(QSCC I was completed by 348 patients only).
3. Results and Conclusions : Three questionnaires above produced different results as excepted. In Sasang Pattern Identification Questionnaire, the Soeumin accounted for 55.9%. With the modified version of Sasang Pattern Identification Questionnaire, the Taeumin was the majoriy(39.1 %) and, QSCCII also showed similar results(34.8% of Taeumin). In contrast, the QSCC I revealed the majority consisted of the Soyangin (59.1 %).
In terms of analysis on inter-questionnaire agreement, Sasang Pattern Identification Questionnaire and its modified version showed the highest agreement of 66.3, followed by 55.6% of QSCCII and the modified version from Sasang Pattern Identification Questionnaire.
Therefore, we concluded that the ideal choice to determine an individual's constitution, as far as questionnaires go, is to take results from both the modified version from Sasang Pattern Identification Questionnaire and QSCCII. We found the use of QSCC I can be confusing to reach a satisfactory agreement.

참고자료

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