지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학위논문
- 저자정보
- 지도교수
- 이은정
- 발행연도
- 2019
- 저작권
- 대전대학교 논문은 저작권에 의해 보호받습니다.
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Objectives :
The purpose of this study was to evaluate the pattern identification tool for knee osteoarthritis and to investigate the relationship between pattern identification tool and knee ROM, VAS and WOMAC.
Methods :
We studied 50 patients who are diagnosed as degenerative osteoarthritis by simple radiography from October 26, 2017 to October 25, 2018. With one patient dropping out, total of 49 patient went through diagnosis from two different Korean Medicine physicians, pattern identification tool and evaluation of knee ROM, VAS and WOMAC. Re-test of the pattern identification tool was implemented after about a week to evaluate the reliability of the pattern identification tool. The reliability of the pattern identification tool was analyzed by calculating ICC(intraclass correlation coefficient). Also, reliability of each pattern identification score was calculated along with influence factor and correlation between knee ROM, VAS and WOMAC.
Result :
Reliability of the pattern identification tool was evaluated as ''poor agreement beyond chance'' with ICC value of 0.396. Reliablility of each pattern identification score was calculated and four out of five were measured "good" with one "moderate" reliability. Inter-item consistency was calculated using crombach''s alpha coefficient. Two of them were "good", two were "acceptable" and one was "questionable". Correlation between each pattern identification score and knee ROM, VAS, WOMAC was evaluated. Knee ROM showed ''clear negative linear relationshp'' with wind-cold-moist, and blood stasis pattern. VAS showed ''clear positivie linear relationship'' with all five patterns. WOMAC showed ''positivie linear relationship'' with all five patterns.
The purpose of this study was to evaluate the pattern identification tool for knee osteoarthritis and to investigate the relationship between pattern identification tool and knee ROM, VAS and WOMAC.
Methods :
We studied 50 patients who are diagnosed as degenerative osteoarthritis by simple radiography from October 26, 2017 to October 25, 2018. With one patient dropping out, total of 49 patient went through diagnosis from two different Korean Medicine physicians, pattern identification tool and evaluation of knee ROM, VAS and WOMAC. Re-test of the pattern identification tool was implemented after about a week to evaluate the reliability of the pattern identification tool. The reliability of the pattern identification tool was analyzed by calculating ICC(intraclass correlation coefficient). Also, reliability of each pattern identification score was calculated along with influence factor and correlation between knee ROM, VAS and WOMAC.
Result :
Reliability of the pattern identification tool was evaluated as ''poor agreement beyond chance'' with ICC value of 0.396. Reliablility of each pattern identification score was calculated and four out of five were measured "good" with one "moderate" reliability. Inter-item consistency was calculated using crombach''s alpha coefficient. Two of them were "good", two were "acceptable" and one was "questionable". Correlation between each pattern identification score and knee ROM, VAS, WOMAC was evaluated. Knee ROM showed ''clear negative linear relationshp'' with wind-cold-moist, and blood stasis pattern. VAS showed ''clear positivie linear relationship'' with all five patterns. WOMAC showed ''positivie linear relationship'' with all five patterns.
목차
목 차 ⅰ표 목 차 ⅲ그림목차 ⅳⅠ. 서 론 1Ⅱ. 연구대상 및 방법 21. 연구기관과 대상 22. 방법 21) 기관생명윤리위원회 임상연구 승인 22) 피험자 동의 23) 선정 및 제외기준 24) 퇴행성 무릎관절염 변증도구 35) 연구 절차 46) 평가 방법 및 통계 검정 5Ⅲ. 결 과 61. 인구학적 특정 62. 변증도구의 신뢰도 평가 71) 신뢰도 평가 7(1) 변증도구의 검사-재검사 신뢰도 분석 7(2) 각 변증별 점수값의 검사-재검사 신뢰도 분석 8(3) 변증문항별 검사-재검사 신뢰도 분석 9(4) 내적일치도 평가 113. 변증점수와 타 검사와의 연관성 분석 121) 각 변증점수와 무릎 ROM과의 상관성 분석 122) 각 변증점수와 VAS와의 상관성 분석 133) 각 변증점수와 WOMAC과의 상관성 분석 144. 변증유형별 영향력지수 15Ⅳ. 고 찰 18Ⅴ. 결 론 25참 고 문 헌 27영 문 초 록 32부 록 35Acknowledgement 37
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