DOI QR코드

DOI QR Code

배뇨 소증 분석과 사상체질 진단을 위한 사상소변기능검사(SUI)의 타당화 연구

Study on the Validation of Sasang Urination Inventory (SUI) for Analyzing Pathophysiological Symptoms and Diagnosing Sasang Types

  • 채한 (부산대학교 한의학과) ;
  • 이슬 (부산대학교 한의학전문대학원) ;
  • 박유경 (엘한의원) ;
  • 이정윤 (부산대학교 한의학전문대학원 임상의학4교실 사상체질의학과)
  • Chae, Han (School of Korean Medicine, Pusan National University) ;
  • Lee, Seul (Dept. of Sasang Constitutional Medicine, Div. of Clinical Medicine 4, School of Korean Medicine, Pusan National University) ;
  • Park, Yu-Gyeong (EL oriental medical clinic) ;
  • Lee, Jeongyun (Dept. of Sasang Constitutional Medicine, Pusan National University Korean Medicine Hospital)
  • 투고 : 2021.08.15
  • 심사 : 2021.09.17
  • 발행 : 2021.09.30

초록

Introduction The Sasang Urination Defecation Inventory was developed to analyze Sasang-type specific pathophysiological clinical symptoms, and its revised Sasang Urination Inventory (SUI) illustrated its clinical usefulness in Sasang type differentiation. However, the correlation with established clinical measures for its concurrent validity were not provided yet. Methods Total of 48 healthy university students were recruited to response Urogenital Distress Inventory-6 (UDI-6) and Overactive Bladder Symptom Score (OABSS) of Western medicine along with the SUI of traditional Korean medicine. The correlation coefficients between UDI-6 and OABSS and SUI were acquired with Pearson's correlation, and Analysis of Variance (ANOVA) and Profile Analysis were used to analyze significant differences in SUI subscale profiles of each Sasang types. Results The SUI-HSS of urogenital hypersensitivity correlated positively with OABSS (r=0.442, p<0.01), and the SUI-DIS of urinary discomfort positively with UDI-6 (r=0.289, p<0.05). Interestingly, the SUI-total was correlated positively with age (r=0.326), height (r=0.318) and weight (r=0.304). The SUI-DIS for urinary discomfort of So-Yang (9.48±2.11) type was significantly (p<0.05) higher than that of Tae-Eum (7.2±2.90) type. And SUI subscale profiles of each Sasang type were significantly (Wilks' Lambda=0.792, F=2.723, p=0.034) distinctive to each other. Discussion The acceptable convergent validity of SUI was shown using established measures of urogenital symptoms. The SUI might be used as an objective traditional Korean clinical measure for Sasang type differentiation and urological patients.

키워드

과제정보

본 연구는 부산대학교 연구비 지원으로 이루어졌음.

참고문헌

  1. Lee JM. Longevity and life preservation in Eastern Medicine. Seoul, Korea: Jae Ma Lee; 1894.
  2. Lee SJ, Park SH, Cloninger CR, Kim YH, Hwang M, Chae H. Biopsychological traits of Sasang typology based on Sasang Personality Questionnaire and Body Mass Index. BMC Complement Altern Med. 2014;14:315. DOI: 10.1186/1472-6882-14-315
  3. Chae H, Lee JY, Jeon ES, Kim JK. Personalized acupuncture treatment with Sasang typology. Integr Med Res. 2017;6(4):329-336. DOI: 10.1016/j.imr.2017.07.002
  4. Lim SH, Jeon ES, Lee JY, Han SY, Chae H. Pharmacognostic outlooks on medical herbs of Sasang typology. Integr Med Res. 2017;6(3): 231-239. DOI: 10.1016/j.imr.2017.06.005
  5. Chae H, Park SH, Lee SJ, Koh KC. Sasang typology from a personality perspective. J Korean Med. 2004;25(2):151-164. (Korean)
  6. Han JH, Lee HS, Lee JY, Lee SJ, Chae H. Systematic review of Sasang typology studies from psycholoigcal perspective. J Sasang Constitut Med. 2019;31(1):36-63. DOI: 10.7730/JSCM.2019.31.1.36 (Korean)
  7. Lee MS, Sohn KW, Kim YH, Hwang MW, Kwon YK, Bae NY, et al. Digestive system-related pathophysiological symptoms of Sasang typology: systematic review. Integr Med Res. 2013; 2(2):39-48. DOI: 10.1016/j.imr.2013.04.001
  8. Han YR, Lee HB, Han SY, Kim BJ, Lee SJ, Chae H. Systematic review of type-specific pathophysiological symptoms of Sasang typology. Integr Med Res. 2016;5(2):83-98. DOI: 10.1016/j.imr.2015.11.002
  9. Jang ES, Kim HS, Lee HJ, Baek YH, Lee SW. The clinical study on the ordinary and pathological symptoms according to Sasang cons- titution. J Sasang Constitut med. 2007;19(3):144-155. (Korean)
  10. Lee SJ, Chae H. Study on Sasang typology based on the type-specific characteristics with type-specific pathophysiological symptom and temperament. J Physiol & Pathol Korean Med. 2014; 28(3):359-364. (Korean)
  11. Shin SW, Kim YH, Hwang MW. Diagnosis and treatment principle in Sasang medicine: original symptom. Integr Med Res. 2016;5(2):99-104. DOI: 10.1016/j.imr.2016.03.005
  12. Choi BJ, Ha KT, CHoi DY, Kim JK. Study on the 'Dispositional symptoms (Dispositional diseases)' in 「Dongyi Suse Bowon」 The Discourse on the Constitutional Symptoms and Disease . J Physiol & Pathol Korean Med. 2007;21(1):1-9. (Korean)
  13. Li YH, Kim JY, Koh BH. A study on the conception of 'Sojeung' in Sasang constitution medicine. J Sasang Constitut Med. 2016;28(1): 19-26. DOI: 10.7730/JSCM.2016.28.1.19 (Korean)
  14. Lee SK, Song IB. The study about The Discourse on the Constitutional Symptoms and Diseases of Sasangin on the 「Dongyi Suse Bowon」. J Sasang Constitut Med. 1999;11(2):1-26. (Korean)
  15. Kim JJ, Lee YS, Park SS. A clinical study of sleeping, stool, urine according to Taeyangsoyangin (Yangin) and Taeumsoeumin (Eumin). J Sasang Constitut Med. 2005;17(3):82-90. (Korean)
  16. Kim SM, Song IB. A study of ordinary symtoms in the Dongyi Soose Bowon Sasang Chobongyun and DongmuYugo. J Sasang Constitut Med. 2000; 12(2):67-77. (Korean)
  17. Lee MS, Bae NY, Hwang MW, Chae H. Development and validation of the digestive function assessment instrument for traditional Korean medicine: Sasang Digestive Function Inventory. Evid Based Complementary Altern Med. 2013;2013: 263752. DOI: 10.1155/2013/263752
  18. Baek TH, Choi JR, Park SS. A correlation research of digestion according to Sasang constitution. J Sasang Constitut Med. 2004;16(1): 112-119. (Korean)
  19. Baek TH, Park SS. A correlation research of appetite and dining habits according to Sasang constitution. J Korean Med. 2004;25(2):77-86. (Korean)
  20. Park YG, Han SY, Chae H, Bae NY. Systematic review on urination and defecation-related pathophysiological symptoms of each Sasang types. J Sasang Constitut Med. 2018;30(3):24-39. DOI: 10.7730/JSCM.2018.30.3.24 (Korean)
  21. Lee SK, Yoon DW, Yi HR, Lee SW, Kim JY, Shin C. Tae-eum type as an independent risk factor for obstructive sleep apnea. Evid Based Complement Alternat Med. 2013;2013(2013): 910382. DOI: 10.1155/2013/910382
  22. Choi JY, Lee YS, Park SS. The characteristics of perspiration according to Sasang constitution. J Korean Med. 2002;23(4):186-195. (Korean)
  23. Jang ES, Baek YH, Park KH, Lee SW. The difference of digestion, sweat, stool, urination, drinking, coldness and hotness characteristics according to Sasang constitutional exterior and interior diagnosis. J Sasang Constitut Med. 2012;24(1):43-53. DOI: 10.7730/JSCM.2012.24.1.043 (Korean)
  24. Park HJ, Lee YS, Park SS. A comparative study on the characteristics (sweat, stool, urine, digestion) of Soyang.Soeumin and Taeyang.Taeumin in Sasang constitution J Sasang Constitut Med. 2006;18(1):107-117. (Korean)
  25. Kim K, Oh SY, Joo JC, Jang ES, Lee SW. Comparison of digestion, feces, sweat and urination according to Sasang constitution in the 20s and 60s. J Sasang Constitut Med. 2010; 22(2):70-81. (Korean)
  26. Oh H. Urine and Health. Journal of Electrical World / Monthly Magazine: KOREA ELECTRIC ASSOCIATION; 2012:94-95. (Korean)
  27. Lee S, Lee YJ, Han SY, Bae NY, Hwang MW, Lee JY, et al. Urinary Function of the Sasang Type and Cold-Heat Subgroup Using the Sasang Urination Inventory in Korean Hospital Patients. Evid Based Complementary Altern Med. 2020; 2020:7313581. DOI: 10.1155/2020/7313581
  28. Park YG, Han SY, Chae H, Bae NY. Development and validation of Sasang Urination and Defecation Inventory (SUDI) for pathophysiological symptoms of Sasang typology. Integr Med Res. 2019;8(2):82-88. DOI: 10.1016/j.imr.2019.04.001
  29. Chae H, Hwang YS, Kim MS, Baek YH, Jeong KS, Lee JY, et al. Study on the Sasang type diagnosis using objective biopsychological measures. J Sasang Constitut Med. 2021;33(2):1-13. DOI: 10.7730/JSCM.2021.33.2.1 (Korean)
  30. Lee YJ. Revision and clinical validation of Sasang Digestive Function Inventory. Pusan: School of Korean Medicine, Pusan National University; 2021. (Korean)
  31. Lee JY, Han SY, Hwang MW, Bae NY, Chae H. Biopsychological and pathophysiological features of Cold-Heat subgroup of Sasang typology with Sasang Digestive Function Inventory, Sasang Personality Questionnaire and Body Mass Index. Integr Med Res. 2018;7(1):68-76. DOI: 10.1016/j.imr.2017.09.005
  32. Chae H, Cho YI, Lee SJ. The Yin-Yang personality from biopsychological perspective using revised Sasang Personality Questionnaire. Integr Med Res. 2021;10(1):100455. DOI: 10.1016/j.imr.2020.100455
  33. Sung ADM, Heo S, Oh HH, Lee JJ, Park SJ, Lee SD. The Need for Evidence-Based Treatment and Standardization in Korean Medicine. Journal of Society of Preventive Korean Medicine. 2016; 20(3):31-43. (Korean)
  34. Uebersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl JA. Short forms to assess life quality and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program for Women Research Group. Neurourol Urodyn. 1995;14:131-139. https://doi.org/10.1002/nau.1930140206
  35. Heo KO. Study of women's life-distress by voiding dysfunction. Seoul: Department of Public Health Science, Hanyang University; 2009. (Korean)
  36. Korean Continence Society. Guidelines on Overactive Bladder. Seoul: Aplus; 2011. (Korean)
  37. Jeong SJ, Homma Y, Oh SJ. Korean version of the Overactive Bladder Symptom Score Questionnaire: translation and linguistic validation. Int Neurourol J. 2011;15:135-142. DOI: 10.5213/inj.2011.15.3.135
  38. Maeda-Minami A, Yoshino T, Katayama K, Horiba Y, Hikiami H, Shimada Y, et al. Discrimination of prediction models between cold-heat and deficiency-excess patterns. Complement Ther Med. 2020;49:102353. DOI: 10.1016/j.ctim.2020.102353
  39. Chae H, Han SY, Cheon JH, Kim KB. Development and validation of Pediatric Weakness Scale (PWS). J Pediatrics Kor Med. 2019;33(3):30-41. DOI: 10.7778/jpkm.2019.33.3.030 (Korean)