眼診 설문지 개발 및 眼診 설문의 虛實 연관성 연구
Development of Eyes Inspection Questionnaire(EIQ) and Regression Analysis between EIQ Items and deficiency or excess patterns of Eyes Inspection
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ObjectivesEyes, one of visual inspection regions, present important clues to pathological patterns including deficiency and excesspatterns to the clinicians. The purpose of this study was to develop Eyes Inspection Questionnaire (EIQ) and to examinewhich items among the EIQ were more predictive of clinicians’ determination for the deficiency and excess patterns. MethodsNine questionnaire items for Visual Inspection of Eyes were extracted through the literature review. These itemswere presented to the 4 Korean medical doctors who are specialized in visual inspection to conduct the Delphimethod. The Korean medical doctors were asked to rate the importance of each items for the correspondingVisual Inspection of Eyes, using a Likert 5-point scale(the 3 points of importance as a cut-off point). Then,out of 75 photographs submitted to the Society of HyungSang Medicine in 2009, 30 portrait pictures wereselected as samples. The samples were copied to make 60 sample pictures, and then randomly assigned to 4clinicians. The 4 clinicians evaluated the 60 samples for excess and deficiency of the eyes and were asked tocheck the 6 questionnaire items. The results were recorded as 5-points-scale, and their average and standarddeviations were calculated. Intra- class reliability test and multi regression test were performed using SPSS 13. ResultsIntra-class correlation coefficient (ICC) was between 0.750 to 0.841 (P<0.05). Indices for visual inspection ofthe eyes were: endowment of the bone structure around the eyes; brightness of the eyes; upward deviation ofthe eyes; eye shapes; and definition of iris. 76.92% of deficiency symptom patterns and 86.42% of the excesssymptom patterns matched the patterns predicted by the visual inspection of the eyes, according to the frequencyanalysis. According to the multiple regression analysis, <Brightness of the eyes> were significantly related tothe excessive symptoms, and <downward deviation of the eyes> to the deficiency symptoms. ConclusionThis study is the first attempt of development for checklist of excess and deficiency of Visual Inspection ofEyes and quantitative measurement of excess and deficiency using the Visual Inspection of Eyes by the visualinspection experts. Still, additional studies are needed regarding the relationship visual inspection methods havewith existing standards of diagnosis.
Abstract
ObjectivesEyes, one of visual inspection regions, present important clues to pathological patterns including deficiency and excesspatterns to the clinicians. The purpose of this study was to develop Eyes Inspection Questionnaire (EIQ) and to examinewhich items among the EIQ were more predictive of clinicians’ determination for the deficiency and excess patterns. MethodsNine questionnaire items for Visual Inspection of Eyes were extracted through the literature review. These itemswere presented to the 4 Korean medical doctors who are specialized in visual inspection to conduct the Delphimethod. The Korean medical doctors were asked to rate the importance of each items for the correspondingVisual Inspection of Eyes, using a Likert 5-point scale(the 3 points of importance as a cut-off point). Then,out of 75 photographs submitted to the Society of HyungSang Medicine in 2009, 30 portrait pictures wereselected as samples. The samples were copied to make 60 sample pictures, and then randomly assigned to 4clinicians. The 4 clinicians evaluated the 60 samples for excess and deficiency of the eyes and were asked tocheck the 6 questionnaire items. The results were recorded as 5-points-scale, and their average and standarddeviations were calculated. Intra- class reliability test and multi regression test were performed using SPSS 13. ResultsIntra-class correlation coefficient (ICC) was between 0.750 to 0.841 (P<0.05). Indices for visual inspection ofthe eyes were: endowment of the bone structure around the eyes; brightness of the eyes; upward deviation ofthe eyes; eye shapes; and definition of iris. 76.92% of deficiency symptom patterns and 86.42% of the excesssymptom patterns matched the patterns predicted by the visual inspection of the eyes, according to the frequencyanalysis. According to the multiple regression analysis, <Brightness of the eyes> were significantly related tothe excessive symptoms, and <downward deviation of the eyes> to the deficiency symptoms. ConclusionThis study is the first attempt of development for checklist of excess and deficiency of Visual Inspection ofEyes and quantitative measurement of excess and deficiency using the Visual Inspection of Eyes by the visualinspection experts. Still, additional studies are needed regarding the relationship visual inspection methods havewith existing standards of diagnosis.
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