Park Jeong Hwan, Kim Soyoung, Park Jae-Woo, Ko Seok-Jae, Lee Sanghun
Korean Medicine Fundamental Research Division, Korea Institute of Oriental Medicine, Daejeon, Korea.
University of Science & Technology (UST), Korean Medicine Life Science, Daejeon, Korea.
Integr Med Res. 2017 Dec;6(4):443-451. doi: 10.1016/j.imr.2017.10.001. Epub 2017 Oct 17.
Functional dyspepsia (FD) is the seventh most common disease encountered in Korean medicine (KM) clinics. Despite the large number of FD patients visiting KM clinics, the accumulated medical records have no utility in evidence development, due to being unstructured. This study aimed to construct a standard operating procedure (SOP) with appropriate structured diagnostic methods for FD, and assess the feasibility for use in KM clinics.
Two rounds of professional surveys were conducted by 10 Korean internal medicine professors to select the representative diagnostic methods. A feasibility study was conducted to evaluate compliance and time required for using the structured diagnostic methods by three specialists in two hospitals.
As per the results of the professional survey, five questionnaires and one basic diagnostic method were selected. An SOP was constructed based on the survey results, and a feasibility study showed that the SOP compliance score (out of 5) was 3.45 among the subjects, and 3.25 among the practitioners. The SOP was acceptable and was not deemed difficult to execute. The total execution time was 136.5 minutes, out of which the gastric emptying test time was 129 minutes.
This feasibility study of the SOP with structured diagnostic methods for FD confirmed it was adequate for use in KM clinics. It is expected that these study findings will be helpful to clinicians who wish to conduct observational studies as well as to generate quantitative medical records to facilitate Big Data research.
功能性消化不良（FD）是韩医诊所中第七大常见疾病。尽管有大量FD患者前往韩医诊所就诊，但由于病历记录无结构化，这些积累的病历在循证医学发展中并无用处。本研究旨在构建一套针对FD的具有适当结构化诊断方法的标准操作程序（SOP），并评估其在韩医诊所使用的可行性。
由10位韩国内科教授进行两轮专业调查，以选择具有代表性的诊断方法。在两家医院对三位专家使用结构化诊断方法的依从性和所需时间进行了可行性研究。
根据专业调查结果，选择了五份问卷和一种基本诊断方法。基于调查结果构建了SOP，可行性研究表明，受试者的SOP依从性评分（满分5分）为3.45，从业者的评分为3.25。该SOP是可接受的，且执行起来并不困难。总执行时间为136.5分钟，其中胃排空试验时间为129分钟。
这项针对FD结构化诊断方法SOP的可行性研究证实，它适用于韩医诊所。预计这些研究结果将有助于希望进行观察性研究的临床医生，以及生成定量病历以促进大数据研究。
