Current Status of Informed Consent Form for Acupotomy in Korean Medicine Hospitals and Development of a Standard Informed Consent Form Using Delphi Method

Article information

J Korean Med. 2024;45(1):180-199
Publication date (electronic) : 2024 March 1
doi : https://doi.org/10.13048/jkm.24012
1Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital
2Department of Acupuncture and Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital at Gangdong
3Chunjin Korean Medicine Clinic
4Pusan National University Korean Medicine Hospital
5Keumkang Korean Medical Clinic
6Daemyung Korean Medicine Clinic
7Chung-Yeon Korean Medicine Clinic
8Lee Kwang Ho Medicine Clinic
9Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University
10Research Center of Traditional Korean Medicine, College of Korean Medicine, Wonkwang University
11Department of Diagnostics, College of Korean Medicine, Wonkwang University
12College of Nursing, Pusan National University
13Korean Medical Society of Acupotomology
14Division of Clinical Medicine, School of Korean Medicine, Pusan National University
Correspondence to: Eunseok Kim, Division of Clinical Medicine, School of Korean Medicine, Pusan National University, 49, Busandaehak-ro, Mulgeum-eup, Yangsan-si, Gyeongnam, 50612, Republic of Korea, Tel: +82-55-360-5950, Fax: +82-55-360-5890, Email: eskim@pusan.ac.kr
Received 2024 January 22; Revised 2024 February 14; Accepted 2024 February 16.

Abstract

Objectives

This study was conducted to develop a standard acupotomy consent form that takes into account the unique characteristics of Korean Medicine. The study was motivated by the increasing importance of patient autonomy and the growing number of legal disputes related to medical malpractice in the clinical field of Korean Medicine.

Methods

The analysis phase of the study involved a survey of the current status of acupotomy consent forms in Korean Medicine hospitals nationwide. The items of each form were analyzed based on the contents of the Medical law and the standard contract for medical procedures of the Fair Trade Commission (FTC). In the development and evaluation phase, the items and contents of the acupotomy consent form were evaluated using a 5-point Likert scale and content validity was assessed through two rounds of Delphi surveys. In the improvement phase, the contents of the consent form were revised based on the results of a survey of inpatient and outpatient patients in the Department of Acupuncture and Moxibustion at Pusan National University Korean Medicine Hospital, and real-time online meeting. The final version of the standard acupotomy consent form was completed after undergoing proofreading and corrections by a linguistics expert.

Results

Only 30% of Korean Medicine hospitals have implemented acupotomy consent forms. The items of the consent forms did not fully include the items presented in the Medical act and the standard contract for medical procedures of the FTC. To address this issue, two rounds of Delphi surveys and a real-time discussion were conducted with a panel of 12 experts on 27 preliminary items of consent forms. The items and contents that met the criteria for content validity ratio, convergence, and consensus were derived. Based on the derived items and content, a standard acupotomy consent form was developed.

Conclusions

The standard consent form for acupotomy is anticipated to ensure patient autonomy and enhance transparency and liability in acupotomy. Furthermore, it is expected to serve as evidence in case of medical disputes related to acupotomy and contribute as a reference document for the development of standard consents forms for various procedures of Korean Medicine. However, the limitations of the study include that the survey of consent forms was limited to only training hospitals of Korean Medicine, and the standard consent form is only applicable to adults in Korea. Future studies are needed to address these limitations.

Fig. 1

Examples of acupotome

(A) 0.40 x 30mm (B) 0.50 x 50mm (C) 0.50 x 50mm (D) 0.60 x 50mm (E) 0.75 x 50mm (F) 0.60 x 80mm (G) 0.75 x 80mm (H) 1.0 x 80mm

Fig. 2

Comparison of acupotome and acupuncture needle tips

Fig. 3

Flow chart of the study

Fig. 4

Availability of acupotomy consent forms

Fig. 5

How to manage acupotomy consent form storage

Characteristics of the Delphi Panel

Minimum Values of CVR* for Delphi Panels (p=0.05)18)

Analysis of Acupotomy Consent Form Items in Korean Medicine Hospitals

Items for Standard Acupotomy Consent Form from the First Delphi Survey (N=11)

Items for Standard Acupotomy Consent Form from the Second Delphi Survey (N=12)

Demographic characteristics of survey respondents

Patients' Understanding of Acupotomy Consent Form Content

Supplementary Information

References

1. Jeong H., Kang S., Koh H.. 2002;Review on The XiaZhenDao Therapy. J Acupunct Res 19(1):244–261. https://www.e-jar.org/journal/view.html?pn=vol&uid=816&vmd=Full.
2. Korean Acupuncture and Moxibustion Medicine Society Textbook Compilation Committee. 2020. Acupuncture medicine(Revised ed.) Seoul: Hanmi Medical Publishing; https://doi.org/10.979.1190322/065.
3. Kwon C. Y., Yoon S. H., Lee B.. 2019;Clinical effectiveness and safety of acupotomy: An overview of systematic reviews. Complementary therapies in clinical practice 36:142–152. https://doi.org/10.1016/j.ctcp.2019.07.002.
4. Yu J. N., Guo C. Q., Hu B., Liu N. G., Sun H. M., Xu H., Wu H. X., Guo Y., Liang C. X., Chen Z. X., Li X. H.. 2014;Effects of acupuncture knife on inflammatory factors and pain in third lumbar vertebrae transverse process syndrome model rats. Evidence-based complementary and alternative medicine : eCAM 2014:892406. https://doi.org/10.1155/2014/892406.
5. Guo C., Liu N., Li X., Sun H., Hu B., Lu J., Guo Y., Liang C., Xu H., Wu H.. 2014;Effect of acupotomy on nitric oxide synthase and beta-endorphin in third lumbar vertebrae transverse process syndrome model rats. Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan 34(2):194–198. https://doi.org/10.1016/s0254-6272(14)60078-9.
6. Ma S. N., Xie Z. G., Guo Y., Yu J. N., Lu J., Zhang W., Wang L. J., Xu J., Zhao R. L., Zhou S., Guo C. Q.. 2017;Effect of Acupotomy on FAK-PI3K Signaling Pathways in KOA Rabbit Articular Cartilages. Evidence-based complementary and alternative medicine : eCAM 2017:4535326. https://doi.org/10.1155/2017/4535326.
7. Jiang L., Zhang B., Yu H.. 2018;Analysis on adverse event in acupotomy therapy based on literature research. Zhongguo Zhen Jiu Chinese acupuncture & moxibustion 38(9):1007–1012. https://doi.org/10.13703/j.0255-2930.2018.09.027.
8. Yoon S. H., Kwon C. Y., Leem J.. 2019;Adverse events of miniscalpel-needle treatment in Korea: A systematic review. Eur J Integr Med 27:7–17. https://doi.org/10.1016/j.eujim.2019.02.002.
9. Yoon S. H., Kwon C. Y., Jo H. G., Sul J. U., Lee H., Won J., Jeong S. J., Lee J. H., Leem J.. 2022;Safety of acupotomy in a real-world setting: A prospective pilot and feasibility study. Journal of integrative medicine 20(6):514–523. https://doi.org/10.1016/j.joim.2022.08.003.
10. 강현구 . 2023. 04. 13. 의료분쟁 감정 건수 의과 수술이 최다 기록. 한의신문 https://www.akomnews.com/bbs/board.php?bo_table=news&wr_id=52911&sfl=wr_subject||wr_content||wr_name&stx=%EC%9D%98%EB%A3%8C%EB%B6%84%EC%9F%81.
11. 강환웅. 2023. 01. 26. “압도적인 양방 오진 외면말고 국민 앞에 반성하라!”. 한의신문 https://www.akomnews.com/bbs/board.php?bo_table=news&wr_id=51926&sfl=wr_subject||wr_content||wr_name&stx=%EC%9D%98%EB%A3%8C%EB%B6%84%EC%9F%81.
12. Federal Trade Commission region office. 2016. Standard Contract for Consent Form https://www.ftc.go.kr/www/cop/bbs/selectBoardArticle.do?key=201&nttId=82483&bbsId=BBSMSTR_000000002320&bbsTyCode=BBST01.
13. Kim M. J.. 2020;Usage of informed consent form for Bee-venom pharmacopuncture Therapy at korean medicine hospitals and Proposal for development of a standard informed consent form. Journal of Korean Medicine 41(3):66–80. https://doi.org/10.13048/jkm.20026.
14. Korean Pharmacopuncture Institute. 2016. Skin test and consent form file http://www.pharmacopuncture.co.kr/ext/bbs/board.php?bo_table=notice&wr_id=761.
15. Linstone H. A., Turoff M.. 1975. The Delphi Method: Techniques and Applications 1975 London, UK: Addison-Wesley; chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/http://www.foresight.pl/assets/downloads/publications/Turoff_Linstone.pdf.
16. Dalkey N., Helmer O.. 1963;An Experimental Application of the DELPHI Method to the Use of Experts. Manag Sci 9:458–467. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.rand.org/content/dam/rand/pubs/research_memoranda/2009/RM727.1.pdf.
17. Goodman C. M.. 1987;The Delphi technique: a critique. Journal of advanced nursing 12(6):729–734. https://doi.org/10.1111/j.1365-2648.1987.tb01376.x.
18. Lawshe C. H.. 1975;A quantitative approach to content validity. Personnel Psychology 28(4):563–575. https://doi.org/10.1111/j.1744-6570.1975.tb01393.x.
19. 이종성 . 2001;델파이방법. 교육과학사
20. 송호섭 이의주, 이은용 외. 2018. 한국표준 한 의과 의료행위 분류체계 개선 연구. 건강보험심사 평가원 https://repository.hira.or.kr/handle/2019.oak/732.
21. 보건의료정보표준 . 2022. 진료용그림. 보건의료 정보표준 https://www.hins.or.kr/standardSearch/standardPictureList.es?mid=a10303100000#.
22. Song P. H.. 2023;The validity requirements of a surgical consent. Urology Digest, 4(2):45–50. https://urodigest.com/articles/article/0Lnj/.
23. Yu H. J.. 2002;Doctor’s Duty of Informed Consent and Patient Informed Consent Form. Korean Journal of Medical Ethics, 5(1):48–62. https://journal.kci.go.kr/medethics/archive/articleView?artiId=ART000854981.
24. Yi H. W., Jeong W. J., Lee W. S., et al. 2008;The Usefulness of Visual Aids assisted Informed Consent for Central Venous Catheter Insertion with Subclavian Vein. Journal of the Korean Society of Emergency Medicine, 19(2):192–199. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.jksem.org/upload/pdf/18401876.pdf.
25. Jun H., Yoon S. H., Ryu M., Chae H., Chu H., Leem J., Kim T. H.. 2023;Acupotomy in Korean Medicine Doctors: A Preliminary Survey on Experiences, Perceptions, and Clinical Usage Status. Healthcare (Basel, Switzerland) 11(18):2577. https://doi.org/10.3390/healthcare11182577.
26. MacPherson H., Altman D. G., Hammerschlag R., Youping L., Taixiang W., White A., Moher D., ; STRICTA Revision Group. 2010;Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLoS medicine 7(6):e1000261. https://doi.org/10.1371/journal.pmed.1000261.
27. Ryu S. E.. 2009. Patients’ Understanding and It’s Related Factors on Explanation for the Assigned Surgery. [Master’s dissertation Department of Health Graduate School of Environment & Public Health Studies, Yeungnam University;
28. Lee S.. 2021;Prospects for the Development of Acupuncture Treatment Led by the Use of Ultrasound Imaging Devices. Journal of Korean Medical Society of Acupotomology 5(1):8–11. https://www.jkmst.org/journal/view.html?doi=10.54461/JKMST.2021.5.1.8.
29. 하재규. 2023;09. 14. “한의사의 초음파 진 단기기 사용은 합법하다”. 한의신문 https://www.akomnews.com/bbs/board.php?bo_table=news&wr_id=54921.
30. Kim Y. H., Oh T. Y., Lee E. J., Oh M. S.. 2019;A Comparative Study on the Pain and Treatment Satisfaction between Korean Medical Treatment Combined with Ultrasound Guided Soyeom Pharmacopuncture Therapy in Thoracic Paravertebral Space and Non-Guided Soyeom Pharmacopuncture Therapy on Patients with Ribs Fracture: A Retrospective Study. J Korean Med Rehabi 29(3):103–112. http://www.e-jkmr.org/journal/view.html?doi=10.18325/jkmr.2019.29.3.103.
31. Ahn T. S., Moon J. H., Park C. Y., Oh M. J., Choi Y. M.. 2019;The Effectiveness of Ultrasound-Guided Essential Bee Venom Pharmacopuncture Combined with Integrative Korean Medical Treatment for Rib Fracture: A Case Study. J Korean Med Rehabi, 29(3):157–163. http://www.e-jkmr.org/journal/view.html?doi=10.18325/jkmr.2019.29.3.157.
32. Park J. W., Kim S. W., Jeon D. H., Kim B. J., Oh M. S.. 2021;Comparison the Soyeom Pharmacopuncture Therapy Effects of Ultrasound Guided Group and Unguided Group on the Patients’ Facet Joint with Acute Low Back Pain Caused by Traffic Accidents: A Retrospective Study. J Korean Med Rehabi 31(3):85–93. http://www.e-jkmr.org/journal/view.html?uid=493&&vmd=Full.
33. Kim S. W., Jeon D. H., Kim B. J., Park J. W., Oh M. S.. 2021;The Effectiveness of Ultrasound-Guided Soyeom Pharmacopuncture Therapy at Acromioclavicular Joint of Shoulder in Patients with Anterior Shoulder Pain: A Retrospective Study. J Korean Med Rehabi 31(3):95–104. http://www.e-jkmr.org/journal/view.html?uid=494&&vmd=Full.
34. Yang J. E., Oh M. S.. 2022;Comparison of Ultrasound Guided Soyeom Pharmacopuncture Therapy Effect and Unguided Soyeom Pharmacopuncture Therapy Effect on Cervical Facet Joint of Acute Cervical Pain Patient Caused by Traffic Accidents: A Retrospective Study. J Korean Med Rehabi 32(3):109–117. http://www.e-jkmr.org/journal/view.html?uid=549&&vmd=Full.
35. Oh S. Y., Yeum J. Y., Park S. J.. 2023;A Case Report of Ultrasound-guided Bee Venom Pharmacopuncture on Plantar Fasciitis. The Journal of Korean Medicine, 44(1):108–116. https://www.jkom.org/journal/view.php?number=5130.
36. Kim J. S., Jung S. H., Kim H. I.. 2023;A Case Report of a Patient with Ultrasound-guided Acupotomy Treatment in Adhesion after Liposuction and Abdominal Plastic Surgery. Journal of Korean Medical Society of Acupotomology 7(1):7–14. https://www.jkmst.org/journal/view.html?&uid=65&vmd=Full&pn=search&all_k=A%20Case%20Report%20of%20a%20Patient%20with%20Ultrasound-guided%20Acupotomy%20Treatment%20in%20Adhesion%20after%20Liposuction%20and%20Abdominal%20Plastic%20Surgery&.
37. Jung H. S., Jeong T. S., Kim S. C., Jeong Y. J., Kim S. H., Lim J.. 2023;Effects of Ultrasound-Guided Acupotomy Therapy on a Trigger Finger: A Case Report. J Acupunct Res 40:162–166. https://doi.org/10.13045/jar.2023.00059.
38. Kang K. H., Oh K. C., Kim J. H., Chu H. M.. 2023;Protocol for Ultrasound-guided Acupotomy Procedure at Ligament Flavum. Journal of Korean Medical Society of Acupotomology 7(1):1–6. https://www.jkmst.org/journal/view.html?uid=64&vmd=Full&.
39. Kim J., Han C. H., Kim Y., Lee T., Yang C., Choi Y. E., Kang B. K., Kim K. H., Yang G. Y., Kim E.. 2023;Effect and Safety of Combining Pharmacopuncture Therapy and Acupotomy in the Treatment of Patients with Degenerative Lumbar Spinal Stenosis: a Study Protocol for a Pragmatic, Assessor-Blinded, Randomized, Controlled Trial. Journal of acupuncture and meridian studies 16(6):268–278. https://doi.org/10.51507/j.jams.2023.16.6.268.
40. Ratzan S. C., Parker R. M.. 2006;Health literacy - identification and response. Journal of health communication 11(8):713–715. https://doi.org/10.1080/10810730601031090.
41. Kim S. S., Kim S. H., Lee S. Y.. 2005;Health Literacy: Development of A Korean Health Literacy Assessment Tool. Korean Journal of Health Education and Promotion, 22(4):215–227. https://koreascience.kr/article/JAKO200503018258075.page.
42. Kim S. H., Lee E.. 2008;The influence of functional literacy on perceived health status in Korean older adults. Journal of Korean Academy of Nursing 38(2):195–203. https://doi.org/10.4040/jkan.2008.38.2.195.
43. Lee T. W., Kang S. J.. 2008;Health literacy in the Korean elderly and influencing factors. Journal of the Korean Gerontological Society 28(4):847–863. https://www.dbpia.co.kr/Journal/articleDetail?nodeId=NODE10926637.

Article information Continued

Fig. 1

Examples of acupotome

(A) 0.40 x 30mm (B) 0.50 x 50mm (C) 0.50 x 50mm (D) 0.60 x 50mm (E) 0.75 x 50mm (F) 0.60 x 80mm (G) 0.75 x 80mm (H) 1.0 x 80mm

Fig. 2

Comparison of acupotome and acupuncture needle tips

Fig. 3

Flow chart of the study

Fig. 4

Availability of acupotomy consent forms

Fig. 5

How to manage acupotomy consent form storage

Table 1

Characteristics of the Delphi Panel

번호 성별 나이 직업 임상연차 침도 사용 연차
1 40대 대학한방병원 교수 23 8
2 30대 대학한방병원 교수 13 1
3 40대 유관학회 전문가 22 10
4 50대 유관학회 전문가 27 8
5 60대 유관학회 전문가 20 20
6 40대 유관학회 전문가 16 13
7 40대 한의과대학 교수 9 0.5
8 30대 로컬 임상 한의사 13 12
9 40대 로컬 임상 한의사 18 15
10 50대 간호대학 교수 - -
11 40대 대학한방병원 수간호사 - -
12 30대 한의학 박사과정 4 2

Table 2

Minimum Values of CVR* for Delphi Panels (p=0.05)18)

Number of Panelists Minimum values of CVR*
5 .99
6 .99
7 .99
8 .75
9 .78
10 .62
11 .59
12 .56
13 .54
14 .51
15 .49
20 .42
25 .37
30 .33
35 .31
40 .29
*

CVR; Content validity ratio

Table 3

Analysis of Acupotomy Consent Form Items in Korean Medicine Hospitals

Korean Medicine Hospitals A B C D E F Inclusion (%) Exclusion (%)
Items
진단명 X X X X O X 1 (17) 5 (83)
시술명 O O O O O O 6 (100) 0 (0)
시행(예정)일 O X X X X X 1 (17) 5 (83)
환자의 현재상태 O X X X O O 3 (50) 3 (50)
시술의 목적 및 필요성 O X X X O O 3 (50) 3 (50)
시술의 과정 및 방법 O O O O O O 6 (100) 0 (0)
시술의 부위 및 추정 소요시간 O X X X O X 2 (33) 4 (67)
발현 가능한 합병증 내용 정도 및 대처방법 O O O O O O 6 (100) 0 (0)
시술 관련 주의사항 (시술후 관리에 필요한 사항) O O O O O X 5 (83) 1 (17)
예정된 시술이외의 시행 가능한 다른 치료 방법 O O O O O X 5 (83) 1 (17)
예정된 시술을 시행하지 않았을 때의 결과 O O O O O X 5 (83) 1 (17)
시술 방법의 변경 또는 시술 범위의 추가 가능성 O X X X X X 1 (17) 5 (83)
시술의의 변경 가능성 O X X X X X 1 (17) 5 (83)
설명 한의사의 서명 O O O O O O 6 (100) 0 (0)
시술 한의사의 서명 O O O O X X 4 (67) 2 (33)
참여 의료진의 전문의, 일반의 여부 O X X X X X 1 (17) 5 (83)
참여 의료진의 전문과목(전문의), 진료과목(일반의) O X X X X X 1 (17) 5 (83)
환자(또는 대리인)의 서명 O O O O O O 6 (100) 0 (0)

Table 4

Items for Standard Acupotomy Consent Form from the First Delphi Survey (N=11)

Items (before) Positive response rate CVR* Consensus Convergence Items (after)
시술명 10 0.82 1 0 시술명
환자의 진단명 10 0.82 1 0 진단명
시술 부위 9 0.64 1 0 시술 부위 (체크 박스로 구성)
시술의 목적 7 0.27 0.6 1 목적 및 필요성
시술의 필요성 6 0.09 0.5 1.25
시술의 효과 8 0.45 0.7 0.75 효과
시술 과정 7 0.27 0.6 1 과정 및 방법, 부위 및 추정 소요시간
시술 방법 9 0.64 0.9 0.25
시술 소요시간 8 0.45 0.8 0.5
참여 의료진의 성명 10 0.82 1 0 참여 의료진의 성명
의사(시술의)의 서명 8 0.45 0.8 0.5
참여 의료진의 전문의/일반의 여부 4 −0.27 0 1.5 참여 의료진의 전문의(전문과목), 일반의(진료과목)
참여 의료진의 전문과목 및 진료과목 4 −0.27 0 1.5
시행(예정)일 9 0.64 1 0 시행(예정)일
발현 가능한 합병증(후유증)의 내용, 정도 11 1 1 0 회복과정에서 발생할 수 있는 증상과 발현 가능한 합병증 (후유증)의 내용, 정도 및 대처방법
발현 가능한 합병증(후유증)의 대처방법 11 1 1 0
시술 후 발생할 수 있는 반응 및 불편감 11 1 1 0
시술 후 발생할 수 있는 반응 및 불편감의 대처방법 11 1 1 0
침도 외 시행 가능한 다른 방법(대안) 4 −0.27 0 1.5 침도 시술 외 시행 가능한 다른 방법(대안) 및 미시행시 결과
침도요법 미시행 시 결과 2 −0.64 0.5 0.5
시술 관련 주의사항 11 1 1 0 시술 관련 주의사항 (시술 후 건강관리에 필요한 사항)
시술 후 (자가)건강관리 11 1 1 0
시술 방법의 변경 가능성 8 0.45 0.6 1 시술 방법의 변경 또는 시술 범위의 추가 가능성
시술 범위의 추가 가능성 10 0.82 0.8 0.5
시술의의 변경 가능성 7 0.27 0.5 1.25 시술의의 변경 가능성
환자(또는 대리인)의 서명 11 1 1 0 환자(또는 대리인)의 서명
설명한 의료인의 서명 10 0.82 1 0 설명한 의료인의 서명
환자의 상태 점검 (표)§
서약 문구
초음파 활용과 관련된 문구
*

CVR; Content validity ratio

Preliminary items derived in advance through the analysis stage

Revised items based on the first Delphi survey

§

Added items based on the first Delphi survey

Table 5

Items for Standard Acupotomy Consent Form from the Second Delphi Survey (N=12)

Items Positive response rate CVR* Consensus Convergence Selection
시술명 Acupotomy Therapy Consent Form 11 0.83 1 0 Selected
시술 부위 (체크 박스로 구성) 11 0.83 0.8 0.5 Selected
참여 의료진의 전문의(전문과목), 일반의(진료과목) 9 0.5 0.69 0.63 pending
환자의 현재 상태 (표) 9 0.5 0.75 0.63 pending
목적 및 필요성 9 0.5 0.75 0.63 pending
효과 (첫번째 문장) 8 0.33 0.44 1.13 pending
효과 (두번째 문장) 9 0.5 0.75 0.63 pending
과정 및 방법, 부위 및 추정 소요시간 6 0 0.36 1.13 pending
회복과정에서 발생할 수 있는 증상과 발현 가능한 합병증 (후유증)의 내용, 정도 및 대처방법 (첫번째 문장) 11 0.83 0.8 0.5 Selected
회복과정에서 발생할 수 있는 증상과 발현 가능한 합병증 (후유증)의 내용, 정도 및 대처방법 (두번째 문장) 10 0.67 0.8 0.5 Selected
시술 관련 주의사항 (시술 후 건강관리에 필요한 사항) (첫번째 문장) 11 0.83 1 0 Selected
시술 관련 주의사항 (시술 후 건강관리에 필요한 사항) (두번째 문장) 11 0.83 1 0 Selected
시술 관련 주의사항 (시술 후 건강관리에 필요한 사항) (세번째 문장 10 0.67 0.8 0.5 Selected
시술 관련 주의사항 (시술 후 건강관리에 필요한 사항) (네번째 문장) 11 0.83 1 0 Selected
침도 시술 외 시행 가능한 다른 방법(대안) 및 미시행시 결과 10 0.67 0.78 0.5 Selected
시술 방법의 변경 또는 시술 범위의 추가 가능성 11 0.83 1 0 Selected
시술의의 변경 가능성 10 0.67 0.8 0.5 Selected
서약 문구 12 1 1 0 Selected
초음파 활용과 관련된 문구 11 0.83 1 0 Selected
*

CVR; Content validity ratio

Table 6

Demographic characteristics of survey respondents

항목 N (%)
성별 5 (25)
15 (75)
연령 ≤ 29 4 (20)
30 - 39세 6 (30)
40 - 49세 3 (15)
50 - 59세 2 (10)
60 - 69세 4 (20)
70 ≤ 1 (5)
결혼 유무 미혼 10 (50)
기혼 10 (50)
최종학력 초등학교졸업 1 (5)
중학교 졸업 0 (0)
고등학교 졸업 3 (15)
전문대학교 졸업 4 (20)
대학교 졸업 8 (40)
대학원 졸업 4 (20)
가계의 월 평균 세후소득 100만원 미만 3 (15)
100 - 200만원 미만 5 (25)
200 - 300만원 미만 2 (10)
300 - 400만원 미만 2 (10)
400 - 500만원 미만 5 (25)
500 - 600만원 미만 2 (10)
600만원 이상 1 (5)
총합 20 (100)

Table 7

Patients' Understanding of Acupotomy Consent Form Content

내용에 대한 이해도 의견
동의서 항목
시술의 목적 및 필요성 의학, 전문용어에 대한 이해 어려움 : “고질적” (2건), “메스모양” (1건)
시술의 효과 의학, 전문용어에 대한 이해 어려움 : “미소순환” (3건), “단백분해” (2건)
시술의 과정 및 방법, 부위 및 추정 소요시간 의학, 전문용어에 대한 이해 어려움 : “연부조직” (2건), “경결점” (4건) 추정 소요시간에 대한 설명 부족 (2건)
회복과정에서 발생할 수 있는 증상과 발현 가능한 합병증 (후유증)의 내용, 정도 및 대처방법 침도 시술 부작용에 대한 두려움 (4건)
기타 한자 표현에 대한 이해 어려움 : “경항부, 견부, 요배부” (1건) 글자 크기 확대 (1건), 그림 추가 (2건)