毒品成瘾者中医证候量表的优化及考评

发布时间：2018-01-16 13:30

本文关键词：毒品成瘾者中医证候量表的优化及考评　出处：《福建中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:在前期工作基础上形成毒品成瘾者中医证候量表(初量表),并通过临床预调查对初量表进行信度及效度的考评,期望能够为研究毒品成瘾提供更准确及客观的中医临床诊断参考工具。方法:基于前期研究基础上,结合证素辨证积分法及专家意见确定毒品成瘾者中医证候量表(初量表)的条目池。收集289份吸毒人员问卷进行临床预调查,采用困难度分析、反应度分析、t检验、相关系数法及克朗巴赫系数法统计方法筛选条目形成毒品成瘾者中医证候初量表,再应用毒品成瘾者中医证候初量表收集450份数据,采用分半信度、克朗巴赫系数、因子分析和主成分分析对初量表进行信度和效度评价。结果:结合多种条目筛选方法,最后删除Q62,形成《毒品成瘾者中医证候量表》(初量表),包含14个维度,70个条目,其中病位维度6个,分别是肝维度27个条目,肾维度26个条目、脾维度21个条目、肺维度10个条目、心维度14个条目;病性维度8个维度,分别气虚维度28个条目,阳虚维度26个条目,血虚维度21个条目,阴虚维度23个条目,痰维度19个条目,湿维度22个条目,气滞维度21个条目,血瘀维度17个条目,热维度14个条目。量表考评:总量表的分半信度系数大于0.9,各维度的分半信度均大于0.8;总量表及各维度的Cronbach's α系数也均大于0.9,说明初量表的内部一致性良好,可信度较高。再选用《阿片成瘾严重程度量表》作为本量表的校标,结果提示总量表的相关系数是0.410,各维度的相关系数在0.361-0.426之间。采用因子分析得出本量表的KMO值为0.976,Bartlett的球形度检验的卡方值为26616.839(P0.01),提示本量表数据适宜进行因子分析。经主成分提取的9个因子解释了所有条目的66.862%,且特征值大于1,说明该分析提取9个公共因子即可,经效度考评认为实际测验结果与理论假设的吻合度一般。结论:毒品成瘾者中医证候初量表信度可靠,但效度一般。
[Abstract]:Objective: to form a Chinese medicine syndrome scale for drug addicts on the basis of preliminary work, and to evaluate the reliability and validity of the preliminary scale through clinical preliminary investigation. It is expected to provide a more accurate and objective reference tool for the clinical diagnosis of traditional Chinese medicine for the study of drug addiction. Methods: based on the previous research. Combined with syndromes differentiation integration method and expert opinion to determine the drug addicts TCM syndrome scale (initial scale) of the entry pool. 289 drug addicts questionnaire for clinical pre-investigation, using the degree of difficulty analysis. Response degree test, correlation coefficient method and Cronbach coefficient method were used to select items to form the initial scale of TCM syndromes of drug addicts, and 450 pieces of data were collected by using the initial scale of TCM syndromes of drug addicts. The reliability and validity of the initial scale were evaluated by split-half reliability, Cronbach coefficient, factor analysis and principal component analysis. Results: Q62 was deleted in combination with a variety of item screening methods. To form the TCM Syndrome scale for Drug addicts (initial scale, including 14 dimensions, 70 items, 6 of which are liver dimension 27 items, kidney dimension 26 items. There were 21 items in spleen dimension, 10 items in lung dimension and 14 items in heart dimension. The disease dimension included 28 items in Qi deficiency dimension, 26 in yang deficiency dimension, 21 in blood deficiency dimension, 23 in yin deficiency dimension, 19 in phlegm dimension and 22 in wet dimension. There were 21 items in Qi stagnation dimension, 17 items in blood stasis dimension and 14 items in heat dimension. The Cronbach's 伪 coefficients of the total scale and each dimension were also greater than 0.9, which indicated that the internal consistency of the initial scale was good. The scale of severity of opioid addiction was chosen as the calibration standard of the scale. The results showed that the correlation coefficient of the total scale was 0.410. The correlation coefficient of each dimension was 0.361-0.426. The KMO value of this scale was 0.976 by factor analysis. The chi-square value of Bartlett's sphericity test was 26616.839 (P0.01). It is suggested that the data of this scale is suitable for factor analysis. The 9 factors extracted by principal component explained 66.862 of all items, and the characteristic value was more than 1, indicating that 9 common factors could be extracted by this analysis. Conclusion: the reliability of the initial scale of TCM syndromes of drug addicts is reliable, but the validity is general.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R277.7

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