血管性认知功能障碍自我辨识筛查方案临床验证研究
发布时间：2019-01-30 08:54
【摘要】：目的临床验证血管性认知功能障碍自我辨识筛查方案(A、B卷)的应答率、鉴别度和同质性。方法于2008年2月—2014年9月采用临床流行病学横断面调查的研究方法选取山东中医药大学附属医院、北京中医药大学东方医院、天津中医药大学第二附属医院、长春中医药大学附属医院、河北医科大学中医院、北京大学人民医院、北京市丰台区丰台社区卫生服务中心、蒲黄榆社区卫生服务中心、方庄社区卫生服务中心、右安门社区卫生服务中心共计10个调查点门诊、住院患者及所辖社区居民4 008例。根据血管性认知功能障碍自我辨识筛查方案制定问卷,分为A、B卷进行题项筛选,采用题项分析、项目分析、同质性分析的方法。分析问卷的应答率、鉴别度和同质性。结果血管性认知功能障碍自我辨识筛查方案(A、B卷)各题项通过了题项筛选。其中,A、B卷各题项遗漏率均在5.00%以内;A、B卷高分组与低分组各题项得分比较,差异有统计学意义(P0.01),临界比值均3.00;A、B卷各题项与总分呈正相关(P0.01),但A卷中A23、A24题项与总分的相关系数小于0.450;A卷总体Cronbach'sα系数为0.899,B卷总体Cronbach'sα系数为0.885,均大于0.700;删除题项后Cronbach'sα系数无升高;A卷中A23、A24题项因素负荷量均小于0.450。结论血管性认知功能障碍自我辨识筛查方案(A、B卷)各题项具有较好的应答率、鉴别度和同质性。
[Abstract]:Objective to verify the response rate, discrimination and homogeneity of the self-identification screening program for vascular cognitive impairment (volume B). Methods from February 2008 to September 2014, we selected the affiliated Hospital of Shandong University of traditional Chinese Medicine, the Oriental Hospital of Beijing University of traditional Chinese Medicine and the second affiliated Hospital of Tianjin University of traditional Chinese Medicine. The affiliated Hospital of Changchun University of traditional Chinese Medicine, the Hospital of Chinese Medicine of Hebei Medical University, the people's Hospital of Peking University, the Fengtai Community Health Service Center of Fengtai District of Beijing, the Puhuangyu Community Health Service Center and the Fangzhuang Community Health Service Center, There were 4 008 inpatients and residents in right Anmen Community Health Service Center. According to the self-identification screening program of vascular cognitive dysfunction, the questionnaire was divided into two parts: Agna B volume for item selection, item analysis, item analysis and homogeneity analysis. The response rate, discrimination and homogeneity of the questionnaire were analyzed. Results each item of Vascular Cognitive Disorder self-identification screening Program (AHB) was selected. Among them, the omission rate of each item in volume A B was less than 5.00%, the scores of each item in high score group and low group were significantly different (P0.01), the critical ratio was 3.00; There was a positive correlation between each item and the total score in volume A (P0.01), but the correlation coefficient between A23A24 item and total score was less than 0.450 in volume A. The total Cronbach's 伪 coefficient of A volume is 0.899B, the total Cronbach's 伪 coefficient is 0.885, the Cronbach's 伪 coefficient is larger than 0.700, the Cronbach's 伪 coefficient does not increase after deleting the item, and the load quantity of A23A24 item in A volume is less than 0.450. Conclusion each item of Vascular Cognitive Disorder Self-Identification screening Program (AHB) has good response rate, discriminant degree and homogeneity.
【作者单位】： 国家食品药品监督管理总局药品审评中心;北京中医药大学;北京市第一中西医结合医院;北京中医药大学东方医院;中国中医科学院望京医院;山东中医药大学附属医院;长春中医药大学附属医院;河北医科大学中医院;天津中医药大学第二附属医院;北京大学人民医院;
【基金】：2011年北京市科技计划项目(Z111107056811040) 2014年度中医药行业科研专项(201407001) 2010年度中医药行业科研专项(201007002)
【分类号】：R749.1
[Abstract]:Objective to verify the response rate, discrimination and homogeneity of the self-identification screening program for vascular cognitive impairment (volume B). Methods from February 2008 to September 2014, we selected the affiliated Hospital of Shandong University of traditional Chinese Medicine, the Oriental Hospital of Beijing University of traditional Chinese Medicine and the second affiliated Hospital of Tianjin University of traditional Chinese Medicine. The affiliated Hospital of Changchun University of traditional Chinese Medicine, the Hospital of Chinese Medicine of Hebei Medical University, the people's Hospital of Peking University, the Fengtai Community Health Service Center of Fengtai District of Beijing, the Puhuangyu Community Health Service Center and the Fangzhuang Community Health Service Center, There were 4 008 inpatients and residents in right Anmen Community Health Service Center. According to the self-identification screening program of vascular cognitive dysfunction, the questionnaire was divided into two parts: Agna B volume for item selection, item analysis, item analysis and homogeneity analysis. The response rate, discrimination and homogeneity of the questionnaire were analyzed. Results each item of Vascular Cognitive Disorder self-identification screening Program (AHB) was selected. Among them, the omission rate of each item in volume A B was less than 5.00%, the scores of each item in high score group and low group were significantly different (P0.01), the critical ratio was 3.00; There was a positive correlation between each item and the total score in volume A (P0.01), but the correlation coefficient between A23A24 item and total score was less than 0.450 in volume A. The total Cronbach's 伪 coefficient of A volume is 0.899B, the total Cronbach's 伪 coefficient is 0.885, the Cronbach's 伪 coefficient is larger than 0.700, the Cronbach's 伪 coefficient does not increase after deleting the item, and the load quantity of A23A24 item in A volume is less than 0.450. Conclusion each item of Vascular Cognitive Disorder Self-Identification screening Program (AHB) has good response rate, discriminant degree and homogeneity.
【作者单位】： 国家食品药品监督管理总局药品审评中心;北京中医药大学;北京市第一中西医结合医院;北京中医药大学东方医院;中国中医科学院望京医院;山东中医药大学附属医院;长春中医药大学附属医院;河北医科大学中医院;天津中医药大学第二附属医院;北京大学人民医院;
【基金】：2011年北京市科技计划项目(Z111107056811040) 2014年度中医药行业科研专项(201407001) 2010年度中医药行业科研专项(201007002)
【分类号】：R749.1
【参考文献】
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1 姬少珍;金香兰;贾蓓;李涛;王建伟;郝颖;刘s，
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