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中医体质量表-41条目简短版的结构效度和反应度评价

发布时间:2018-05-11 03:13

  本文选题:体质学说 + 中医体质量表 ; 参考:《中国全科医学》2017年26期


【摘要】:目的分析中医体质量表-41条目简短版的结构效度和反应度,评价该量表辨识中医体质的应用价值。方法选取2013年2月—2014年7月于广东省中医院珠海医院自愿接受治未病并完成26周中医体质综合干预的509例受试者为调查对象。依据干预前的体质判定结果,调查对象均自行实施干预措施并记录,并由专业医生进行监督和指导。分别于干预前和干预26周后,调查对象自行填写中医体质量表。采用因子分析评价中医体质量表-41条目简短版的结构效度;通过比较干预前后各条目及各亚量表得分,并计算变化率(CR)、效应量(ES)、标准化反应均数(SRM)评价反应度。结果因子分析显示,提取的8个公因子解释的方差贡献率均≥4.00%,累积解释的方差贡献率53.57%;特征根均1.00,主要支配的条目与8种偏颇体质基本对应,形成较好的解释。调查对象干预前后条目26、44、49、52得分比较,差异无统计学意义(P0.05);其余条目干预后得分低于干预前(P0.05)。各条目平均CR(绝对值)、ES(绝对值)、SRM(绝对值)分别为7.81%、0.16、0.20。调查对象干预后平和质亚量表得分高于干预前,气虚质、阳虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质、特禀质亚量表得分低于干预前(P0.05)。各亚量表平均CR(绝对值)、ES(绝对值)、SRM(绝对值)分别为12.79%、0.25、0.35。结论中医体质量表-41条目简短版结构明确、反应度良好,具有较高的测量价值。
[Abstract]:Objective to analyze the structural validity and response of the short version of TCM physique scale-41, and to evaluate the application value of the scale in the identification of TCM physique. Methods 509 subjects were selected from February 2013 to July 2014 in Zhuhai Hospital of Guangdong traditional Chinese Medicine Hospital who voluntarily received pre-treatment and completed comprehensive intervention of TCM constitution for 26 weeks. According to the result of physique judgment before intervention, all the subjects carried out the intervention and recorded it, and were supervised and directed by the professional doctor. Before and after 26 weeks of intervention, the subjects filled out the TCM physique scale by themselves. Factor analysis was used to evaluate the structural validity of the short version of TCM physique scale -41 items, and the scores of each item and sub-scale before and after intervention were compared, and the response degree was evaluated by calculating the rate of change (CRN), the effect quantity (ESN) and the average of standardized response (SRM). Results Factor analysis showed that the variance contribution rate of the eight common factor interpretation was 鈮,

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