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基于中医脏腑功能辨识的五脏健康状态问卷信效度检验
原嘉民1, 戴洪2, 黄鹂1, 林铭铭3, 孙玉姣3, 罗翠文2, 杨志敏1
1.广东省中医院名医工作室, 广州 510120;2.总参警卫局卫生保健处, 北京 100017;3.广州中医药大学, 广州 510405
摘要:
[目的] 制定中医五脏健康状态自评问卷,并筛选和优化条目并评价问卷的信效度。[方法] 在中医理论框架下,根据五脏系统生理功能与病理表现构建自评问卷,进行临床预调研和信效度检验。[结果] 五脏健康状态问卷基于心小肠系统、肝胆系统、脾胃系统、肺大肠系统和肾膀胱系统理论框架共形成25 条条目。临床调查应答率为82.43%,Alpha 信度0.783,分半信度0.777。KMO=0.76,球形检验越1 554.78,P<0.05。共提取9 个维度,累积贡献59.15%。[结论] 中医五脏健康状态问卷具有较好的信效度,为个体的中医脏腑功能健康状态评测提供一个参考。
关键词:  中医五脏  问卷  条目筛选  信效度
DOI:10.11656/j.issn.1672-1519.2014.09.03
分类号:
基金项目:国家重点基础研究计划项目(973 计划)(2011CB505404);广东省财政厅《中医健康状态评估与健康促进》(粤中医财[2011]6 号);广东省中医药局《基于健康促进构建智能化中医健康管理平台研究》(2013007);广东省中医药科学院《基于中医健康多维辨识技术构建中医健康管理研究》(2014KT1306)。
Reliability and validity of questionnaire about five viscerae health based on function identification of Zang Fu-organs in TCM
YUAN Jia-min1, DAI Hong2, HUANG Li1, LIN Ming-ming3, SUN Yu-jiao3, LUO Cui-wen2, YANG Zhi-min1
1.Guangdong Province Hospital of Traditional Chinese Medical, Guangzhou 510120, China;2.Health Care Office, Guard Bureau, The People's Liberation Army General Staff, Beijing 100017, China;3.Guangzhou University of Traditional Chinese Medicine, Education System for Seven Years of 2008, Guangzhou 510405, China
Abstract:
[Objective] To establish a self-evaluated questionnaire about the health condition of five viscerae, screen and optimize the en-tries and test the reliability and validity of the questionnaire. [Methods] Under the guiding of TCM theory and according to the physiolog-ic functions and the pathologic manifestations of five viscerae system the self-evaluated questionnaire was established and the reliability and validity were investigated pre-clinically. [Results] Based on the theory of heart-small intestine system, the liver-gallbladder system, spleen-stomach system, lung-large intestine system and kidney-urinary bladder system 25 entries were established in the questionnaire about the health of five viscerae. The clinical survey response rate was 82.43%. The reliability of Alpha was 0.783. Guttman Split-Half Coefficient was 0.777, KMO=0.76, Spherical test=1 554.78, P<0.05. The results showed in 9 dimensions and the cumulative contribution was 59.15%. [Conclusion] The questionnaire about the health of five viscerae possessed a good reliability and validity, suitable for the application in the investigation of the function and health condition of Zang and Fu in TCMindividually.
Key words:  five viscerae of TCM  questionnaire  entry selection  reliability and validity
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