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Construction and test in northern China of traditional Chinese medicine syndromes efficacy evaluation scale for accumulation and stagnation in children
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DOI   10.11656/j.issn.1672-1519.2022.07.08
Key Words   accumulation and stagnation in children;TCM syndromes efficacy;scale construction;reliability;validity;reactivity
Author NameAffiliationE-mail
LI Ruiben Department of Pediatrics, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
MA Yanning Department of Pediatrics, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
HU Siyuan Department of Pediatrics, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
husiyuan1963@sina.com 
WU Liqun Department of Pediatrics, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing 100078, China  
ZHANG Baoqing Department of Pediatrics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250011, China  
XUE Zheng Department of Pediatrics, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai 200071, China  
YAN Yongbin Department of Pediatrics, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 451100, China  
GUO Suxiang Department of Pediatrics, Second Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China  
LIU Hong Department of Pediatrics, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
HU Shuping Department of Pediatrics, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
WEI Xiaowei Department of Pediatrics, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
CHENG Tianmeng Department of Pediatrics, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
LU Yanhong Department of Pediatrics, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
WU Yuyi Department of Pediatrics, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
ZHANG Yi Department of Pediatrics, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
Abstract
    [Objective] Construct and test the evaluation items of traditional Chinese medicine(TCM) syndromes efficacy evaluation scale,so as to provide the scale basis for the clinical evaluation of children's accumulation and stagnation.[Methods] Literature research method,Delphi method and clinical investigation method are mainly used,and exploratory factor analysis method,correlation coefficient method and Cronbach's α coefficient are used to test the reliability,validity and responsiveness of the scale.[Results] The item pool of evaluation scale containing 46 items was constructed by literature research method. After 2 rounds of Delphi questionnaire,a primary evaluation scale with 24 items was formed. Through a small-scale test,it was optimized into an evaluation scale with 21 items;Exploratory factor analysis deleted 3 items,extracted and combined 7 common factors from the remaining 18 items,and the cumulative variance contribution rate was 68.76%. The content validity was 0.359 to 0.931. The test-retest reliability ranged from 0.797 to 0.926. The split half reliability was 0.798. The internal consistency was >0.4. There were significant differences in the total score of the scale and the scores of each dimension between patient and healthy children and patient before and after treatment (P<0.05).[Conclusion] The TCM Syndromes Efficacy Evaluation Scale for Accumulation and Stagnation in Children has good reliability,validity and responsiveness,so it can be used to evaluate the clinical efficacy of common TCM syndromes of accumulation and stagnation in children in the north,and its use in the south still needs to be further tested.

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