摘要
目的构建适用于慢性阻塞性肺疾病(Chronic obstructive pulmonary disease,COPD)肺气郁滞证的中医诊断量表,并验证该量表的信度和效度。方法前期研究初步确定了肺气郁滞证的16个核心症状条目。对95名患者进行中西医诊断和量表采集,根据症状的严重程度评分0、1、2和3分。通过频数、t检验、离散趋势、克朗巴赫α系数筛选条目,通过Cronbach’s alpha系数评估量表的内部一致性,采用Spearman-Brown系数评估量表的稳定性,探索性因子分析判断量表结构效度。结果剔除了部分条目并确认了最终的11个量表条目,量表总体Cronbach’s alpha系数为0.719,总体Spearman-Brown系数为0.647;KMO测验值为0.612>0.5,Bartlett’s球形检验的显著性水平为P<0.01;抽取特征根>1的公因子,抽取4个公因子时达到最大总方差解释为64.122%,各条目公因子载荷均>0.5,方差均>0.4,量表结构效度较好。结论本研究构建并验证了COPD肺气郁滞证的中医诊断量表,该量表具有良好的信度和效度,为临床诊断和治疗提供了可靠的工具。
Objective To construct a traditional Chinese medicine diagnostic scale suitable for chronic obstructive pulmonary disease(COPD)with lung qi stagnation syndrome,and to verify the reliability and validity of the scale.Methods Preliminary research has identified 16 core symptom items for lung qi stagnation syndrome.Diagnosis and scale collection were conducted on 95 patients using both traditional Chinese and Western medicine,with scores of 0,1,2,and 3 based on the severity of symptoms.By frequency t-test,discrete trend,and Cronbach’s alpha coefficient screening items were used to evaluate the internal consistency of the scale,Spearman Brown coefficient was used to evaluate the stability of the scale,and exploratory factor analysis was used to determine the structural validity of the scale.Results Partial items were excluded and the final 11 scale items were confirmed.The overall Cronbach’s alpha coefficient of the scale was 0.719,and the overall Spearman Brown coefficient was 0.647;The KMO test value is 0.612>0.5,The significance level of Bartlett’s sphericity test is P<0.01;Extracting common factors with feature roots greater than 1,the maximum total variance explained by 64.122%was achieved when extracting four common factors.The common factor loadings for each item were all greater than 0.5,and the variance was all greater than 0.4,indicating good structural validity of the scale.Conclusion This study constructed and validated a traditional Chinese medicine diagnostic scale for COPD with lung qi stagnation syndrome.The scale has good reliability and validity,providing a reliable tool for clinical diagnosis and treatment.
作者
廖晓倩
范星宇
方格
谈宇权
蒋浩波
胡志希
LIAO Xiaoqian;FAN Xingyu;FANG Ge;TAN Yuquan;JIANG Haobo;HU Zhixi(College of Traditional Chinese Medicine,Hunan University of Chinese Medicine,Changsha 410208,China;Traditional Chinese Medicine College of Hunan Traditional Chinese Medical College,Zhuzhou 412000,China)
出处
《世界科学技术-中医药现代化》
北大核心
2025年第5期1228-1233,共6页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
广东省科学技术厅广东省重点领域研发计划项目(2020B1111100001):气滞证辨证标准的系统研究,负责人:陈家旭
国家自然科学基金委员会面上项目(82274412):基于miR-155调控巨噬细胞极化探讨心肌缺血型心衰心肌纤维化病理机制及以方测证干预研究,负责人:胡志希。
关键词
慢性阻塞性肺疾病
肺气郁滞证
中医诊断量表
信度
效度
Chronic obstructive pulmonary disease
Lung qi stagnation syndrome
Traditional Chinese Medicine diagnostic scale
Reliability
Validity
