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阴虚问卷的编制与验证

Development and validation of Yin-Deficiency Questionnaire.

作者信息

Lee Sangjae, Park Jongbae, Lee Hyangsook, Kim Kwangho

机构信息

Institute of Korean Medicine for Healthy Living, Seoul, South Korea.

出版信息

Am J Chin Med. 2007;35(1):11-20. doi: 10.1142/S0192415X07004576.

Abstract

This study describes development and validation of a questionnaire as an adjunct to Traditional Chinese Medicine diagnosis of Yin-Deficiency Syndrome (Yin-DS). The Yin-Deficiency Questionnaire 1 (Yin-DQ1) consists of 10 items. Seventy-nine healthy volunteers and 44 patients diagnosed with Yin-DS were enrolled for the evaluation of discriminant validity and factorial validity. Another group of 83 healthy volunteers participated for test-retest reliability test. Internal consistency was high in both groups (Cronbach's alpha = 0.8615). Test-retest reliability (Spearman's rank correlation coefficient) ranged from 0.54 to 0.79 (p < 0.01). Factor analysis demonstrated that a two factor solution best explained the variance in responses (51.62%). The scores of all items in patients diagnosed with Yin-DS were significantly higher compared with those of healthy volunteers. The data show the internal consistency, test-retest reliability and strong discriminative properties of the Yin-DQ1. Further research determining the optimal cut-off score for Yin-DS and testing its usage as an outcome measure in a clinical trial is needed.

摘要

本研究描述了一种问卷的开发与验证,作为中医阴虚证诊断的辅助工具。阴虚问卷1(Yin-DQ1)由10个条目组成。招募了79名健康志愿者和44名被诊断为阴虚证的患者,用于评估判别效度和因子效度。另一组83名健康志愿者参与了重测信度测试。两组的内部一致性都很高(Cronbach's α = 0.8615)。重测信度(Spearman等级相关系数)范围为0.54至0.79(p < 0.01)。因子分析表明,两因子解能最好地解释反应中的方差(51.62%)。与健康志愿者相比,被诊断为阴虚证的患者所有条目的得分均显著更高。数据显示了Yin-DQ1的内部一致性、重测信度和较强的判别特性。需要进一步研究确定阴虚证的最佳截断分数,并在临床试验中测试其作为结局指标的用途。

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