Zhou Xuan, Xu Fang, Gao Jian, Cao Shan, Zhao Ziwei, Heng Mingli, Bu Huaien, Yin Liqun, Wang Hongwu
Chinese Internal Medicine, Graduate School, Tianjin University of Traditional Chinese Medicine, Anshan West Road 312, Nankai District, Tianjin 300193, China.
Department of Public Health, Tianjin University of Traditional Chinese Medicine, Anshan West Road 312, Nankai District, Tianjin 300193, China.
Evid Based Complement Alternat Med. 2015;2015:863685. doi: 10.1155/2015/863685. Epub 2015 Oct 11.
Background. More and more people come to realize the importance of healthcare and early detecting of health status before becoming much more serious. Self-perceived health is an easy, economic, and effective indicator of health, which has been widely applied in measuring health. In this paper, the development and preliminary validation of the questionnaire (the First Edition) based on TCM theory were described and combined with Manual Mental Health Pattern for detecting health status in community of Tianjin, China. Methods. Questionnaire validity and reliability were evaluated in a small sample as a pilot study. Analyses included tests for reliability and internal consistency, exploratory factor analysis, and tests for discriminative ability and convergent validity. Results. Overall, 294 of 303 participants completed the questionnaire (97.3%). The questionnaire included 49 items. Cronbach's α was 0.83. Factor analysis established 10 distinct domains. The Pearson's rho correlation between the total scores and MHP (SCL) was statistically significant (r = 0.43, P < 0.001). t-test revealed significant differences (P < 0.05) in total scores between the healthy and unhealthy results distinguished by physical examination. Conclusions. Questionnaire reliability and validity were acceptable. Further work and larger sample would be warranted to refine items that measure the health status, to improve the reliability and discriminated validity of the questionnaire.
背景。越来越多的人开始意识到医疗保健以及在健康状况变得更加严重之前进行早期检测的重要性。自我感知健康是一种简单、经济且有效的健康指标，已被广泛应用于衡量健康状况。本文描述了基于中医理论的问卷（第一版）的编制与初步验证，并结合心理健康手册模式对中国天津市社区的健康状况进行检测。方法。作为一项预试验研究，在一个小样本中评估问卷的效度和信度。分析包括信度和内部一致性检验、探索性因子分析以及区分能力和聚合效度检验。结果。总体而言，303名参与者中有294人完成了问卷（97.3%）。该问卷包括49个项目。克朗巴哈α系数为0.83。因子分析确定了10个不同的领域。总分与心理健康手册（SCL）之间的皮尔逊相关系数具有统计学意义（r = 0.43，P < 0.001）。t检验显示，经体格检查区分的健康与不健康结果在总分上存在显著差异（P < 0.05）。结论。问卷的信度和效度是可接受的。需要进一步开展工作并扩大样本量，以完善测量健康状况的项目，提高问卷的信度和区分效度。
