中西医结合治疗胃肠道疾病患者医患共建循证医学病历患者部分（DPEBMR-P）的有效性和可靠性
Validity and reliability of patient section of evidence-based medical records about doctor-patient building through integrated therapy of traditional Chinese and Western medicine (DPEBMR-P) in patients with gastrointestinal diseases.
作者信息
Feng Shuo, Chen Lingxiao, Tian Guihua, Hu Jing, Ding Yang, Du Zhengguang, Zhang Hongkai, Li Bo, Li Yang
机构信息
Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing Institute of Traditional Chinese Medicine, Beijing 100010, China.
Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia.
出版信息
Ann Transl Med. 2019 Mar;7(6):121. doi: 10.21037/atm.2018.12.27.
BACKGROUND
We developed an evidence-based medical record for doctor-patient relationship building through an integrated therapy of traditional Chinese and Western medicine (DPEBMR) to assess the efficacy in patients with digestive system diseases. The instrument was categorized into a doctor section and a patient section. In this article, our main goal was to test the validity and reliability of the patient's section for DPEBMR (DPEBMR-P).
METHODS
One hundred patients were recruited. Doctors and patients used a predefined format to jointly record the illness. Cronbach's α and factor analysis were used to evaluate the reliability and structure validity, respectively.
RESULTS
Cronbach's α of all 12 items from DPEBMR-P was 0.906, which demonstrated high reliability. The Kaiser-Meyer-Olkin value was 0.811 and Bartlett's spherical test value was 452.2 (P<0.05), which meant it was suitable for performing factor analysis. A total of 3 items were identified as factors, and each had high loading: items of mental status (0.584 to 0.833), items of therapeutic effect (0.518 to 0.797), and items of appetite (0.857 to 0.882).
CONCLUSIONS
The DPEBMR-P indicated substantial reliability and structure validity.
背景
我们通过中西医结合疗法开发了一种用于建立医患关系的循证病历（DPEBMR），以评估其对消化系统疾病患者的疗效。该工具分为医生版和患者版。在本文中，我们的主要目标是检验DPEBMR患者版（DPEBMR-P）的有效性和可靠性。
方法
招募了100名患者。医生和患者使用预定义格式共同记录病情。分别采用Cronbach's α和因子分析来评估可靠性和结构效度。
结果
DPEBMR-P所有12个条目的Cronbach's α为0.906，显示出高可靠性。Kaiser-Meyer-Olkin值为0.811，Bartlett球形检验值为452.2（P<0.05），这意味着它适合进行因子分析。共识别出3个条目作为因子，每个因子的载荷都很高：心理状态条目（0.584至0.833）、治疗效果条目（0.518至0.797）和食欲条目（0.857至0.882）。
结论
DPEBMR-P具有较高的可靠性和结构效度。
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