冠心病稳定型心绞痛·痰瘀互结证自评量表条目筛选方法学研究  

Methodological Research of Ltems Selection for the Self-evaluation Scale of CHD Stable Angina the Syndrome of Phlegm and Blood Stasis in TCM

作　　者：杜蕊[1] 张哲[1] 陈民[1] 张会永[1] 刘丽星[2] 陈智慧[2] 杨关林[2] 

机构地区：[1]辽宁中医药大学附属医院,辽宁沈阳110032 [2]辽宁中医药大学,辽宁沈阳110032

出　　处：《中华中医药学刊》2011年第6期1265-1270,共6页Chinese Archives of Traditional Chinese Medicine

基　　金：国家科技部重大新药创制专项课题(2009ZX09502-29)

摘　　要：目的:在文献回顾、教材梳理、标准收集、临床流调、专家讨论等前期研究所形成冠心病稳定型心绞痛.痰瘀互结证自评量表初步框架的基础上,应用多种条目筛选方法优化冠心病稳定型心绞痛.痰瘀互结证自评量表条目,敦实冠心病稳定型心绞痛.痰瘀互结证自评量表数据基础。方法:在病证结合患者自评量表概念及理论框架指导下,通过德尔菲专家问卷咨询法、临床调查法、深度访谈法三种方法,定性与定量相结合筛选并优化条目,初步确定冠心病稳定型心绞痛.痰瘀互结证自评量表条目。结果:确立疾病、体质两个维度,构建冠心病稳定型心绞痛.痰瘀互结证自评量表条目,初步确定该量表包含胸痛、胸闷、气短、诱因、运动耐量、唇舌青紫、四肢沉重七个条目。结论:德尔菲专家问卷咨询法、临床调查法、深度访谈法等相结合可在量表条目筛选时充分考虑专家、临床医师、患者的意愿,且定性定量相结合的方法提高了所建立量表条目的科学性、代表性、敏感性、实用性。Objective：Based on the initial framework of self-evaluation scale of coronary heart disease stable angina the syndrome of phlegm and blood stasis which is formed by previous studies of the literature review,the textbook comb,clinical epidemiological survey,standard collection and experts discussion,apply a variety of items selection methods gradually to optimize the self-evaluation scale items of CHD stable angina the syndrome of phlegm and blood stasis in TCM,solid the data base of the coronary heart disease stable angina the syndrome of phlegm and blood stasis.Methods： Under the self-evaluation scale guidance and theoretical framework of the conjunction with disease and syndrome,adopt three methods of Delphi expert questionnaire consultation method,clinical investigation and in-depth interview,combine with qualitative and quantitative methods,select items and get items weight,and establish the self-evaluation scale items of CHD stable angina the syndrome of phlegm and blood stasis in TCM preliminarily.Results： Establish 2 dimensions of the disease and physique,construct the self-evaluation scale items of CHD stable angina the syndrome of phlegm and blood stasis in TCM,establish 7 items of chest pain,chest tightness,breath shortness,incentive,exercise tolerance,breath purple and limbs heavy preliminarily contained in this scale.Conclusion： Delphi expert questionnaire consultation method,clinical investigation and in-depth interview combining in items selection can be fully considering the aspiration of experts,clinical physicians and patients,and the method of combining qualitative and quantitative analysis improves the scientific,representative,sensitivity and practicability of the established scale items.

关 键 词：德尔菲法 临床调查法 深度访谈法 条目筛选 冠心病 稳定型心绞痛 痰瘀互结证 自评量表 

分 类 号：R541.4[医药卫生—心血管疾病]