基于访谈法研究痰浊证患者自诉症状及其对日常生活的影响  

Study on Self-reported Symptoms and The Influence on Daily Life in Patients with Phlegm-turbidity Syndrome: Based on Interview

作　　者：于莉[1] 李芹[2] 张会永[1] 周鹤[2] 陈智慧[2] 刘宁[1] 吴天石[2] 张牧晨 杨关林[2] 

机构地区：[1]辽宁中医药大学附属医院 [2]辽宁中医药大学

出　　处：《中医杂志》2017年第4期291-296,共6页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金青年基金(81503468)

摘　　要：目的总结痰浊证患者自诉的症状及其对日常生活的影响。方法运用半结构化访谈法,紧密围绕访谈提纲进行访谈,直到达到信息饱和。采用定性和定量相结合的分析方法,从访谈资料中提取患者自诉的痰浊证症状及其对日常生活影响的信息。结果通过对32名痰浊证患者进行访谈分析得出,患者自诉的痰浊证症状包括:胃脘痞闷、食少、肢体困重、多量黏稠痰、咽部异物感、口腻、多寐、困倦、头昏沉、苔白腻、大便黏。痰浊证的症状表现对患者的饮食、睡眠、情绪、娱乐社交活动等方面具有不同程度的影响。结论痰浊证患者的症状表现复杂多样,且与基础疾病密切相关,对饮食和睡眠影响较大。Objective To summarize self-reported symptoms and their influence on daily life in patients with phlegm-turbidity syndrome by interview,and to develop the efficacy evaluation scale for phlegm-turbidity syndrome.Methods Semi-structured interviews,which were interviewing closely around the outline,and the interviews didn＇t end until information saturation,were conducted. Information on self-reported symptoms and those had influences on daily life of patients was extracted from the interview data with both qualitative and quantitative analytical methods.Results It is showed by interviewing 32 patients with phlegm-turbidity syndrome that,the self-reported symptoms of this syndrome include： fullness and oppression in the stomach,low food intake,heavy sensation in the limbs,much sticky phlegm,foreign body sensation in the pharynx,slimy sensation in the mouth,much sleep,sleepiness,heaviness in head,white and greasy tongue coating,and sticky stool. These symptoms had different influence on the patients＇ diet, sleep, emotion, creation, social activities, etc. Conclusion Patients with phlegm-turbidity syndrome have various symptoms,which are closely related to their underlying disease. The influence is mainly about diet and sleep.

关 键 词：痰浊证 疗效评价 患者自报告结局 生存质量 方法学 

分 类 号：R241[医药卫生—中医诊断学]