不同年龄人群中医体质综合干预依从性及效果分析  

Compliance and effect of traditional Chinese medicine constitution comprehensive intervention among different age groups

作　　者：虞晓含 朱燕波[2] 王琦 成杰辉[3] YU Xiao-han;ZHU Yan-bo;WANG Qi;CHENG Jie-hui(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;School of Management,Beijing University of Chinese Medicine,Beijing 100029,China;Zhuhai Hospital,Guangdong Provincial Hospital of Traditional Chinese Medicine,Zhuhai 519015,China)

机构地区：[1]北京中医药大学中医学院,北京100029 [2]北京中医药大学管理学院,北京100029 [3]广东省中医院珠海医院,珠海519015

出　　处：《中华中医药杂志》2021年第4期1863-1867,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：科技部基础性工作专项(No.2013FY114400-5);国家重点基础研究发展计划(973计划)(No.2011CB505403)。

摘　　要：目的:分析不同年龄人群在中医体质综合干预依从性及效果方面的差异。方法:对508例研究对象施测中医体质量表、SF-36量表,并对其干预依从性进行量化。使用线性回归方法,分析年龄因素及依从性因素对干预效果的影响。对研究对象按年龄分组,描述不同年龄组干预依从性及效果的趋势,对干预依从性及干预效果在不同年龄组间是否存在差异进行方差分析。结果:年龄因素在平和质、偏颇质、生理领域生活质量及心理领域生活质量方面均呈现出具有统计学意义的回归关系,依从性总分对偏颇质及生理领域生活质量呈现出具有统计学意义的回归关系。随着年龄的增大,研究对象的总体依从性得分呈不断上升趋势,干预效果呈下降趋势。51岁及以上年龄组的依从性普遍优于50岁及以下各组,40岁及以下年龄组的体质改善效果优于41岁及以上各组,18~30岁年龄组在生活质量的提升方面呈现出优势。结论:较年长者具有更好的干预依从性,但较年轻者具有更好的干预效果。应尽早开展中医体质综合干预,同时注意干预对象依从性的提高。Objective:To analyze whether there are differences in compliance and effect of traditional Chinese medicine(TCM)constitution comprehensive intervention among different age groups.Methods:A total of 508 subjects were measured with the Constitution in Chinese Medicine Questionnaire and SF-36 scale,and the intervention compliance was quantified.Linear regression analysis was used to analyze the effect of age and compliance factors on intervention effect.The subjects were grouped according to age,and the trend of intervention compliance and effect was described.The variance analysis was carried out on the differences of intervention compliance and effect among different age groups.Results:The factor of age showed statistically significant regression relationship in the changes of gentleness constitution score,biased constitution score,physical component summary scale scores,and mental component summary scale scores.The overall score of compliance had significant correlation with the change of biased constitution score and physical component summary scale score.With the increase of age,the subjects’overall compliance score showed a rising trend,and the intervention effect showed a downward trend.Compliance of 51-yearold and above age group was generally better than that of 50-year-old and below.The TCM constitution improvement effect of 40-year-old and below age group was better than that of 41-year-old and above.The 18~30 age group showed an advantage in improving the quality of life.Conclusion:The older people have better intervention compliance,but younger adults have better intervention effects.The comprehensive intervention of TCM constitution should be carried out as soon as possible and the improvement of the compliance of the intervention subjects should be paid attention to.

关 键 词：中医体质 干预 依从性 年龄 

分 类 号：R229[医药卫生—中医基础理论]