中医湿证评估量表的构建及初步优化  

Development and Preliminary Optimization of the Dampness Syndrome Scale of Chinese Medicine

作　　者：路桃影 谢倩文 蔡坚雄 尹翎嘉 原嘉民 黄鹂 李倩 杨小波 杨志敏 吴大嵘 LU Taoying;XIE Qianwen;CAI Jianxiong;YIN Lingjia;YUAN Jiamin;HUANG Li;LIQian;YANG Xiaobo;YANG Zhimin;WU Darong(State Key Laboratory of Dampness Syndrome of Chinese Medicine,Guangzhou,510120;Guangdong Provincial Key Laboratory of Clinical Research on Traditional Chinese Medicine Syndrome;The Second Affiliated Hospital of Guangzhou University of Chinese Medicine)

机构地区：[1]省部共建中医湿证国家重点实验室 [2]广东省中医证候临床研究重点实验室 [3]广州中医药大学第二附属医院

出　　处：《中医杂志》2021年第19期1677-1683,共7页Journal of Traditional Chinese Medicine

基　　金：省部共建中医湿证国家重点实验室(SZ2021ZZ03/SZ2020ZZ09);广东省中医证候临床研究重点实验室(ZH2019ZZ04);广东省重点领域研发计划(2020B1111100010);广东省科技计划(2017B030314166)。

摘　　要：通过筛选和优化条目构建中医湿证评估量表,为湿证的临床评价及干预提供指导。按照国际通用的量表研制方法,在中医理论的指导下,通过湿证概念的操作化定义、条目池的建立、条目的筛选、条目的优化及临床预测试等方法初步形成中医湿证评估量表;在此基础上采用横断面调查方法,收集有效调查量表174份,通过对调查结果进行条目答案分布考察法、离散趋势法、条目-量表总分相关性、因子分析法、逐步回归法等统计分析进一步筛选条目,并经专家共识法,最终形成了由形体肥胖、身热不扬、头重如裹、口黏腻等30个条目组成的中医湿证评估量表,每个条目都分别有无、轻、中、重、极重5个选项,如果受访者≥15条目选择“轻”或“轻”以上,就可以判定为湿证。由30个条目构成的中医湿证评估量表严格遵循国际量表研制规范进行研制,具有较强的科学性和合理性,经测量特性考评后可于临床应用。This paper introduced the dampness syndrome scale of Chinese medicine(DSSCM),which was constructed through item selection and optimization,so as to provide guidance for clinical evaluation and intervention of dampness syndrome.According to the international general method of scale development,and under the guidance of traditional Chinese medicine(TCM)theory,the DSSCM was preliminarily constructed through the operationalization of the concept of dampness syndrome,the establishment of item pool,item selection,item optimization and clinical preliminary test.A cross-sectional survey was then conducted,and a total of 174 valid questionnaires were collected.The items were further screened by analyzing the data from questionnaires through item answer distribution method,discrete tendency analysis,item-total correlation analysis,factor analysis and stepwise regression analysis.Expert consensus was finnaly reached on the 30 items of the DSSCM which included obesity,hiding fever,head heaviness as if swathed,sticky and greasy sensation in mouth and others.Each item had five response options(1=not at all,2=light,3=mild,4=severe,5=extremely severe),and 15 or more items with score≥3 can be determined as having dampness syndrome.The development of DSSCM-30 is scientific and reasonable which strictly follow the international standard for scale development.It can be widely used after measurement characteristics evaluation.

关 键 词：湿证 量表 条目筛选 条目优化 

分 类 号：R255[医药卫生—中医内科学]