基于经典测量理论的慢性阻塞性肺疾病稳定期证候疗效评价量表条目筛选  

Items screening of chronic obstructive pulmonary disease syndrome therapeutic evaluation scale based on classical test theory

作　　者：冯贞贞[1,2] 谢洋[1,2] 李建生[1,2] FENG Zhen-zhen;XIE Yang;LI Jian-sheng(The First Affiliated Hospital of Henan University of CM,Zhengzhou 450000,China;Henan University of CM,Co-construction Collaborative Innovation Center for CM and Respiratory Diseases by Henan&Education Ministry of P.R.,Henan Key Laboratory of CM for Respiratory Disease,Zhengzhou 450046,China)

机构地区：[1]河南中医药大学第一附属医院,郑州450000 [2]河南中医药大学,呼吸疾病中医药防治省部共建协同创新中心,河南省中医药防治呼吸病重点实验室,郑州450046

出　　处：《中华中医药杂志》2022年第8期4635-4640,共6页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金重点项目(No.81830116);中医药传承与创新“百千万”人才工程——岐黄学者首席科学家项目(No.国中医药人教函[2021]7号)。

摘　　要：目的:基于临床调查数据,采用经典测量理论(CTT)初步筛选条目,为形成慢性阻塞性肺疾病稳定期证候疗效评价量表(COPD-STES)提供依据。方法:基于前期文献研究及专家咨询结果制定《COPD稳定期证候疗效评价临床调查表》,于全国13家中医院展开临床调查;采用SPSS 20.0软件,根据CTT的重复测量法、离散趋势法、Cronbach’s α系数法及相关系数法分析并筛选条目。结果:发放调查表580份,收回576份,其中8份视为无效调查表,有效率98.6%(568/576)。综合CTT 4种方法结果,寒饮证删除“痰色白”等8个条目;痰湿证删除“痰黏难咯”等10个条目;血瘀证删除“咳嗽”等5个条目;肺气虚证删除“舌质淡”等6个条目;脾气虚证删除“咳嗽”等8个条目;肾气虚证删除“咳嗽”等10个条目;肺阴虚证删除“干咳”等7个条目;肾阴虚证删除“干咳”等7个条目;肾阳虚证删除“咳嗽”等8个条目。结论:综合应用4种方法,从条目的疗效评价属性、敏感性、内部一致性及代表性分析并筛选COPD-STES条目,为证候疗效评价量表条目的筛选提供思路方法。Objective:To screen items of chronic obstructive pulmonary disease syndrome therapeutic evaluation scale(COPD-STES) based on classical test theory(CTT),thus providing bias for construction of COPD-STES.Methods:Clinical survey questionnaires of COPD syndrome therapeutic evaluation were conducted based on results of literature research and experts consults results.The SPSS 20.0 software was applied to analysis and screen items by repeated measurement method,discrete trend method,Cronbach’s α coefficient method,and correlation coefficient method of CTT.Results:A total of 580 questionnaires were given out,576 were retrieved and 8 were invalid,effective rate was 98.6%(568/576).Eight items of syndrome of cold fluid retention were deleted,including white phlegm.Ten items of syndrome of phlegm and dampness were deleted,including sticky phlegm.Five items of syndrome of blood stasis were deleted,including cough.Six items of syndrome of lung qi deficiency were deleted,including pale tongues.Eight items of syndrome of spleen qi deficiency were deleted,like cough.Ten items of syndrome of kidney qi deficiency were deleted,including cough.Seven items of syndrome of lung yin deficiency were deleted,including drug cough.Seven items of syndrome of kidney yin deficiency were deleted,including drug cough.Eight items of syndrome of kidney young deficiency were deleted,including cough.Conclusion:The items screening of COPD-STES are conducted by 4 methods in terms of therapeutic evaluation property,sensibility,internal consistency,and representativeness.Therefore we could provide ideas and methods for items screening of syndrome therapeutic evaluation.

关 键 词：经典测量理论 量表 慢性阻塞性肺疾病 条目 证候 

分 类 号：R259[医药卫生—中西医结合]