斯坦福治疗期望量表的汉化及在肝郁脾虚证腹泻型肠易激综合征患者中医治疗中的应用评价  

Chinese Translation of the Stanford Expectations of Treatment Scale and Its Application Evaluation on Traditional Chinese Medicine for Diarrhea-Predominant Irritable Bowel Syndrome with Liver-Constraint and Spleen-Deficiency Syndrome

作　　者：梁士兵 张英英 王志婕 余泽宇 韩梅[1] 曹卉娟[1] 杨国彦 曹世欢 程红杰 张巧妍 苏右竹 李宇飞 刘建平[1] LIANG Shibing;ZHANG Yingying;WANG Zhijie;YU Zeyu;HAN Mei;CAO Hujuan;YANG Guoyan;CAO Shihuan;CHENG Hongjie;ZHANG Qiaoyan;SU Youzhu;LI Yufei;LIU Jianping(Centre for Evidence-Based Medicine,Beijing University of Chinese Medicine,Beijing,100029;Affiliated Hospital of Shandong University of Traditional Chinese Medicine;Postdoctoral Research Station,Shandong University of Traditional Chinese Medicine;College of Acupuncture,Moxibustion and Tuina,Shaanxi University of Traditional Chinese Medicine;Shanxi Provincial Hospital of Traditional Chinese Medicine;The First Affiliated Hospital,Henan University of Traditional Chinese Medicine;NICM Health Research Institute,Western Sydney University,Australia;Fangshan Hospital of Beijing University of Traditional Chinese Medicine)

机构地区：[1]北京中医药大学循证医学中心,北京市100029 [2]山东中医药大学附属医院 [3]山东中医药大学博士后流动站 [4]陕西中医药大学针灸推拿学院 [5]山西省中医院 [6]河南中医药大学第一附属医院 [7]澳大利亚西悉尼大学国家辅助医学研究院 [8]北京中医药大学房山医院

出　　处：《中医杂志》2024年第19期1994-2001,共8页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81830115)。

摘　　要：目的 将用于测量患者对疗效预期的斯坦福治疗期望量表(SETS)进行汉化,形成中文版SETS(C-SETS),并初步评价C-SETS在肝郁脾虚证腹泻型肠易激综合征(IBS-D)患者中医治疗中应用的可行性和信度、效度。方法 获得SETS开发者授权,遵循“双向翻译”原则对SETS进行直译、回译,形成C-SETS。以96例肝郁脾虚证IBS-D患者为研究对象,在患者接受治疗前进行C-SETS问卷填写,采用问卷回收率、完成率及填写时间评估可行性;以克朗巴赫系数(Cronbach's α)评估信度;通过探索性及验证性因子分析进行结构效度检验,采用相关性分析对内容效度进行检验。结果 C-SETS共包含10个条目,其中第1、3、5个评分条目构成积极期望子量表,第2、4、6个评分条目构成消极期望子量表,每个评分条目均采用7等级李克特评分。C-SETS回收率为100%(96/96),完成率为89.58%(86/96);积极和消极治疗期望子量表的Cronbach's α分别为0.845和0.854;探索性因子分析显示,6个条目的共同性系数(共同度)均>0.4,且6个条目可以被两个因子解释总变异的77.092%;验证性因子分析显示,拟合优度指数、比较拟合指数、近似误差均方根、规范拟合系数、卡方自由度比取值分别为0.943、1.003、0、0.943、0.626;Spearman分析结果提示C-SETS具有较好的内容效度。结论 C-SETS具有良好的可行性和信度、效度,初步证明了其可作为肝郁脾虚证IBS-D患者接受中医治疗前治疗期望的评估工具。Objective To adapt the Stanford Expectations of Treatment Scale(SETS)into Chinese(C-SETS)and test the feasibility,validity and reliability of its application in patients with diarrhea-predominant irritable bowel syndrome(IBS-D)with liver-constraint and spleen-deficiency syndrome treated with traditional Chinese medicine(TCM).Methods We obtained authorisation from the developer of the SETS,and followed the principle of"two-way translation"to translate the SETS by literal translation and back translation to form the C-SETS.Ninety-six IBS-D patients with liver-constraint and spleen-deficiency syndrome were enrolled as respondents and filled out C-SETS before receiving treatment;the feasibility was assessed by the recall rate,completion rate and the duration of filling out the scale;the reliability was assessed by Cronbach'sα;the structural validity was assessed by exploratory and confirmatory factor analysis,and the content validity was assessed by correlation analysis.Results The C-SETS consists of 10 items,with the 1st,3rd,and 5th rating items constituting the Positive Expectations subscale,and the 2nd,4th,and 6th rating items constituting the Negative Expectations subscale,each of which is rated on a 7-point Likert Scale.The recall of C-SETS was 100%(96/96),the completion rate was 89.58%(86/96);Cronbach'sαfor the Positive and Negative Treatment Expectations subscales were 0.845 and 0.854,respectively;exploratory factor analysis showed that the coefficient of commonality for all six entries was larger than 0.4,and that the six entries could be used by both factors to explain 77.092%of the total variance;validation factor analysis showed that the goodness-of-fit index,comparative fit index,root mean square of approximation error,canonical fit coefficient,and chi-square degrees of freedom ratio took the values of 0.943,1.003,0,0.943,and 0.626,respectively;and the results of Spearman's analysis suggested that the C-SETS had good content validity.Conclusion The C-SETS has well feasibility,reliability,and validity,wh

关 键 词：斯坦福治疗期望量表 治疗期望 肠易激综合征 腹泻 肝郁脾虚证 信度 效度 

分 类 号：R259[医药卫生—中西医结合]