血管性认知障碍肾阳虚证症状辨识量表信效度检验  

Reliability and Validity Analysis on Symptom Identification Scale for Vascular Cognitive Impairment with Kidney Yang Deficiency

作　　者：郭春艳 傅晨[2] 徐榛敏 王敏[4] 张颖[3] 侯小兵 李涛[6] 牛焕敏 孙林娟[3] 张允岭 陈宝鑫[2] GUO Chunyan;FU Chen;XU Zhenmin;WANG Min;ZHANG Ying;HOU Xiaobing;LI Tao;NIU Huanmin;SUN Linjuan;ZHANG Yunling;CHEN Baoxin(Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Honghui Hospital,Xi'an Jiaotong University,Xi'an 710054,China;Beijing First Hospital of Integrated Chinese and Western Medicine,Beijing 100026,China;Shanxi Academy of Traditional Chinese Medicine,Taiyuan 030012,China)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]北京中医药大学东方医院,北京100078 [3]中国中医科学院西苑医院,北京100091 [4]西安交通大学附属红会医院,陕西西安710054 [5]北京市第一中西医结合医院,北京100026 [6]山西省中医药研究院,山西太原030012

出　　处：《中国中医药信息杂志》2024年第11期153-157,共5页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家重点研发计划(2018YFC1704303);北京市新医药学科群建设项目(XK100270569)。

摘　　要：目的评价肾阳虚证症状辨识量表的可行性、信度及效度。方法使用前期制定的肾阳虚证症状辨识量表,于2020年9月-2022年9月对200例血管性认知障碍患者进行量表调查,通过回收率、完成率和完成时间分析量表可行性;通过重测信度、分半信度、同质性信度分析量表信度;通过区分效度、结构效度分析量表效度。结果共发出量表200份,均全部配合并在20 min内完成及回收。信度分析结果显示,重测信度中量表阳虚维度为0.828,肾气虚维度为0.718;分半信度中斯皮尔曼相关系数为0.784;同质性信度中阳虚维度克朗巴赫系数为0.799,肾气虚维度克朗巴赫系数为0.670。效度分析结果显示,区分效度中肾阳虚证组与非肾阳虚证组阳虚维度、肾气虚维度得分和量表总得分差异有统计学意义(P<0.001);结构效度中KMO值为0.842,共提取到2个特征值均大于1的因子,累积方差百分比为58.227%。结论本研究中肾阳虚证症状辨识量表具有一定信效度,可较好地预测血管性认知障碍肾阳虚证,但效度相对较低,需要进一步修订后应用于临床。Objective To evaluate the feasibility,reliability and validity of the symptom identification scale for kidney yang deficiency syndrome.Methods The symptom identification scale for kidney yang deficiency syndrome developed in previous research was administered to 200 vascular cognitive impairment patients from September 2020 to September 2022 to assess feasibility through recall rate,completion rate,and completion time;reliability was measured using retest reliability,split-half reliability,homogeneity reliability,and inter-rater reliability;and validity was evaluated based on discriminant and structural validity.Results A total of 200 scales were sent out,and all of them cooperated and were completed and retrieved within 20 min.The results of reliability analysis showed that the retest reliability of the scale was 0.828 for the dimension of yang deficiency and 0.718 for the dimension of kidney qi deficiency;the Spearman-Brown coefficient of split-half reliability was 0.784;the Cronbach coefficient of the dimension of yang deficiency was 0.799,and the Cronbach coefficient of the dimension of kidney qi deficiency in the homogeneity reliability was 0.670.The results of the analysis showed that the differences between the kidney yang deficiency syndrome group and the non-kidney yang deficiency syndrome group in the yang deficiency dimension,kidney qi deficiency dimension scores and total scale scores in the discriminant validity were statistically significant(P<0.001);the KMO value in the structural validity was 0.842,and a total of two factors with eigenvalues greater than 1 were extracted,with a cumulative variance contribution rate of 58.227%.Conclusion The symptom identification scale for kidney yang deficiency syndrome demonstrates adequate reliability and validity,potentially enhancing the prediction of kidney yang deficiency in vascular cognitive impairment.However,the validity of the scale is somewhat limited and requires further refinement for clinical application.

关 键 词：血管性认知障碍 肾阳虚证 肾阳虚证症状辨识量表 信度 效度 

分 类 号：R259[医药卫生—中西医结合]