Development and evaluation of a Traditional Chinese Medicine syndrome questionnaire for measuring sub-optimal health status in China

作     者：赵晖 熊卫红 赵歆 王利敏 陈家旭 

作者机构：Beijing University of Chinese Medicine China Academy of Chinese Medical Sciences Health Services CenterYongwai Community Department of Basic Theory in Chinese MedicineHenan University of Traditional Chinese Medicine 

出 版 物：《Journal of Traditional Chinese Medicine》 (中医杂志（英文版）)

年 卷 期：2012年第32卷第2期

页      面：129-136页

核心收录：

学科分类：100505[医学-中医诊断学] 1005[医学-中医学] 1002[医学-临床医学] 10[医学] 

基　　金：Supported by China National Funds for Distinguished Young Scientists(30825046) the National High Technology Research and Development Grant(863 program, 2008AA02Z406) the Program for Innovative Research Team at Beijing University of Chinese Medicine (2011CXTD-07) 

主　　题：Sub optimal health status Questionnaire TCM syndrome Reliability Validity 

摘      要：OBJECTIVE:Sub-optimal health status(SHS),in which a person s mind and body exists in a low-quality state of being between disease and health,has become a public health problem that cannot be ignored in *** measurement presents a challenge to the academic *** developed and evaluated a questionnaire from the perspective of traditional Chinese medicine(TCM) that embodies the features of TCM syndrome diagnosis for measuring SHS in ***:The construction of the theoretical framework of the questionnaire was based on a literature review,an expert questionnaire survey and group *** subscales and questionnaire items were screened through a pilot study using statistical means and qualitative *** tests that were used included test-retest reliability,Cronbach s α coefficient,split-half reliability;validity tests included content validity,criterion validity,discrimination validity and construct ***:The final questionnaire,the SHSQ-50,included 50 five-class quantifiable items that encompassed nine subscales:liver stagnation syndrome,liver-Qi deficiency syndrome,spleen-Qi deficiency syndrome,liver-fire syndrome,heart-fire syndrome,stomach-fire syndrome,heart-Qi deficiency syndrome,lung-Qi deficiency syndrome and dampness *** were completed by 268 of the 288 SHS subjects(93.0%) and by 86 of the 94 healthy subjects(91.5%).The Cronbach α coefficients,split-half coefficients and stability coefficients ranged from 0.70 to 0.95,0.67 to 0.87 and 0.88 to 0.98,respectively,for the overall scores and *** Wilcoxon rank test showed statistically significant differences in the subscales and overall scores between the SHS group and the healthy group(P0.01).Twelve factors with an eigenvalue greater than one were extracted by factor analysis and merged into nine factors,for which the cumulative contribution rate was 63.63%.The nine factors were corresponded to the overall structure of the ***