世界科学技术-中医药现代化2025，Vol.27Issue(5)：1228-1233,6.DOI:10.11842/wst.20240422004
慢性阻塞性肺疾病肺气郁滞证中医诊断量表的研制及信度与效度分析
Development and Reliability and Validity Analysis of Traditional Chinese Medicine Diagnostic Scale for Pulmonary Qi Stagnation Syndrome in Chronic Obstructive Pulmonary Disease
摘要
Abstract
Objective To construct a traditional Chinese medicine diagnostic scale suitable for chronic obstructive pulmonary disease(COPD)with lung qi stagnation syndrome,and to verify the reliability and validity of the scale.Methods Preliminary research has identified 16 core symptom items for lung qi stagnation syndrome.Diagnosis and scale collection were conducted on 95 patients using both traditional Chinese and Western medicine,with scores of 0,1,2,and 3 based on the severity of symptoms.By frequency t-test,discrete trend,and Cronbach's alpha coefficient screening items were used to evaluate the internal consistency of the scale,Spearman Brown coefficient was used to evaluate the stability of the scale,and exploratory factor analysis was used to determine the structural validity of the scale.Results Partial items were excluded and the final 11 scale items were confirmed.The overall Cronbach's alpha coefficient of the scale was 0.719,and the overall Spearman Brown coefficient was 0.647;The KMO test value is 0.612>0.5,The significance level of Bartlett's sphericity test is P<0.01;Extracting common factors with feature roots greater than 1,the maximum total variance explained by 64.122%was achieved when extracting four common factors.The common factor loadings for each item were all greater than 0.5,and the variance was all greater than 0.4,indicating good structural validity of the scale.Conclusion This study constructed and validated a traditional Chinese medicine diagnostic scale for COPD with lung qi stagnation syndrome.The scale has good reliability and validity,providing a reliable tool for clinical diagnosis and treatment.关键词
慢性阻塞性肺疾病/肺气郁滞证/中医诊断量表/信度/效度Key words
Chronic obstructive pulmonary disease/Lung qi stagnation syndrome/Traditional Chinese Medicine diagnostic scale/Reliability/Validity分类
医药卫生引用本文复制引用
廖晓倩,范星宇,方格,谈宇权,蒋浩波,胡志希..慢性阻塞性肺疾病肺气郁滞证中医诊断量表的研制及信度与效度分析[J].世界科学技术-中医药现代化,2025,27(5):1228-1233,6.基金项目
广东省科学技术厅广东省重点领域研发计划项目(2020B1111100001):气滞证辨证标准的系统研究,负责人:陈家旭 （2020B1111100001）
国家自然科学基金委员会面上项目(82274412):基于miR-155调控巨噬细胞极化探讨心肌缺血型心衰心肌纤维化病理机制及以方测证干预研究,负责人:胡志希. （82274412）
