發(fā)布時(shí)間：2018-01-16 13:30

  本文關(guān)鍵詞：毒品成癮者中醫(yī)證候量表的優(yōu)化及考評(píng)　出處：《福建中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 毒品成癮者 中醫(yī)證候 信度

【摘要】：目的:在前期工作基礎(chǔ)上形成毒品成癮者中醫(yī)證候量表(初量表),并通過臨床預(yù)調(diào)查對(duì)初量表進(jìn)行信度及效度的考評(píng),期望能夠?yàn)檠芯慷酒烦砂a提供更準(zhǔn)確及客觀的中醫(yī)臨床診斷參考工具。方法:基于前期研究基礎(chǔ)上,結(jié)合證素辨證積分法及專家意見確定毒品成癮者中醫(yī)證候量表(初量表)的條目池。收集289份吸毒人員問卷進(jìn)行臨床預(yù)調(diào)查,采用困難度分析、反應(yīng)度分析、t檢驗(yàn)、相關(guān)系數(shù)法及克朗巴赫系數(shù)法統(tǒng)計(jì)方法篩選條目形成毒品成癮者中醫(yī)證候初量表,再應(yīng)用毒品成癮者中醫(yī)證候初量表收集450份數(shù)據(jù),采用分半信度、克朗巴赫系數(shù)、因子分析和主成分分析對(duì)初量表進(jìn)行信度和效度評(píng)價(jià)。結(jié)果:結(jié)合多種條目篩選方法,最后刪除Q62,形成《毒品成癮者中醫(yī)證候量表》(初量表),包含14個(gè)維度,70個(gè)條目,其中病位維度6個(gè),分別是肝維度27個(gè)條目,腎維度26個(gè)條目、脾維度21個(gè)條目、肺維度10個(gè)條目、心維度14個(gè)條目;病性維度8個(gè)維度,分別氣虛維度28個(gè)條目,陽(yáng)虛維度26個(gè)條目,血虛維度21個(gè)條目,陰虛維度23個(gè)條目,痰維度19個(gè)條目,濕維度22個(gè)條目,氣滯維度21個(gè)條目,血瘀維度17個(gè)條目,熱維度14個(gè)條目。量表考評(píng):總量表的分半信度系數(shù)大于0.9,各維度的分半信度均大于0.8;總量表及各維度的Cronbach's α系數(shù)也均大于0.9,說明初量表的內(nèi)部一致性良好,可信度較高。再選用《阿片成癮嚴(yán)重程度量表》作為本量表的校標(biāo),結(jié)果提示總量表的相關(guān)系數(shù)是0.410,各維度的相關(guān)系數(shù)在0.361-0.426之間。采用因子分析得出本量表的KMO值為0.976,Bartlett的球形度檢驗(yàn)的卡方值為26616.839(P0.01),提示本量表數(shù)據(jù)適宜進(jìn)行因子分析。經(jīng)主成分提取的9個(gè)因子解釋了所有條目的66.862%,且特征值大于1,說明該分析提取9個(gè)公共因子即可,經(jīng)效度考評(píng)認(rèn)為實(shí)際測(cè)驗(yàn)結(jié)果與理論假設(shè)的吻合度一般。結(jié)論:毒品成癮者中醫(yī)證候初量表信度可靠,但效度一般。
[Abstract]:Objective: to form a Chinese medicine syndrome scale for drug addicts on the basis of preliminary work, and to evaluate the reliability and validity of the preliminary scale through clinical preliminary investigation. It is expected to provide a more accurate and objective reference tool for the clinical diagnosis of traditional Chinese medicine for the study of drug addiction. Methods: based on the previous research. Combined with syndromes differentiation integration method and expert opinion to determine the drug addicts TCM syndrome scale (initial scale) of the entry pool. 289 drug addicts questionnaire for clinical pre-investigation, using the degree of difficulty analysis. Response degree test, correlation coefficient method and Cronbach coefficient method were used to select items to form the initial scale of TCM syndromes of drug addicts, and 450 pieces of data were collected by using the initial scale of TCM syndromes of drug addicts. The reliability and validity of the initial scale were evaluated by split-half reliability, Cronbach coefficient, factor analysis and principal component analysis. Results: Q62 was deleted in combination with a variety of item screening methods. To form the TCM Syndrome scale for Drug addicts (initial scale, including 14 dimensions, 70 items, 6 of which are liver dimension 27 items, kidney dimension 26 items. There were 21 items in spleen dimension, 10 items in lung dimension and 14 items in heart dimension. The disease dimension included 28 items in Qi deficiency dimension, 26 in yang deficiency dimension, 21 in blood deficiency dimension, 23 in yin deficiency dimension, 19 in phlegm dimension and 22 in wet dimension. There were 21 items in Qi stagnation dimension, 17 items in blood stasis dimension and 14 items in heat dimension. The Cronbach's 偽 coefficients of the total scale and each dimension were also greater than 0.9, which indicated that the internal consistency of the initial scale was good. The scale of severity of opioid addiction was chosen as the calibration standard of the scale. The results showed that the correlation coefficient of the total scale was 0.410. The correlation coefficient of each dimension was 0.361-0.426. The KMO value of this scale was 0.976 by factor analysis. The chi-square value of Bartlett's sphericity test was 26616.839 (P0.01). It is suggested that the data of this scale is suitable for factor analysis. The 9 factors extracted by principal component explained 66.862 of all items, and the characteristic value was more than 1, indicating that 9 common factors could be extracted by this analysis. Conclusion: the reliability of the initial scale of TCM syndromes of drug addicts is reliable, but the validity is general.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R277.7

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