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中医健康量表测量特性的初步评价
引用本文:吴大嵘,赖世隆,郭新峰,温泽淮,梁伟雄.中医健康量表测量特性的初步评价[J].中西医结合学报,2008,6(7):682-689.
作者姓名:吴大嵘  赖世隆  郭新峰  温泽淮  梁伟雄
作者单位:1. 广州中医药大学第二附属医院临床流行病学应用研究室,广东广州,510120
2. 广州中医药大学第二附属医院临床流行病学应用研究室,广东广州510120;广州中医药大学DME中心,广东广州510405
3. 广州中医药大学DME中心,广东广州,510405
基金项目:广东省科技厅科研项目 , 国家中医药管理局资助项目 , 广州中医药大学校科研和教改项目
摘    要:目的:通过问卷调查法评估中医健康量表的信度和效度。 方法:在广州市社区、广州市老人院和广东省中医院门诊候诊处进行横断面调查。2002年11月至2003年1月有652位年龄大于或等于18岁的说汉语的人士自愿接受了调查。除中医健康量表外,还采用了世界卫生组织生存质量量表简表。对两量表的发放顺序进行了随机,并记录被访者的社会人口学特征。 结果:76例被访者重测信度为0.93,95%可信区间(confidence interval,CI)在0.89~0.96。中医健康量表的分半信度为0.79;内在一致性信度为0.93;访谈员信度为0.90,95%CI为0.67tO.97。中医健康量表与世界卫生组织生存质量量表简表总分间的相关系数为-0.66;中医健康量表与调查表的发放顺序、调查员、调查日期及完成时间之间的相关系数分别为0.06、-0.12、-0.17、0.20;中医健康量表与自评健康状况间的相关系数(O.46)高于与是否有已确诊疾病间的相关系数(0.28);以是否有已确诊疾病作为分组因素,根据中医健康量表得分绘制受试者工作特征曲线,曲线下面积为0.67,95%CI为0.63~O.71。 结论:中医健康量表及其维度具有较好的信度和效度,可以在中医和中西医结合相关领域进一步应用。

关 键 词:中医学  健康调查  量表  信度  效度

Reliability and validity of Health Scale of Traditional Chinese Medicine
Da-rong WU,Shi-long LAI,Xin-feng GUO,Ze-huai WEN,Wei-xiong LIANG.Reliability and validity of Health Scale of Traditional Chinese Medicine[J].Journal of Chinese Integrative Medicine,2008,6(7):682-689.
Authors:Da-rong WU  Shi-long LAI  Xin-feng GUO  Ze-huai WEN  Wei-xiong LIANG
Institution:Applied Clinical Epidemiology Research Unit, the Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province 510120, China; E-mail: gzxuntcm@pub.guangzhou.gd.cn.
Abstract:Objective: To test the reliability and validity of Health Scale of Traditional Chinese Medicine (HSTCM) by means of questionnaires. Methods: A cross-sectional survey was conducted at Liwan Community of Guangzhou, Old People's Home in Guangzhou and Outpatient Department of the Second Affiliated Hospital of Guangzhou University of Chinese Medicine. A total of 652 Chinese individuals (over 18 years old) were assessed with the 88-item version of HSTCM and World Health Organization Quality of Life Measure-Abbreviated Version (WHOQOL-BREF), which were randomly delivered to them. Some socioeconomic characteristics were registered. Results: A test-retest reliability (15-day interval) was found among the 76 persons who completed the questionnaires by themselves. Intra-class correlation coefficient (ICC) was 0.93. Associated 95% confidence interval (CI) was 0.89-0.96. Split-half reliability was 0.79. Inter-investigator reliability (0.93) was also good, and the ICC of HSTCM was 0.90 (95%CI 0.67-0.97). The correlation between HSTCM and WHOQOL-BREF was -0.66. The correlations of HSTCM and questionnaire deliver order, investigator, interview date and interview time were 0.06, -0.12, -0.17 and 0.20 respectively. The correlation between HSTCM and self-rated health (0.46) was greater than that between HSTCM and chronic illness (0.28). Divided by individuals with or without chronic illness, area under the ROC (receiver operator characteristic) curve for HSTCM was 0.67 (95%CI 0.63-0.71). Conclusion: It indicates that the HSTCM is conceptually valid with satisfactory psychometric properties and forms a basis for further applications in clinical research of traditional or integrative medicine.
Keywords:traditional Chinese medicine  health surveys  scale  reliability  validity
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