冠心病（稳定性心绞痛）证候要素、证候特征及证候病机演变规律临床专家调查问卷的研制及初步检验

【作者】 林巾孝；

【导师】 张明雪；

【作者基本信息】 辽宁中医药大学 ， 中医内科学， 2008， 硕士

【摘要】 目的:设计冠心病(稳定性心绞痛)证候要素、证候特征及证候病机演变规律临床专家调查问卷,并进行初步检验,为今后研究冠心病中医证候分布特征提供参考。方法:根据国家颁布的标准、查阅大量古今文献、专家咨询,从现代心理测量理论出发并引入结构化的决策方式,来总结冠心病的证候特征、演变规律,将冠心病所表现的症状特点作为本研究的对象,建立症状指标体系,以此构思并设计了冠心病(稳定性心绞痛)证候要素、证候特征及证候病机演变规律临床专家调查问卷。对量表中各个条目的内容以及词语表达的准确性进行审定,在此基础上,运用德尔菲法反复对条目进行修改、增删、调整等过程,从而保证了问卷的条目与内容能准确的反应冠心病的临床症状及体征,最终确定了冠心病中医证候特征及其演变规律临床专家问卷的基本框架和内容。并通过对300名临床一线心血管专家的调查,对量表的信度、效度进行了考评。结果:本问卷通过对冠心病四诊资料进行分期描述,并分别对量表的各模块及总量表进行信度及效度检验。Cronbach’sα系数:各个模块在0.9593～0.9725之间,均大于0.8,整个问卷的Cronbach’sα系数值为0.9903。分半信度:各个模块在0.8918～0.9225之间,总量表的分半信度Cronbach’sα系数值为0.9207。因子分析结果显示:各个模块分别提取4个公因子,累计贡献率均在40%以上,采用方差最大旋转后的结果与理论构想一致。结论:冠心病(稳定性心绞痛)证候要素、证候特征及证候病机演变规律临床专家调查问卷具有较好的信度及效度,能够全面反应冠心病患者的症状和体征,可以利用其进行冠心病的证候研究。更多还原

【Abstract】 Objective:We design the questionnaire of syndrome elements ,syndrome characteristics and evolution of disease syndromes of coronary heart disease (stable angina) to clinical experts, and do a preliminary test for the future study of coronary heart disease Syndrome Distribution of reference.Methods:According to the standards has been promulgated by the state,we access to a large number of ancient and modern literature, expert advices, psychological measurements from modern theories of structure and the introduction of the decision-making to sum up the evidence of coronary heart disease designate characteristics of evolution.It will be shown by the characteristics of the symptoms of coronary heart disease as the on the subject of the establishment of symptoms index system, as conceived and designed coronary heart disease (stable angina) Syndrome elements syndrome characteristics and evolution of disease syndromes of clinical experts to the questionnaire. Inventory of all entries in terms of the content and expression of the accuracy of the validation and, based on this, the repeated use of the Delphi method to amend entries, deletions, adjustment process, thereby ensuring the entries and content of the questionnaire responses can be accurate coronary heart disease in clinical symptoms and signs, and ultimately determine the characteristics of coronary heart disease Syndrome clinical experts and the evolution of the basic framework of the questionnaire and content. And through 300 front-line clinical investigations of cardiovascular experts, the scale of reliability, validity of the evaluation.Results:The questionnaire of coronary heart disease described attendance data through four phases, and are on the scale of the module table and the total reliability and validity of the test. Cronbach’sαfactor: 0.9593～0.9725 between the various modules are greater than 0.8, the survey of the Cronbach’sαvalue is 0.9903. And a half letter: all modules in between 0.8918～0.9225, the total scale reliability and a half Cronbach’sαof value is 0.9207. Factor analysis showed that: each module separately from the four factors in the total contribution rate of more than 40%, the largest variance by the rotation concept consistent with the theoretical results.Conclusion:The clinical experts survey of syndrome elements, syndrome characteristics and evolution of disease syndromes of coronary heart disease (stable angina) has good reliability and validity.It can response to patients with coronary artery disease symptoms and signs comprehensively. We can study the syndromes of coronary heart disease by using it.更多还原