亚健康状态中医证候调查问卷的研制

Design of TCM syndrome questionnaire of sub-health state

目的研制评价亚健康状态中医证候的标准化测量工具。方法根据问卷设计的原理和步骤,结合文献研究、专家咨询等方法,在中医基础理论指导下,通过确定亚健康及中医基本证候概念、构建问卷结构及条目池、产生问题与答案、预调查、信效度检验以及修订等过程,初步研制评定亚健康中医基本证候的问卷。结果形成包括肝郁证、肝气虚证、脾气虚证、肝火证、心火证、胃火证、心气虚证、肺气虚证和湿证9个维度、66条条目(五级量化条目为50条),自评与访谈相结合的问卷。结论利用问卷对高发人群进行临床流行病学调查,能够在一定程度上量化评价亚健康人群证候,初步掌握亚健康人群的中医基本证候特征,此问卷能够为亚健康人群的证候分类研究提供一个标准化的工具和方法。

Objective To develop a standardized measuring tool for evaluating TCM syndromes of sub-health state.Methods Through determining the concept of sub-health state and TCM basic syndromes,constructing questionnaire frame and item pool,making questions and answers,carrying out pre-investigation,testing the reliability and validity,and revising the questionnaire,the questionnaire for evaluating TCM basic syndromes of sub-health state was developed according to the principles and steps of questionnaire design combining with literature research,expert consultation and TCM basic theory.Results A questionnaire was developed combined with self-assessment and interviews,which included 9 dimensions-liver depression 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 syndrome,and 66 items（50 items of them for five-class quantization）.Conclusion The questionnaire can quantize the TCM syndromes in sub-health population to some extent,find out the characteristics of TCM basic syndromes of sub-health state through epidemiological investigation in high-risk people group,and supply a standardized tool for syndrome classification study in sub-health people group.