艾滋病四诊信息采集表的研制与应用

Development and application of the four diagnostic methods of HIV/AIDS Scale

目的:在中医理论指导下研制艾滋病四诊信息采集表,以HIV/AIDS的共性表现和脏腑相关的特异性症状为基础,体现中医症状信息,观察HIV/AIDS人群的健康状况和治疗过程的病情变化,探索艾滋病中医证候类型以及分布特征。方法:遵照国际通用量表研制的程序化方法,在中华文化背景下和中医理论指导下,结合艾滋病相关概念内涵,构建了艾滋病四诊信息采集表的结构及条目池,又组织多次专家论证,探讨该表的结构及项目组成,通过现场调查,进行项目分析,完善调查表并确定其信、效度。结果:通过对133例临床调查资料的因子分析、相关系数和内部一致性分析等统计分析筛选条目,根据不同分析结果选中的条目综合考虑,形成了由6个方面、57个条目组成的艾滋病四诊信息采集表。初步考核结果表明,该量表具有良好的结构效度,6个方面的克朗巴赫信度系数分别为0.851、0.896、0.880、0.950、0.868、0.863。结论:艾滋病四诊信息采集表是按照国际通用的方法研制而成的,为艾滋病中医证候学研究提供了1个有效的工具。

Objective：To develop the four diagnostic methods of HIV/AIDS Scale,and to research distribution of syndrome differentiation of HIV/AIDS based on the background of the theory of TCM.Methods：With the global general method of developing a scale and the reference of HIV/AIDS,the four diagnostic methods of HIV/AIDS Scale was developed through the following way：confirmation of scale structure,building item pool,determination of scale items,analysis and selection on the items,and analysis on the reliability and validity of the scale.Results：The 133 scales were involved in the analysis of selecting items.After combining the different results of statistical analysis,including discrete tendency（coefficient of variation）,principal component analysis,factor analysis,the six facets and fifty-seven items were kept in the scale at last.The results of primary test showed that the scale had good structure validity.Cronbach,s alphas of the six facets were 0.851,0.896,0.880,0.950,0.868,0.863.Conclusion：The four diagnostic methods of HIV/AIDS Scale was made on the basis of general international principle of scale.It is to be used extensively into TCM syndrome research of HIV/AIDS in the future.