中西医结合围手术期康复量表理论框架及条目池构建

Development of the Theoretical Framework and the Item Pool of the Peri-operative Recovery Scale for Integrative Medicine

目的探讨构建中西医结合围手术期康复量表的理论框架及条目池的思路及步骤,为该量表的研制和特性考评做好前期工作。方法遵循中医学理论指导及心理测量学量表研制规范,通过文献调研、专家咨询等系列步骤,初步拟定中西医结合围手术期康复量表的理论框架及条目池。结果量表包含生理功能、心理功能、活动能力、疼痛、总体评价5个领域,外附1个适用于术前及出院后远期疗效评测的社会功能领域,每领域包含中医相关脏腑、气血的状况及患者报告结局包含的内容。根据量表的理论框架,初步构建条目池共122条。结论中西医结合围手术期康复量表是中医理论与患者报告结局概念相结合的体现。该量表将能合理评价中西医结合围手术期患者的康复状况。

Objective To study the train of thoughts and procedures for developing the theoretical framework and the item pool of the peri-operative recovery scale for integrative medicine,thus making preparation for the development of this scale and psychometric testing. Methods Under the guidance for Chinese medicine theories and the guidance for developing psychometric scale,the theoretical framework and the item pool of the scale were initially laid out by literature retrieval,and expert consultation,etc. Results The scale covered the domains of physical function,mental function,activity function,pain,and general assessment. Besides,social function is involved,which is suitable for pre-operative testing and long-term therapeutic efficacy testing after discharge from hospital. Each domain should cover correlated Zang-Fu organs,qi,blood,and the patient-reported outcomes. Totally 122 items were initially covered in the item pool according to theoretical framework of the scale. Conclusions The peri-operative recovery scale of integrative medicine was the embodiment of the combination of Chinese medicine theories and patient-reported outcome concepts. The scale could reasonably assess the peri-operative recovery outcomes of patients treated by integrative medicine.