心血管神经症肝郁脾虚证测评量表编制与信效度敏感度评价

Establishment and Evaluation of Cardiovascular Neurosis with Liver Depression and Spleen Deficiency Syndrome Scale

目的:以肝郁脾虚为例,初步编制心血管神经症中医证候测评量表,评价其信度效度和敏感度,研究因肝郁脾虚证导致心血管神经症患者特点。方法:依据住院病历,专家小组,医生调查和文献综述为调查工具建立初选条目池并进行问卷调查,初步形成心血管神经症肝郁脾虚证测评量表,分层整群抽取的431名心血管神经症患者进行调查分析,将收集到的数据进行可行性、信度及效度考评并确定测评量表阈值。结果:形成了3个维度11个条目的心血管神经症肝郁脾虚证测评量表,其可行性、信度、效度良好。根据ROC曲线分析,阈值为20.5分时敏感度与特异度最好。结论:初步完成心血管神经症肝郁脾虚测评量表,且该量表结构较为合理。

Objective ： To evaluate the validity, reliability and sensitivity of the draft scale of TCM syndromes of cardio- vascular neurosis patients by taking liver depression and spleen deficiency syndrome as an example and study the features of these patients. Method：The draft scale was formed by medical records, the experts panel, the physicians survey and the literature review. A total of 200 healthy subjects and 431 cardiovascular neurosis inpatients were asked to complete the questionnaire. The collected data was used to assess the reliability and validity and to define the optimum cut- off point of the questionnaire, Results：The final questionnaire had 3 dimensions and 11 items. In the receiver operating character- istic （Roc） curve analysis, the optimum cut- off level was defined as 20.5 points. Conclusions： The questionnaire was reliable and validate and it could be used clinically.