目的:对昼夜节律类型量表(Circadian Type Inventory, CTI)进行翻译,并检验其信度和效度。方法:对725名护士进行CTI中文版施测,采用Epworth嗜睡量表(ESS)、Chalder疲劳量表(CFS)及睡眠障碍问卷作为预测效度的效标。结果:探索性因子分析...目的:对昼夜节律类型量表(Circadian Type Inventory, CTI)进行翻译,并检验其信度和效度。方法:对725名护士进行CTI中文版施测,采用Epworth嗜睡量表(ESS)、Chalder疲劳量表(CFS)及睡眠障碍问卷作为预测效度的效标。结果:探索性因子分析得到灵活性/刚性和困倦/活力两个因子,与英文版量表一致,累计解释量表总方差的48.99%;验证性因子分析表明模型拟合良好(χ~2/df=2.503,CFI=0.939,TLI=0.922,NFI=0.903,IFI=0.939,RMSEA=0.064)。纵向测量等值性检验表明该量表具有跨时间的测量不变性。预测效度检验说明该量表能预测之后的嗜睡、疲乏、失眠等症状。CTI量表总分及其分量表的内部一致性信度在0.60-0.80之间,两周重测信度在0.64-0.73之间。结论:中文版的昼夜节律类型量表在中国倒班护士群体中具有良好的信效度,适宜作为评估个体是否适应倒班工作的有效工具。展开更多
目的:对睡眠担忧量表(Anxiety and Preoccupation about Sleep Questionnaire, APSQ)进行翻译,并检验其信度和效度。方法:对650名倒班护士进行APSQ中文版施测。采用匹兹堡睡眠质量指数问卷、Epworth嗜睡量表、抑郁症状筛查量表、Chalde...目的:对睡眠担忧量表(Anxiety and Preoccupation about Sleep Questionnaire, APSQ)进行翻译,并检验其信度和效度。方法:对650名倒班护士进行APSQ中文版施测。采用匹兹堡睡眠质量指数问卷、Epworth嗜睡量表、抑郁症状筛查量表、Chalder疲劳量表和压力感知量表检验效标关联效度。间隔4周后,随机选取65名护士进行APSQ重测,以检验其重测信度。结果:探索性因素分析和验证性因素分析的结果支持APSQ的单因子模型。APSQ的内部一致性系数、分半信度和重测信度分别为0.88、0.92和0.73。APSQ与睡眠问题、嗜睡、抑郁、疲乏感和压力感知存在显著的正相关(0.41~0.62)。结论:中文版睡眠担忧量表的信效度符合心理测量学标准,可应用于倒班护士睡眠障碍的相关研究。展开更多
Objective:To evaluate the effects of auricular acupoint bloodletting(AB)and auricular acupressure(AA)on sleep quality and the levels of melatonin(MT),glutamic acid(Glu),and γ-aminobutyric acid(GABA)in college student...Objective:To evaluate the effects of auricular acupoint bloodletting(AB)and auricular acupressure(AA)on sleep quality and the levels of melatonin(MT),glutamic acid(Glu),and γ-aminobutyric acid(GABA)in college students with primary insomnia,and to explore the possible mechanism.Methods:Totally 74 college students at Hebei University of Chinese Medicine with primary insomnia were selected from October 2019 to October 2020.All patients were assigned to AB+AA group(37 cases,received combination of AB and AA)and AA group(37 cases,received only AA on the same acupoints)by a random number table.Each group was treated twice a week for 4 weeks.The Pitsburgh Sleep Quality Index(PSQI)score,Chinese medicine(CM)syndrome score,total effective rate,serum concentrations of MT,Glu,and GABA,and Glu/GABA ratio were compared between the two groups after treatment and at follow-up.The safety of therapy was also evaluated.Results:After 4-week treatment,the total scores of PSQI,each PSQI component score,and the CM syndrome scores in both groups all decreased(P<0.05);the serum MT concentrations in both groups all increased(P<0.05).The concentrations of Glu and GABA in the AB+AA group were significantly higher than those in the AA group after treatment(P<0.05).However,there was no significant difference in the ratio of Glu/GABA in both groups before and after treatment(P>0.05).At follow-up,the CM syndrome score in the AB+AA group was significantly lower than that in the AA group(P<0.05).There was no significant difference between the two groups in total effective rates and adverse events(P>0.05).Conclusions:Both AB+AA and AA can relieve insomnia symptoms,but a stronger long-term effect were observed for AB+AA.AB+AA canpromote the secretion of MT,increase the levelsof Glu and GABA more effective than AA,and regulate their imbalance,and thus it may bebenificial for treating insomnia.展开更多
Objective:To observe the blood perfusion volume variation pattern in the body surface microcirculation at the Yuan-Primary and the Xi-Cleft points during the menstrual cycle in female college students with moderate co...Objective:To observe the blood perfusion volume variation pattern in the body surface microcirculation at the Yuan-Primary and the Xi-Cleft points during the menstrual cycle in female college students with moderate constitution under normal physiological state of the uterus;to explore the specific laws of the body surface microcirculation at the Yuan-Primary and Xi-Cleft points in response to the uterine qi and blood changes under normal physiological conditions,and to provide the experimental basis for the specificity of acupoints reflecting the uterine function.Methods:Forty-three healthy and moderate constitution female college students with regular menstrual cycles,without dysmenorrhea and not yet giving birth were recruited.Bilateral Yuan-Primary points[Taichong(LR 3),Taibai(SP 3)and Taixi(KI 3)]and Xi-Cleft points[Zhongdu(LR 6),Diji(SP 8)and Shuiquan(KI 5)],belonging to the three yin meridians of foot and adjacent to the spinal cord segment of the uterus,were selected as the detection acupoints;the crossing point of the three yin meridians of foot[Sanyinjiao(SP 6)],the uterus-related meridian acupoint[Xuehai(SP 10)],the uterus-non-related meridian acupoint[Xuanzhong(GB 39)],and the non-meridian non-acupoint point were selected as the control points.The laser speckle blood flow imaging technique was used to monitor the blood perfusion volume in skin microcirculation at the above points at the menstrual,follicular,ovulatory,and luteal phases of the subjects.Results:The blood perfusion volume in the body surface microcirculation at the right Zhongdu(LR 6)at the ovulatory phase was higher than that at the menstrual,follicular and luteal phases(all P<0.05);there was no significant difference in the microcirculation blood perfusion volume at the other points among different phases(all P>0.05).Conclusion:The blood perfusion volume in the body surface microcirculation at Zhongdu(LR 6),the Xi-Cleft point of the Liver Meridian,shows a specific response to qi and blood changes in the uterus of women with moderate constitution.展开更多
文摘目的:对昼夜节律类型量表(Circadian Type Inventory, CTI)进行翻译,并检验其信度和效度。方法:对725名护士进行CTI中文版施测,采用Epworth嗜睡量表(ESS)、Chalder疲劳量表(CFS)及睡眠障碍问卷作为预测效度的效标。结果:探索性因子分析得到灵活性/刚性和困倦/活力两个因子,与英文版量表一致,累计解释量表总方差的48.99%;验证性因子分析表明模型拟合良好(χ~2/df=2.503,CFI=0.939,TLI=0.922,NFI=0.903,IFI=0.939,RMSEA=0.064)。纵向测量等值性检验表明该量表具有跨时间的测量不变性。预测效度检验说明该量表能预测之后的嗜睡、疲乏、失眠等症状。CTI量表总分及其分量表的内部一致性信度在0.60-0.80之间,两周重测信度在0.64-0.73之间。结论:中文版的昼夜节律类型量表在中国倒班护士群体中具有良好的信效度,适宜作为评估个体是否适应倒班工作的有效工具。
文摘目的:对睡眠担忧量表(Anxiety and Preoccupation about Sleep Questionnaire, APSQ)进行翻译,并检验其信度和效度。方法:对650名倒班护士进行APSQ中文版施测。采用匹兹堡睡眠质量指数问卷、Epworth嗜睡量表、抑郁症状筛查量表、Chalder疲劳量表和压力感知量表检验效标关联效度。间隔4周后,随机选取65名护士进行APSQ重测,以检验其重测信度。结果:探索性因素分析和验证性因素分析的结果支持APSQ的单因子模型。APSQ的内部一致性系数、分半信度和重测信度分别为0.88、0.92和0.73。APSQ与睡眠问题、嗜睡、抑郁、疲乏感和压力感知存在显著的正相关(0.41~0.62)。结论:中文版睡眠担忧量表的信效度符合心理测量学标准,可应用于倒班护士睡眠障碍的相关研究。
基金Supported by the College Student Innovation and Entrepreneurship Training Program in Hebei Province,China(No.S201914432019S)。
文摘Objective:To evaluate the effects of auricular acupoint bloodletting(AB)and auricular acupressure(AA)on sleep quality and the levels of melatonin(MT),glutamic acid(Glu),and γ-aminobutyric acid(GABA)in college students with primary insomnia,and to explore the possible mechanism.Methods:Totally 74 college students at Hebei University of Chinese Medicine with primary insomnia were selected from October 2019 to October 2020.All patients were assigned to AB+AA group(37 cases,received combination of AB and AA)and AA group(37 cases,received only AA on the same acupoints)by a random number table.Each group was treated twice a week for 4 weeks.The Pitsburgh Sleep Quality Index(PSQI)score,Chinese medicine(CM)syndrome score,total effective rate,serum concentrations of MT,Glu,and GABA,and Glu/GABA ratio were compared between the two groups after treatment and at follow-up.The safety of therapy was also evaluated.Results:After 4-week treatment,the total scores of PSQI,each PSQI component score,and the CM syndrome scores in both groups all decreased(P<0.05);the serum MT concentrations in both groups all increased(P<0.05).The concentrations of Glu and GABA in the AB+AA group were significantly higher than those in the AA group after treatment(P<0.05).However,there was no significant difference in the ratio of Glu/GABA in both groups before and after treatment(P>0.05).At follow-up,the CM syndrome score in the AB+AA group was significantly lower than that in the AA group(P<0.05).There was no significant difference between the two groups in total effective rates and adverse events(P>0.05).Conclusions:Both AB+AA and AA can relieve insomnia symptoms,but a stronger long-term effect were observed for AB+AA.AB+AA canpromote the secretion of MT,increase the levelsof Glu and GABA more effective than AA,and regulate their imbalance,and thus it may bebenificial for treating insomnia.
文摘Objective:To observe the blood perfusion volume variation pattern in the body surface microcirculation at the Yuan-Primary and the Xi-Cleft points during the menstrual cycle in female college students with moderate constitution under normal physiological state of the uterus;to explore the specific laws of the body surface microcirculation at the Yuan-Primary and Xi-Cleft points in response to the uterine qi and blood changes under normal physiological conditions,and to provide the experimental basis for the specificity of acupoints reflecting the uterine function.Methods:Forty-three healthy and moderate constitution female college students with regular menstrual cycles,without dysmenorrhea and not yet giving birth were recruited.Bilateral Yuan-Primary points[Taichong(LR 3),Taibai(SP 3)and Taixi(KI 3)]and Xi-Cleft points[Zhongdu(LR 6),Diji(SP 8)and Shuiquan(KI 5)],belonging to the three yin meridians of foot and adjacent to the spinal cord segment of the uterus,were selected as the detection acupoints;the crossing point of the three yin meridians of foot[Sanyinjiao(SP 6)],the uterus-related meridian acupoint[Xuehai(SP 10)],the uterus-non-related meridian acupoint[Xuanzhong(GB 39)],and the non-meridian non-acupoint point were selected as the control points.The laser speckle blood flow imaging technique was used to monitor the blood perfusion volume in skin microcirculation at the above points at the menstrual,follicular,ovulatory,and luteal phases of the subjects.Results:The blood perfusion volume in the body surface microcirculation at the right Zhongdu(LR 6)at the ovulatory phase was higher than that at the menstrual,follicular and luteal phases(all P<0.05);there was no significant difference in the microcirculation blood perfusion volume at the other points among different phases(all P>0.05).Conclusion:The blood perfusion volume in the body surface microcirculation at Zhongdu(LR 6),the Xi-Cleft point of the Liver Meridian,shows a specific response to qi and blood changes in the uterus of women with moderate constitution.
