1. 浙江中医药大学护理学院
2. 浙江中医药大学附属第一医院
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谢雅红, 祝亚男. 《乳腺癌中医症状分级量化评价表》在中医护理方案临床应用中的信效度分析[J]. 北京中医药, 2018,37(8):724-727.
XIE Ya-hong, ZHU Ya-nan. Analysison reliability and validity of Chinese medical symptom rating evaluation forms for breast cancer in the clinical application of traditional Chinese medicine nursing[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(8):724-727.
谢雅红, 祝亚男. 《乳腺癌中医症状分级量化评价表》在中医护理方案临床应用中的信效度分析[J]. 北京中医药, 2018,37(8):724-727. DOI: 10.16025/j.1674-1307.2018.08.008.
XIE Ya-hong, ZHU Ya-nan. Analysison reliability and validity of Chinese medical symptom rating evaluation forms for breast cancer in the clinical application of traditional Chinese medicine nursing[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(8):724-727. DOI: 10.16025/j.1674-1307.2018.08.008.
目的考察《乳腺癌中医症状分级量化评价表》在中医护理方案临床应用中的信效度和反应度。方法对浙江中医药大学附属第一医院乳腺科112例乳腺癌患者进行调查,计算《乳腺癌中医症状分级量化评价表》的总Cronbach’sα系数和分半信度评价该量表的信度;采用专家评定法对量表条目进行内容效度评定,计算量表的内容效度指数(content validity index,CVI);应用简明健康调查量表(the medical outcomes study 36-item short form health survey,SF-36)作为效标,采用Spearman相关分析检验该量表的效标关联效度;对中医护理方案干预前后的患者中医症状积分进行配对t检验,考察量表的反应度。结果《乳腺癌中医症状分级量化评价表》的Cronbach’sα系数和分半信度分别为0. 79、0. 74,I-CVI值为0. 80,1,. 00,S-CVI/Ave值为0. 95,患者总的中医症状评分与SF-36各维度均呈负相关,差异具有统计学意义(P ,<,0. 01);中医护理方案干预后患者中医症状评分明显降低,差异具有统计学意义(P ,<,0. 01)。结论《乳腺癌中医症状分级量化评价表》具有较好的信度、效度及反应度,可作为评价中医护理方案改善乳腺癌患者中医症状的效果评价工具。
Objective To observe the validity and reliability of Chinese medical symptom rating evaluation forms for breast cancer. Methods Totally 112 breast cancer patients from galactophore department of first affiliated hospital of Zhejiang Chinese Medical University were selected and the Cronbach’ s α and split-half reliability were used to evaluate reliability. The content validity index( CVI) of the scale item was evaluated by expert evaluation method. The validity was tested by comparing the Medical Outcomes Study36-item Short Form Health Survey( F-36). The t-test was performed on the TCM symptom integral before and after the intervention of TCM nursing program,and the reaction degree of the scale was investigated. Results The Cronbach’ s α and split-half reliability were0. 79 and 0. 74. The range of the content validity index was 0. 80-1. 00,and the Scale-level was 0. 95. The scores of TCM symptoms were negatively correlated with SF-36,the symptom score of TCM was significantly decreased and the difference was statistically significant( P < 0. 01). Conclusion The Chinese Medical Symptom Rating evaluation forms for breast Cancer has good reliability,validity and reactivity,which could be applied to evaluate the symptoms of breast cancer.
乳腺癌中医症状评分表信度效度
breast cancerChinese Medical Symptom Rating evaluation formsvalidityreactivity
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