《五维二步健康状态中医测评量表》的信效度评价

摘要

This study was aimed to evaluate the reliability and validity of the Traditional Chinese Medicine Self Rate Health Assessment Questionnaire (TCM-SRHAQ). A total of 859 middle age and aged cases were enrolled in a cross-sectional study, which were evaluated by the questionnaire. The salivary level of ɑ-amylase was tested at the same time. The results showed that the split-half reliability coefficient was 0.91, which can highly differentiate the health level of the crowd. The spearman correlation coefficients between items in the “spleen deficiency” sub-scale were all higher than 0.3. While the correlation coefficients between items were less than 0.25. Salivary level of ɑ-amylase was used as indicator. The “spleen deficiency” sub-scale showed high validity in identifying spleen-qi deficiency people from healthy people. It was concluded that TCM-SRHAQ showed good reliability and validity in this study, which indicated it can be used as a valuable measurement for assessing different types of health status, especially the spleen-qi deficiency type.%目的：评价《五维二步健康状态中医测评量表》的信效度。方法：采用横断面研究方法，运用本量表对859名中老年人进行了中医测评及唾液淀粉酶含量测定。结果：本量表的分半信度系数为0.91，能较好的区别不同健康水平的人群。“脾气虚”亚量表中的条目-亚量表相关系数均大于0.3，条目间相关系数小于0.25。以酸刺激前后唾液淀粉酶含量值为参考指标，运用本量表辨识出的脾气虚人群的消化功能弱于阴阳平和组，提示本量表具有较可靠的“脾气虚”辨识效度。结论：本量表呈现较好的分半信度及区分效度，可作为中医健康状态辨识工具，尤其是脾气虚型的辨识工具。