摘要：
Objective: By taking the holism and differentiation concepts of traditional Chinese medicine (TCM) as the guidance, physical, mental and workplace factors were recruited in the observation of depression in employees, and were systematically classified to establish a workplace-related Liver Meridian-depression scale, for providing an evaluation index for depression in employees. Methods: NVIVO 11 software was adopted to assort ancient TCM classics. Based on the holism and differentiation concepts of TCM and well-developed scales, the item pool was determined via brain storm and screened by Delphi method after classified; a Wechat questionnaire was handed out 240 times via the online system 'Wen Juan Xing', and the results were statistically analyzed by the SPSS 17.0 version software. Results: Five dimensions consisting of 80 items were obtained after classification, and 60 items were selected by Delphi method; a total of 216 questionnaires were returned and the return rate was 90%. Of which, 215 questionnaires were valid ones, and the valid rate was 99%. By exploratory factor analysis (EFA), 44 items were obtained, and the aggregate split-half reliability coefficient was 0.922. The Cronbach's alpha coefficient for the five dimensions, i.e. Liver Meridian, relevant meridians, basic psychological activities, work cognition and emotional reactions, was respectively 0.841, 0.842, 0.914, 0.836 and 0.839, indicating a content internal consistency. The score of each item was highly correlated with the corresponding dimension, and the intercommunity was between 0.474 and 0.801. Nine factors were generated, 2 in the dimension of Liver Meridian, 3 in the dimension of relevant meridians, 2 in the dimension of basic psychological activities, 1 in the dimension of work cognition, and 1 in the dimension of emotional reactions, and the load of each factor was between 0.438 and 0.859. The reliability and validity of the scale were well examined. Conclusion: The scale can be applied to evaluate the qi activities of Liver Meridian and depression symptoms related to workplace.%目的:以中医整体观和辨证思想为指导,将身体、心理和工作情境因素整体地纳入员工抑郁的观察视野并系统分类,开发工作情境相关的肝经-抑郁量表,为员工的抑郁情况提供评价指标.方法:使用NVIVO 11软件进行中医古籍文献整理,以中医整体论和辨证思想为依据,参考抑郁相关的成熟量表,通过头脑风暴法确定条目池,经过归类和德尔菲法对条目进行筛选;使用"问卷星"在线系统,发放微信问卷240份,采用SPSS 17.0统计软件进行统计分析.结果:经过归类得出5个维度共80个条目,使用德尔菲法筛选出60个条目;回收量表216份,回收率90%,有效215份,有效率99%;使用探索性因子分析筛选得出44个条目,总体分半信度系数为0.922,肝经、相关经络、基本心理、工作认知和情绪反应5个维度的Cronbach's alpha系数分别为0.841、0.842、0.914、0.836和0.839,该量表有充分的内部一致性;各条目得分与其所在维度得分之间相关性均较大,共同性介于0.474~0.801之间,生成因子9个,其中足厥阴肝经维度2个、相关经络维度3个、基本心理维度2个、工作认知维度1个和情绪反应维度1个,各条目的因子负荷在0.438~0.859之间;量表的信度和效度均得到有效的检验.结论:量表可以用于对工作情境相关的肝经气机状态和抑郁症状进行测量.
