目的 设置简短版中医体质量表,并进行初步考评.方法 本研究总样本量为4940例,由6部分方便抽样法获得数据组成,分别为:2007年9月—2008年5月选取的河南省开封市体检人员1632例,2012年7—10月选取的江西省瑞金市体检人员466例,2012年9月—2013年8月选取的安徽省合肥市体检人员519例,2013年2月—2014年1月选取的广东省珠海市体检人员595例,2015年1—12月选取的北京市体检人员1044例,2015年7—12月选取的北京市无偿献血人员684例.采用随机数字表法,抽取2/3样本量为训练组(n=3293),余1/3样本量为考核组(n=1647).采用中医体质量表进行调查,基于训练组对原量表条目进行分析和筛选,基于考核组对简短版中医体质量表进行考评.结果 最终形成的简短版中医体质量表包含平和质、气虚质、阳虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质及特禀质9个亚量表,共41个条目,与原量表相比条目数减少了约1/3.其中,28个条目的标准差>1.000,40个条目的相关系数≥0.300,各亚量表的克朗巴赫系数均>0.600;各条目区分度参数均>0.80,21个条目的难度参数为-3.00~3.00.结论 41条目简短版中医体质量表的考核结果较好,有利于提高中医体质辨识效率、促进中医体质辨识推广.后续工作应围绕量表的试用、调适及评价展开.%Objective To develop and preliminarily evaluate the short - version of Constitution in Chinese Medicine Questionnaire (CCMQ). Methods The total sample size of this study included 4940 subjects,and they were from 6 different areas to by convenience sampling method,namely:1632 personnel underwent physical examination in Kaifeng City,He'nan Province from September 2007 to May 2008,466 personnel underwent physical examination in Ruijin City,Jiangxi Province from July 2012 to October 2012,519 personnel underwent physical examination in Hefei,Anhui Province from September 2012 to August 2013,595 personnel underwent physical examination in Zhuhai City,Guangdong Province from February 2013 to January 2014,1044 personnel underwent physical examination in Beijing from January 2015 to December 2015,684 unpaid blood donors in Beijing from July 2015 to December 2015. Two thirds of the samples were taken as the training group (n = 3293),and the remaining one third were taken as the assessment group (n = 1647)by random number table method. The investigation was conducted by CCMQ,the original items in the scale were analyzed and selected based on the training group,and the short -version CCMQ was assessed based on the assessment group. Results The final short - version CCMQ included 9 subscales (mild in constitution of TCM,deficiency of Qi,deficiency of Yang,deficiency of Yin,phlegm - dampness quality,damp - heat quality,blood stasis quality,Qi depression quality and special intrinsic quality),and 41 items totally. The item number had decreased 1 / 3 of the original scale. Among them,the standard deviation of 28 items exceeded 1. 000,the correlation coefficient of 40 items was equal to or over 0. 300,and Cronbach's coefficient in each sub - scale was all greater than 0. 600;each item had a parameter of degree of division over 0. 80,the difficulty parameter of 21 items was between - 3. 00 and 3. 00. Conclusion The short - version CCMQ of 41 items with relatively good assessed results is conducive to improving the identification efficiency of constitution of traditional Chinese medicine,and facilitating the generalization of identification of constitution of traditional Chinese medicine. Follow - up work should be targeted at the application,adjustment and evaluation of the scale.
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