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The Older Version Of The Traditional Chinese Medicine Constitution Classification And Decision Analysis Of Scale Development And Preliminary Application

Posted on:2014-02-05Degree:DoctorType:Dissertation
Country:ChinaCandidate:X LiuFull Text:PDF
GTID:1224330398952823Subject:Basic Theory of TCM
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Objective:The health situation of the old person becomes more and more prominent along with the aging of population. Therefor, it is eagerly to develop a proper evaluating scale fully revealing the old person’s physique situation to carry on further research and nursing.Constitution in TCM questionnaire For Old Person comes from Constitution in TCM questionnaire published by China Association of Chinese Medicine in2009. The questionnaire contains9sub-questionnaires, each sub-questionnaire consists of4-5questions, Education relate to physique features, mental features, pathologic reaction, illness predisposed, and adjusting ability. The development of the Constitution in TCM questionnaire For Old Person makes the constitution questionnaire more sensitive and effective Education using for old persons, and also brings an objective ways to evaluate the old person’s physique situation properly.Methods:1, By investigating and analyzing the suggestion from103appointed TCM agency in order to analyze the situation of Constitution in TCM questionnaire’s application.2, By survey research for ordinary persons and consulting with experts in relative fields in order to make sure the feasibility and necessity for developing old person version questionnaire.3, Develop Constitution in TCM questionnaire (For Old Person), based on Constitution in TCM questionnaire and fully considering the Chinese old persons’ culture background, opinion on life and value and Chinese society structure.4, Totally1000old people located separately in the downtown, country and rural areas were chosen as subjects to pre-investigate.5, Scale for the Old person belong to the city, urban and rural physique to determine and analyze data about the physical condition of the elderly in Beijing, explored the qualitative factors affecting the elderly groups, to improve The older physical health to provide a reference.6, Modifications and adjustments of the scale, the modified scale re-evaluation of the reliability and validity of the evaluation of the application of the scale.Results:1, Preliminary analysis of the data results show that at all levels use the crowd, in hospitals, users and experts to study the2009version of Constitution in TCM questionnaire Standard Entry structures and expressions use varying degrees of views and feedback.2, Verify that the Constitution in TCM questionnaire is not entirely suitable for the elderly population, the need for appropriate adjustments.3, Constitution in TCM questionnaire For Old Person in the pre-investigation stage recoveries of99%, the scale consists of nine subscales representing different physical type, constitute a total of37entries.4, Evaluation using analysis of reliability and validity of the analysis, the results of the analysis of the full-scale survey Cronbach’sa coefficient of0.801. Usually in the exploratory study requirements Cronbach’sa factor of at least0.6, scale Cronbach’sa coefficient reached0.7or higher is considered better consistency reliability. The total scale survey structural Cronbach’sa of more than0.8, consistency reliability of the scale of this survey can be considered good. The internal consistency of each subscale are more than0.6. Split-half reliability measurement results of each subscale score between0.552-0.848,the measurement results show that the split-half reliability. Phlegm and blood stasis Scale Topics lower half coefficient. Construct validity to evaluate, in accordance with the eigenvalues of extracted nine common factor the9common factor contribution to the overall rate of67.95%. Thus, the identification of nine physical extract the corresponding nine common factor structure of the scale can explain the physical measurement of the elderly to the desired structure.5, Preliminary application and analysis of demographic factors on the quality of the older age groups on the scores and physical determination whether there are differences, the results for demographic factors no effect on the peace and qualitative determination biased constitution different to residentthe more region biased constitution, the urban fringe biased physical groups as compared to the urban and rural. Second biased physical subscale score for education, but the law is not obvious.6, The re-evaluation results show that the reliability tests show that the modified higher elderly physical scale reliability. The modified entry questions total correlation coefficients were significant differences in the modification results in an acceptable range. The validity of the measurement results factored out10integrated interpretation was66.45%, good construct validity. This revision is to modify the spirit of the elderly population more fitting conditions, expert interviews that the adjusted entry regardless of the structure or the entry itself closer to the physical condition of the elderly, compared with before the adjustment entry is more in line with the elderly needs.Conclusion:1,The scale of the study and formulation of the older version of TCM constitution classification and determination "by the nine subscales of37entries.2, Constitution in TCM questionnaire For Old Person has been tested and has high reliability and validity, suitable for older age groups, can be used as an effective tool for measuring the quality of elderly groups.3, Due to the life experiences of the elderly are generally more complex, qualitative factors that affect the elderly population range of demographic factors, including gender, age, occupation, education level, area of residence, may also be affected by other factors.
Keywords/Search Tags:Elderly population, Scale, Reliability, Validity, TCM constitutionclassification and determination
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