| Objective:1.To conduct an epidemiological survey based on the Traditional Chinese Medicine Health Self-Evaluation Scale(TCM-50),to analyze the health status of the population and the distribution of TCM health status in different demographic characteristics;2.To develop a simplified version of the TCM-50;3.To evaluate the quality of the Traditional Chinese Medicine Health Self-Evaluation Brief Scale(TCM-28)and promote it as a tool for health assessment among the population.Method:1.Adopting the cross-sectional survey methods and the TCM-50 to investigate the health status of 18-65-year-old natural population and analyze the health status of them.2.Based on epidemiological survey data,conduct surveys Statistical analysis,using decision method,question-total correlation coefficient method,Cronbach’s a coefficient method,factor load method,discrete trend method to statistically screen items,and items that meet the requirements of the five methods are reserved.3.Test the reliability and validity of the TCM-28.Cronbach’s a coefficient was used for internal consistency reliability,Pearson correlation analysis was used for re-test reliability and split-half reliability.To use factor analysis to determine structural validity,and independent samples t test to identifiying discriminant validity.SPSS23.0 software was used for statistical analysis,with P≤0.05 as the statistical significance.Results:1.Among the population surveyed in this study,those with good overall health status of TCM accounted for 51%,those with moderate health status 42.5%,those with poor health 6.5%,and those with poor health 0%.Judging from the scores of the physical,psychological,natural,and social subscales,when the general health condition is better,the mental health and social health are slightly worse,and the population in the "sub-health" state accounts for more.In the tendency of Yin-Yang-Qi-Blood-Fluid functional state,Yang deficiency,Qi depression and Dampness-heat are more common,and those with more than two functional states are mixed.In the analysis of different demographic characteristics,it was found that different gender,age,education level,exercise habits,sleep habits,personal history,family history,allergy history have statistically significant differences in the distribution of comprehensive health status of the study subjects.But the research objects of different marital status and occupation have no obvious difference in the distribution of TCM comprehensive health status.2.TCM-28 is analyzed statistically by the TCM-50,selected by the decision method,question-total correlation coefficient method,Cronbach’s a coefficient method and factor load method.After discussion by the core group,adjusting the order of the items,a simplified version consisting of 4 subscales and 28 items is formed.The four subscales represent the physical,psychological,natural,and social dimensions of health.The physical dimension and the psychological dimension share a guideline to test the subjects’ experience and feelings in the past month.The natural dimension and the social dimension share a guideline to test the subjects’ situation in the past year.The TCM-28 still retains the indicators of the functional status of Yin-Yang-Qi-Blood-Fluid functional Judging the profit and loss and operating status of individual Yin-Yang-Qi-Blood-Fluid.When scoring,the assessment method combining the score of each dimension and comprehensive score to assess the health status.3.The recovery and completion rate of the TCM-28 are both 100%,and the average filling time of the scale is 3.95 ± 1.76 minutes,indicating that the simplified version of the scale has good acceptability.The Cronbach’s a of the simplified version of the total scale is 0.834,and the Cronbach’s a of the four subscales of physical dimension,psychological dimension,natural dimension and social dimension ranges from 0.665 to 0.781.The simplified version of the total scale has a split-half reliability coefficient of 0.728,and the physical,psychological,natural,and social dimensions of the four subscales have a split-half reliability coefficient of 0.473-0.777.The re-test reliability coefficient of the simplified version of the total scale is 0.951,and the re-test reliability coefficient of the four subscales of physical dimension,psychological dimension,natural dimension and social dimension is between 0.867-0.950,all of which are greater than 0.70,and P<0.01.Except for the psychological dimension,the remaining three dimensions have split-half reliability lower than 0.70.It shows that the reliability of the simplified scale is good.The results of structural validity analysis show that the KMO value is 0.768,the χ~2 value of the Bartlett’s test sphericity is 1619.835,P=0.000<0.01,10 common factors are extracted according to the characteristic root value>1,and the cumulative contribution rate of the variance of the 10 common factors totals 66.412%,indicating that the scale has good structural validity.Distinction validity divides the research subjects into male group and female group.The scores of the two groups in the psychological dimension and natural dimension are significantly different,indicating that the discrimination validity is better.Conclusion:1.The overall health status of the research subjects is good,but the mental health and social health should be paid attention to.The research objects of different gender,age,education level,exercise habits,sleep habits,personal history,family history,allergy history have an influence on the distribution of comprehensive health status of traditional Chinese medicine.2.The formation of the TCM-28 can provide an effective means for the health management of Chinese medicine and the prevention and control of people with chronic diseases.3.The TCM-28 has good feasibility.The internal consistency reliability and re-test reliability in reliability analysis have good performance.There are good performances in terms of,content validity,structural validity,and discriminant validity. |
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