| Objective:1.To compile and translate“Wang Qi's Nine TCM Constitution questionnaire(for the elderly)”into Korean for Korean elderly.2.To evaluate the quality of the Korean elderly version of“Wang Qi's Nine TCM Constitution questionnaire”,so it can be used as an evaluation tool for the elderly constitution.3.To analyze the distribution characteristics of TCM constitution of the elderly population in South Korea,and to explore the differences of TCM constitution distribution in different demographic characteristics.Method:1.Translate"Wang Qi's Nine TCM Constitution questionnaire(for the elderly)"into Korean elderly version by using the standardized procedure of the cross-cultural foreign language scale.Forty Korean elderly people were initially surveyed with the first draft translated in sequence.According to the results of the first survey,the preliminary revision was made,and the revision was made again through back translation.2.Using the cross-sectional study method,300 cases of Korean elderly people over 65years old were given the constitution investigation by using the compiled Korean version of TCM Constitution questionnaire for Korean elderly,and the reliability and validity of Wang Qi's Nine TCM Constitution questionnaire(for Korean elderly)were tested.Pearson correlation analysis was used for re-test reliability,Cronbach alpha coefficient was used for internal consistency reliability,Pearson correlation analysis was used for split-half reliability,factor analysis was used for structural validity,and an independent-samples t test was used for discriminant validity.SPSS 21.0 software was used for statistical analysis,with P<0.05 as the statistical significance.3.By using the"Wang Qi's Nine TCM Constitution questionnaire(for Korean elderly)"after passing the reliability and validity test,521 cases Korean elderly over 65 years old were given the TCM constitution investigation to analyze the distribution characteristics of the TCM constitution of Korean elderly people.SPSS 21.0 software was used for statistical analysis,and Chi-square test was used to compare the differences of constitution ratios among different constitution groups.Multinomial logistic regression analysis method was used to analyze the influencing factors of TCM constitution.Results:1.The recovery rate of the scale was 100%,the completion rate was 100%,and the average completion time of the questionnaire was 11.55±6.47 minutes.As for the understanding of TCM Constitution questionnaire for Korean elderly among the 40 pre-survey subjects,there were 45%who fully understood,50%who easily understood,5%who moderately understood,and none were too difficult to understand or be completely misunderstood.For the 33 items of the TCM Constitution questionnaire(for the elderly),after"Forward Translation-Preliminary survey-Preliminary Revision",24 items were retained and 9 items were revised;after"Back Translation-re-revision",26 items were retained and 7 items were revised,which initially formed the TCM Constitution questionnaire(for the Korean elderly)2.The acceptance rate and completion rate of"Wang Qi's Nine TCM Constitution questionnaire(for Korean elderly)"were 100%and 99%,respectively.The average completion time of the scale is 11.33±6.11 minutes.The feasibility of the questionnaire is good.The retest reliability of the total scale was 0.864,and the retest reliability coefficients of the nine subscales were between 0.760 and 0.896.The split-half reliability of the total scale was 0.937,and the sub-scales split-half reliability were 0.702~0.863.The Cronbach?coefficient of the total scale was 0.896,and the Cronbach?coefficient of each sub-scales were 0.666~0.866.The internal consistency was good.The content validity was good;the results of structural validity analysis showed that KMO=0.885,Bartlett's test of sphericityc~2=3861.661,P=0.000<0.01,which was suitable for factor analysis,nine common factors were extracted,and the cumulative contribution rate of variance of the nine common factors was 63.05%.The structural validity was good.The results of discriminant validity analysis show that there were significant statistical differences between obese group and non-obese group in the sub-scale scores of Phlegm-dampness constitution,Stagnant blood constitution,Qi-deficient constitution(P<0.01,P<0.01,P<0.05,respectively),and the discrimination validity was good.3.Among 521 cases Korean elderly people,balanced constitution accounted for 30.5%,while 69.5%had unbalanced constitution.Among the unbalanced constitution types,yang deficiency constitution(21.1%)was the most,followed by yin deficiency(12.7%)and phlegm-dampness constitution(10.7%).In unbalanced constitution,36.2%had single constitution compared to 63.8%who had composite constitutions.According to the statistical results of unbalanced constitution classification of excess and deficiency,the intermingled deficiency and excess were the most(45.6%),followed by deficiency constitution(35.6%),and excess constitution was the least(18.9%).There were statistical differences in the distribution of TCM constitution types among Korean elderly people with different gender,age,marital status,occupation,degree of education,exercise habits,BMI,personal history of disease and history of Allergy.Compared with balanced constitution,Yang deficiency constitution was mainly related to women(OR=2.293,P=0.027),sour taste preference(OR=3.89,P=0.001),hot food preference(OR=4.681,P=0.000),and tea preference(OR=2.638,P=0.002).yin deficiency constitution was mainly related to salty taste preference(OR=3.062,P=0.034).Damp-heat constitution was mainly related to salty taste preference(OR=27.049,P=0.005)and cold food preference(OR=20.899,P=0.002).Stagnant blood constitution was mainly related to hot food preference(OR=11.81,P=0.006).Stagnant qi constitution was mainly related to the educational level below high school(OR=2.705,P=0.021).Conclusion:1.According to the standardization procedure of the cross-cultural foreign language scale,this study develops the"Wang Qi's Nine TCM Constitution questionnaire(for Korean elderly)",which basically reflects the original intention and content of the Chinese version,and also conforms to the language and cultural habits of the Korean elderly population,providing a standardized tool for constitution identification of the Korean elderly population.2.The feasibility of"Wang Qi's Nine TCM Constitution questionnaire(for Korean elderly)"is very good,which had good performance in the aspects of in test-retest reliability,split-half reliability,internal consistency reliability,content validity,structure validity,and discriminant validity.3.Among the unbalanced constitutional types of the Korean elderly population,Yang deficiency constitution was the most common,followed by Yin deficiency constitution and phlegm-dampness constitution.The Korean elderly population has the constitutional characteristics of deficiency and phlegm-dampness,and the constitutional characteristics were mainly composite constitution and intermingled deficiency and excess.There were statistical differences in the distribution of TCM constitution types with different gender,age,marital status,occupation,degree of education,exercise habits,BMI,personal history of disease and history of Allergy.Thus providing reference for the establishment of international standards of TCM constitution for the elderly. |
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