Explore Again The Traditional Chinese Medicine Quality Of Life Scale Of Allergic Rhinitis

Objective:Currently, allergic rhinitis (AR) as a chronic disease, the incidence rate increases year by year, not only endangers people’s health, also affects people’s work, study and social interaction, increasing attention has been paid, study of AR quality of life (QOL) scale is also increasing. However, in these scales, some ones’relevance are poor, some lack the characteristic of Traditional Chinese Medicine (TCM). Domestic development of TCM quality of life scales in allergic rhinitis has also been reported rarely, and not yet developed a recognized scale, and thus, this area needs further study.This study will develop a TCM QOL scale of AR according to the TCM features of the disease, and test the feasibility, reliability and validity of the scale, to promote the research progress of TCM QOL scale, and to understand the QOL of AR patients through the scale.Methods:(1) According to the symptoms standard of allergic rhinitis developed by the Association of Chinese Medicine, combining the characteristics of TCM and TCM clinical experience, and referring to the Chinese version of succinct health survey questionnaire (SF-36) and the rhinoconjunctivitis quality of life questionnaire (RQLQ) translated by the MAPI Research Center, the initial TCM QOL scale of allergic rhinitis was developed. Measure83AR patients by the scale, and filter the entries in the scale by statistical methods.(2) Measure55AR patients by the scale which has been filtered. Calculate the feasibility, test-retest reliability, the coefficient of Cronbach’s alpha, construct validity, criteria validity and content validity of the scale with SPSS17.0statistical software. Measure20AR-Patients who is extracted randomly by RQLQ. to test the criteria validity of the scale.(3) According to the patients with or without the seasonal.133AR Patients are divided into two groups (seasonal AR and perennial AR). Patients are grouped into three TCM syndromes by inquiring and specialist inspection. Finally, analyze the results by SPSS17.0statistical software.Results:(1) According to the result, coefficient of Cronbach’s alpha is0.938>0.7, Validity coefficient is0.652(in accordance with standards of04to0.8). There are6Public factors in the scale through Principal component factor analysis, the cumulative rotation is70.178%,.That meant the construct validity is not so good.(2)Two group average of QOL have prominent difference (P=0.024<0.05), Perennial AR patients’QOL are lower. There are prominent average differences in disease-related symptoms (P=0.015) and psychological aspects (P=0.042). There are no prominent differences in general condition (P=0.367) and life aspects (P=0.088). (3)According to the nasal symptoms, systemic manifestations and the tongue and pulse. AR patients are grouped into three TCM syndromes. Study results show:Seasonal AR patients account for45.7%with deficiency of the lung-qi and spleen-qi. deficiency of the kidney-yang take25.7%, Excess of the lung-hot account for28.6%:Perennial AR patients account for36.5%with deficiency of the lung-qi and spleen-qi, deficiency of the kidney-yang take38.1%, Excess of the lung-hot account for25.4%; There are prominent average differences (F=6.156P=0.000<0.05) in three syndromes.Conclusion:(1)The TCM QOL scale of AR has good feasibility, the internal consistency, content validity and criteria validity, the construct validity can not be sure. The scale should be deeply examined and revised in more place with more case.(2)The perennial AR patients’ QOL are lower than seasonal AR ones. There are prominent differences in disease-related symptoms and psychological aspects. There are no prominent differences in general condition and life aspects. While treating, pay more attention to psychotherapy can improve the AR patients’ QOL.(3) In seasonal AR patients, proportion of deficiency of the lung-qi and spleen-qi is the highest. In perennial AR patients, proportion of deficiency of the kidney-yang is the highest followed by deficiency of the lung-qi and spleen-qi Excess of the lung-hot is the fewest. Chinese medicine treatment should replenish the lung-qi and spleen-qi. add warming kidney-yang drugs for perennial AR patients.