Formulate Preliminary Preparation And Evaluate A Bronchial Asthma Scale Based On The Principle Of Differentiation Syndrome Elements

Objective:Based on the principle of syndrome differentiation, formulate a bronchial asthma scale with TCM characteristics and evaluate its feasibility, reliability,validity. Then establish quantitative criteria for each syndrome elements,so as to provide a reference tool for the evaluation of the efficacy of TCM clinical syndrome and choose the right treatment for asthma in clinical.Methods:1.According to the result of literature research of bronchial asthma with cold syndrome factor distribution, create16dimensions of bronchial asthma with cold syndrome factor scale.Then item pool is to learn and refer to "the Chinese quality of life scale" and "Chinese medicine health scale" entry in the question way, writing problems, eventually formed, In order to increase the scale of measurement accuracy, and services in the diagnosis of traditional Chinese medicine and evidence-based medicine, organization expert questionnaire, formed as a clinical trial16dimensions,60entries (five quantitative entry for article55) asthma syndrome factor rating scale (1).2.Take discrete tendency, the reaction degree analysis, correlation analysis to analyze asthma syndrome factor rating scale (1) the dimensions and clauses,which is filled in by the object of study. There are two or more methods need to be deleted entries will suggest to consider to delete. According to the analysis result, at the same time, combining with the consulting experts and clinical practice, both the statistical support and conform to the TCM theory and clinical practical items, cut and supplemented entries, form asthma syndrome factor rating scale (2).3.Through the finish time, the full scale of the completion, the recovery of the scale to evaluate the feasibility of the scale; The crowns Bach coefficient evaluation scale reliability; Using factor analysis method validity appraisal structure.Results:1.To collect the50cases of asthma patients as the research object, using discrete tendency, reaction degree analysis, correlation analysis and other methods of the research object to fill in asthma syndrome factor rating scale (1) the dimensions and clauses for analyzing. According to the analysis result, at the same time, combining with the consulting experts and clinical practice, cut and supplemented entries, formed including15dimensions, article42items (five quantitative entry for article38) asthma syndrome factor rating scale (2). 2.To collect152cases of asthma patients as the research object, filling out by the object of study of asthma syndrome factor rating scale (2), first using Cronbach’s alpha coefficient method was carried out on the scale (2) the reliability test, results show that the scale (2) the alpha coefficient of16dimensions (0.835-0.81)are all greater than0.7, overall alpha coefficient0.858>0.8.Show that scale (2) the internal consistency of better; Through factor analysis of scale structure validity of inspection, according to the characteristics of root value>1to extract the11common factor. Results showed that the common factor of questionnaire cumulative contribution rate of68.006%. Each factor of the comprehensive analysis shows that the structure of the questionnaire is divided into clear, and the side of the various factors represent most can correspond with the original questionnaire. Basic confirmed the theoretical conception of scale (2) good structure validity.Conclusion:Establishment of bronchial asthma scale factor scale conform to the principles of Chinese medicine theory, has a better clinical feasibility, reliability, validity. To scale as bronchial asthma syndrome factor quantitative diagnosis measurement tool is reliable and sensitive. For asthma clinical syndrome differentiation of traditional Chinese medicine and curative effect evaluation to provide the reference tools, help clinical rational treatment.