中醫陽氣虛體質量表之發展;Development of the Yang-Qi Deficient Body Constitution Questionnaire of Traditional Chinese Medicine

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题名:	中醫陽氣虛體質量表之發展;Development of the Yang-Qi Deficient Body Constitution Questionnaire of Traditional Chinese Medicine
作者:	陳麗麗;Li-Li Chen
贡献者:	中國醫藥大學：中國醫學研究所博士班
关键词:	中醫;陽氣虛;體質;量表;Traditional Chinese Medicine(TCM);Yang-Qi Xu or deficiency;Constitution;Scale or Questionnaire
日期:	2009-01-21
上传时间:	2009-08-10 16:00:59 (UTC+8)
摘要:	體質影響個體對致病因子之易感性及發病的傾向性，且影響個體對治療的反應。個體健康與否取決於體質之陰陽平衡狀態，其中陽氣是維持身體功能運作的能量，一旦陽氣不足或稱為陽氣虛，將影響個體健康。故傳統中醫臨床或研究藥物、針灸、氣功、按摩等措施防治疾病時，均會觸及陽氣狀態之測量，因此建立具信效度的陽氣虛體質量表是亟待進行之工作。本研究目的在建立陽氣虛體質量表並確立其信效度。採用心理測驗量表發展步驟，由文獻搜尋及專家德爾菲法產生陽氣虛體質量表之問項與口語化題目，並收集研究對象檢測各種心理計量特質。研究對象需符合1.前一個月內沒有發生急性病或慢性病急性發作者。2.年齡介於20〜60歲。完成有效個案數1557位。研究結果產生陽氣虛體質量表共19題。經探索性及驗證性因素分析，確立陽氣虛體質量表五個因素結構。五個因素分別依測量陽氣不足的功能表現部位不同而聚集，故命名為「頭部陽氣不足」、「胸腔陽氣不足」、「肢體陽氣不足」、「腹腔陽氣不足」及「體表陽氣不足」，全部總合命名為「整體陽氣不足」。整份量表及五個因素，內在一致性Cronbach’s α值介於0.553〜0.875，大部份題目的再測信度組內相關係數值>0.7。且量表得分與中醫師診斷、個案收縮壓值間達一致性趨勢。本研究發展之陽氣虛體質量表，符合大部份信效度值，可提供醫療人員執行中醫體質研究及臨床體質檢測工具。 Objectives: This study aimed to develop and validate a questionnaire to assess the Yang-Qi deficiency body constitution (BCQ+) for use in traditional Chinese medicine (TCM) practice. Methods: The BCQ+ was developed using the Delphi methods and psychometrically evaluated. A total of 1,557 eligible participants, aged between 20-60, no disease onset in the past month, and receiving health examination in teaching hospitals were recruited. Exploratory and confirmatory factor analyses were conducted to ascertain and validate the factor structures of the BCQ+. Reliability and validity were also examined. Results: Exploratory factor analysis identified 5 primary domains that represent the Yang-Qi deficiency body constitution and correspond to the manifestations of the diminishing energy level in 5 different body areas: Yang-Qi deficiency in “head”, “chest”, “four limbs”, “abdominal cavity”, and “body surface”. The Cronbach’s alpha (α) coefficients ranged from 0.55-0.88 and the intraclass correlation coefficients were greater than 0.7 for most of 19 retained questions. The diagnosis of Yang-Qi deficiency by both the BCQ+ and an experienced TCM doctor were consistent. It was also found that higher Yang-Qi deficiency scores were associated with lower systolic blood pressure (F = 6.25, p < .001). Conclusions: The BCQ+ is a reliable, valid, and potentially useful tool for evaluating the Yang-Qi deficiency body constitution in clinical practices and research. Further validation for its use in diverse patient populations is needed.
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