Development of a Traditional Chinese Medicine syndrome diagnosis scale for long-term simulated weightlessness experiments
10.16289/j.cnki.1002-0837.2024.01.002
- VernacularTitle:长期模拟失重实验中医证候诊断量表的研究
- Author:
Hongzhi SHI
1
;
Chong XU
;
Jiatuo XU
;
Quanchun FAN
;
Junlian LIU
;
Liping TU
;
Xiaojuan HU
;
Chengpu ZHANG
;
Shuang ZHAO
;
Tao MI
;
Yongzhi LI
;
Yinghui LI
Author Information
1. 中国航天员科研训练中心航天医学全国重点实验室,北京 100094
- Keywords:
long-term simulated weightlessness experiment;
TCM;
syndrome;
diagnosis;
scale
- From:Space Medicine & Medical Engineering
2024;35(1):8-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a Traditional Chinese Medicine(TCM)syndrome diagnosis scale suitable for evaluating the overall health status of participants in long-term simulated weightlessness experiments,and preliminarily evaluate its reliability and validity.Methods Based on the understanding of the pathogenesis of TCM in different stages of long-term manned spaceflight,a scale was developed through literature research and expert consultation.Test-retest reliability and internal consistency coefficient were used to test the reliability of the scale.Item analysis and factor principal component analysis were used to evaluate the validity of the scale,and a rotating component matrix was used to analyze the correlation between each item and dimension using 36 volunteers in a 90 days head down bed rest experiment as the research subjects.Results The scale contains eight dimensions and 57 items.The reliability analysis showed that the correlation coefficient of the total score of the scale for the first and second tests of 30 participants was 0.889,indicating high stability of the scale.The Cronbach coefficient of the scale was 0.934,indicating very good internal consistency.The split half reliability after correction was 0.858,indicating a high reliability of the scale.The validity analysis showed that the difference between the high score group and the low score one for each of the 57 items was statistically significant(P<0.01),and the Pearson correlation coefficient between each item and the total score of the scale was greater than 0.4(P<0.001).The cumulative contribution rate of 8 common factors extracted using principal component factor analysis was 55.293%,and the results of rotating component matrix analysis,after applying TCM theory and expert feedback,had a coincidence of up to 87.5%with the initial 8 dimensions,indicating good structural validity of the scale.Conclusion The scale has good reliability and validity,and can diagnose TCM syndromes.It is suitable for long-term simulated weightlessness experiment and provides an objective and quantitative new method for evaluating the subjective feelings of participants.