Development and Reliability and Validity Analysis of Traditional Chinese Medicine Diagnostic Scale for Pulmonary Qi Stagnation Syndrome in Chronic Obstructive Pulmonary Disease
10.11842/wst.20240422004
- VernacularTitle:慢性阻塞性肺疾病肺气郁滞证中医诊断量表的研制及信度与效度分析
- Author:
Xiaoqian LIAO
1
;
Xingyu FAN
;
Ge FANG
;
Yuquan TAN
;
Haobo JIANG
;
Zhixi HU
Author Information
1. 湖南中医药大学中医学院 长沙 410208
- Publication Type:Journal Article
- Keywords:
Chronic obstructive pulmonary disease;
Lung qi stagnation syndrome;
Traditional Chinese Medicine diagnostic scale;
Reliability;
Validity
- From:
World Science and Technology-Modernization of Traditional Chinese Medicine
2025;27(5):1228-1233
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct a traditional Chinese medicine diagnostic scale suitable for chronic obstructive pulmonary disease(COPD)with lung qi stagnation syndrome,and to verify the reliability and validity of the scale.Methods Preliminary research has identified 16 core symptom items for lung qi stagnation syndrome.Diagnosis and scale collection were conducted on 95 patients using both traditional Chinese and Western medicine,with scores of 0,1,2,and 3 based on the severity of symptoms.By frequency t-test,discrete trend,and Cronbach's alpha coefficient screening items were used to evaluate the internal consistency of the scale,Spearman Brown coefficient was used to evaluate the stability of the scale,and exploratory factor analysis was used to determine the structural validity of the scale.Results Partial items were excluded and the final 11 scale items were confirmed.The overall Cronbach's alpha coefficient of the scale was 0.719,and the overall Spearman Brown coefficient was 0.647;The KMO test value is 0.612>0.5,The significance level of Bartlett's sphericity test is P<0.01;Extracting common factors with feature roots greater than 1,the maximum total variance explained by 64.122%was achieved when extracting four common factors.The common factor loadings for each item were all greater than 0.5,and the variance was all greater than 0.4,indicating good structural validity of the scale.Conclusion This study constructed and validated a traditional Chinese medicine diagnostic scale for COPD with lung qi stagnation syndrome.The scale has good reliability and validity,providing a reliable tool for clinical diagnosis and treatment.
