世界中西医结合杂志
世界中西醫結閤雜誌
세계중서의결합잡지
WORLD JOURNAL OF TRADITIONAL CHINESE AND WESTERN MEDICINE
2015年
4期
522-525
,共4页
功能性消化不良%胃痞%医生报告结局%考评
功能性消化不良%胃痞%醫生報告結跼%攷評
공능성소화불량%위비%의생보고결국%고평
Functional dyspepsia%Gastric Distention%Clinician Report Outcome%Assessment
目的：对功能性消化不良（餐后不适综合征，胃痞病）医生报告结局量表进行计量心理学考核，以考评量表的可行性、区分效度、信度、反应度。方法采集现场调查的30例餐后不适综合征患者，考核量表的可操作性、鉴别度指数D值、评价者内信度、评价者间信度、反应度。结果量表完成率为100%，时间中位数为2 min；总分及各条目分的高低端组之间的鉴别度指数D值在0.36~0.75，具有良好的区分效度；同一评价者两次评分的总分及条目分ICC在0.81~1.00（P﹤0.05），评价者内信度良好，两个评价者评分的总分及条目分ICC在0.94~0.99（P﹤0.05），评价者间信度良好，Bland-Altman图形分析均显示没有系统误差；总分及条目分效应大小（ ES）在0.49~1.53，标准化反应均数（ SRM）在0.64~1.82，变化率（ CR）为43~58%，反应度均良好。结论功能性消化不良（餐后不适综合征，胃痞病）医生报告结局量表是一个具有良好的区分效度、信度和反应度的疾病专用量表，可操作性强，可用于中医、中西医临床疗效评价。
目的：對功能性消化不良（餐後不適綜閤徵，胃痞病）醫生報告結跼量錶進行計量心理學攷覈，以攷評量錶的可行性、區分效度、信度、反應度。方法採集現場調查的30例餐後不適綜閤徵患者，攷覈量錶的可操作性、鑒彆度指數D值、評價者內信度、評價者間信度、反應度。結果量錶完成率為100%，時間中位數為2 min；總分及各條目分的高低耑組之間的鑒彆度指數D值在0.36~0.75，具有良好的區分效度；同一評價者兩次評分的總分及條目分ICC在0.81~1.00（P﹤0.05），評價者內信度良好，兩箇評價者評分的總分及條目分ICC在0.94~0.99（P﹤0.05），評價者間信度良好，Bland-Altman圖形分析均顯示沒有繫統誤差；總分及條目分效應大小（ ES）在0.49~1.53，標準化反應均數（ SRM）在0.64~1.82，變化率（ CR）為43~58%，反應度均良好。結論功能性消化不良（餐後不適綜閤徵，胃痞病）醫生報告結跼量錶是一箇具有良好的區分效度、信度和反應度的疾病專用量錶，可操作性彊，可用于中醫、中西醫臨床療效評價。
목적：대공능성소화불량（찬후불괄종합정，위비병）의생보고결국량표진행계량심이학고핵，이고평량표적가행성、구분효도、신도、반응도。방법채집현장조사적30례찬후불괄종합정환자，고핵량표적가조작성、감별도지수D치、평개자내신도、평개자간신도、반응도。결과량표완성솔위100%，시간중위수위2 min；총분급각조목분적고저단조지간적감별도지수D치재0.36~0.75，구유량호적구분효도；동일평개자량차평분적총분급조목분ICC재0.81~1.00（P﹤0.05），평개자내신도량호，량개평개자평분적총분급조목분ICC재0.94~0.99（P﹤0.05），평개자간신도량호，Bland-Altman도형분석균현시몰유계통오차；총분급조목분효응대소（ ES）재0.49~1.53，표준화반응균수（ SRM）재0.64~1.82，변화솔（ CR）위43~58%，반응도균량호。결론공능성소화불량（찬후불괄종합정，위비병）의생보고결국량표시일개구유량호적구분효도、신도화반응도적질병전용량표，가조작성강，가용우중의、중서의림상료효평개。
Objective To have the metering psychological examination of the clinician report out-come of functional dysphasia( FD)( post-meal discomfort syndrome,gastric distention)so as to assess the feasibility,discrimination validity,reliability and reactivity of the scale. Methods Thirty cases of post-meal discomfort syndrome were collected on the survey field. The scale operability,identification index D,intra-rater reliability,inter-rater reliability and reactivity were assessed. Results The scale percentage complete was 100% and the time median was 2min. The identification index D value of the total score and item score was 0. 36 to 0. 75 between the high-end group and the low-end group,indicating the satisfactory discrimi-nation validity. ICC was 0. 81 to 1. 00 for the total score and item score in two evaluation of the same scorer ( P﹤0. 05),indicating the satisfactory intra-rater reliability. ICC was 0. 94 to 0. 99 for the total score and i-tem score by the two scorers(P﹤0. 05),indicating the satisfactory inter-rater reliability. Bland-Altman graphical analysis did not indicate system error. ES was in the range from 0. 49 to 1. 53 and SRM was from 0. 64 to 1. 82 for the total score and item score,CR was 43% to 58%. The reactivity was excellent. Conclu-sion The clinician report outcome of FD( post-meal discomfort syndrome,gastric distention)is the disease dedicated scale characterized as satisfactory discrimination validity,reliability and reactivity. It is highly oper-able for the clinical efficacy evaluation of TCM and integrated Chinese and western medicine.
