CAJ | 학술논문

目的：：研制具有中医特点/内涵的失眠症中医生存质量量表，从而全面、客观地评价中医药治疗失眠症的临床疗效，并为其他疾病客观的、系统的筛选中医证候指标作为疗效评价标准提供方法学依据。方法：根据 WHO 对生存质量[1]的定义，提出理论构想，参考公认并应用较为广泛有关睡眠障碍的量表，听取议题小组、专家和失眠症患者的意见，并通过访谈和重要性评分相结合的方法形成了预调查量表。采用相应的统计方法筛选后形成正式量表，并对量表的信度、效度、反应度和可行性进行考评。结果：初步建立包括生理功能、心理功能、认知功能、社会交际、环境影响五个维度共21个条目的失眠症中医生存质量量表，并进行了效度、信度、反应度、可行性的考核。结论：该量表有较理想的信度、效度、反应度及可行性，符合量表的制作要求；不但可用于失眠症的相关治疗方案的预后分析和疗效评价，还有助于进行个体化的治疗选择和心理辅导。
목적：：연제구유중의특점/내함적실면증중의생존질량량표，종이전면、객관지평개중의약치료실면증적림상료효，병위기타질병객관적、계통적사선중의증후지표작위료효평개표준제공방법학의거。방법：근거 WHO 대생존질량[1]적정의，제출이론구상，삼고공인병응용교위엄범유관수면장애적량표，은취의제소조、전가화실면증환자적의견，병통과방담화중요성평분상결합적방법형성료예조사량표。채용상응적통계방법사선후형성정식량표，병대량표적신도、효도、반응도화가행성진행고평。결과：초보건립포괄생리공능、심리공능、인지공능、사회교제、배경영향오개유도공21개조목적실면증중의생존질량량표，병진행료효도、신도、반응도、가행성적고핵。결론：해량표유교이상적신도、효도、반응도급가행성，부합량표적제작요구；불단가용우실면증적상관치료방안적예후분석화료효평개，환유조우진행개체화적치료선택화심리보도。
Objective: To study on Traditional Chinese Medicine Questionnaire of quality of life on insomnia disease and completely evaluate effects of TCM on Insomnia Diseaseand impersonally objectively and systemically in order to provide methodological reference which can develop and screen diseases on the TCM pattern index as clinical outcome scale for other objectively and systemically.Methods According to the definition of quality of life from WHO, the theory was put forward based on reviewing the theory of Traditional Chinese medicine and the related knowledge of Insomnia Disease. We got the general data of patients and the items by statistics though SPSS12.0. Results The final version of QOL of TCM questionnaire on Insomnia Disease including 21 items, reliability, validity and responsibility of the Insomnia special TCM scale of QOL were assessed.Conclusions The scale has good construct validity, high internal consistency and high reliability, which is helpful to carry on the individual treatment choice and psychological counseling for patients.