CAJ | 학술논문

目的：研制慢性肝病中医生命质量量表,以科学、客观、全面地评价中医药对慢性肝病的临床疗效。方法参照国际通用量表研制的程序化方法，基于对中医基本理论藏象学中肝脏生理机能及特性的研究，结合患者报告结局指标（pa-tient-reported outcomes, PRO），建立中医肝病临床疗效评价量表的理论模型。设立研究小组，通过建立条目池、研制初选量表、语言调试等形成临床初步调查表。开展临床预调查，共发放90份调查表，回收有效量表90份，应用离散趋势法（变异系数法）、克朗巴赫系数法统计方法，对调查结果进行系统分析以进一步筛选条目。结果研制出包含生理领域（29个条目）、心理领域（5个条目）和社会关系领域（27个条目），共61个条目的慢性肝病中医生命质量量表。结论慢性肝病中医生命质量量表，具有可操作性及可重复性，值得进一步考核并临床推广应用。
목적：연제만성간병중의생명질량량표,이과학、객관、전면지평개중의약대만성간병적림상료효。방법삼조국제통용량표연제적정서화방법，기우대중의기본이론장상학중간장생리궤능급특성적연구，결합환자보고결국지표（pa-tient-reported outcomes, PRO），건립중의간병림상료효평개량표적이론모형。설립연구소조，통과건립조목지、연제초선량표、어언조시등형성림상초보조사표。개전림상예조사，공발방90빈조사표，회수유효량표90빈，응용리산추세법（변이계수법）、극랑파혁계수법통계방법，대조사결과진행계통분석이진일보사선조목。결과연제출포함생리영역（29개조목）、심리영역（5개조목）화사회관계영역（27개조목），공61개조목적만성간병중의생명질량량표。결론만성간병중의생명질량량표，구유가조작성급가중복성，치득진일보고핵병림상추엄응용。
〔Abstract〕 Objective Objective To scientifically, objectively and roundly evaluate the clinical effect of traditional Chinese Medicine (TCM) by developing the TCM quality of life (QOL) scale for chronic liver disease. Methods According to the programmed method of international scale, based on liver physiological function and characteristic study of zang manifestation theory, combined with the patient reported outcomes (PRO), theoretical models of clinical efficacy scale for liver disease were built. A primary clinical scale was established after item pool screening, field test,culture adaptation and clinical pre-survey by the research staff. Finally, 90 questionnaires were distributed and 90 questionnaires were reclaimed. Statistical analysis was conducted to choose the items by discrete tendency and Crowns Bach coefficient methods. Results The chronic liver TCM QOL scale with total of 61 items was developed including the final form of the physical domain contains (29 items), the psychological field (5 items) and social relations (27 items). Conclusion The TCM QOL scale for chronic liver disease is practical and repeatable. It will be worthy of further examination and extended to clinical application.