目的:在中华文化背景和中医理论指导下研制中华生存质量量表,推动国内生存质量研究的进一步发展,丰富国际生存质量研究。方法:遵照国际通用量表研制的程序化方法,在中华文化背景和中医理论指导下,结合国际生存质量概念内涵,建立中华生存质量量表的理论模型,确立了调查领域。通过设立研究组,建立条目池、编制初选量表、现场测试、文化适应和临床预调查等形成了临床初步调查表。根据研究设计,发出300份调查表,回收有效量表273份,通过对调查结果的系统统计分析进一步筛选条目。结果:应用专家重要性评分法、离散趋势法(变异系数法)、主成分分析法与因子分析法、聚类分析法、逐步回归分析法、判别分析法及克朗巴赫系数法等统计分析方法,对不同分析结果选中的条目进行综合考虑,最后形成了以3大领域、11个方面和50个条目为结构的最终中华生存质量量表。结论:基于中华文化和中医理论,按照国际量表通用的程序化方式研制的中华生存质量量表,具有国际可比性,将会得到广泛应用和同行认可。
AIM: Chinese culture and the theory of traditional Chinese medicine will promote the development of Chinese Quality of Life Instrument (CH-QOL) and enrich the international study of QOL. METHODS: According to the instruction of the traditional Chinese medicine theory and Chinese culture, the concept model of CH-QOL was built in combination with the international connotation of QOL. On the basis of the methods of developing instruments accepted widely by international society, the domains, facets, item pool and the primary questionnaire were formed. The primary questionnaire, field test, culture adaptation and clinical pre-survey comprised the clinical primary scale. Finally, 300 questionnaires were distributed and 273 questionnaires were reclaimed in this study. Statistical analysis was conducted to select the items. RESULTS: All the selected items were analyzed by the different statistical methods, including significance grade, discrete tendency (coefficient of variation), principal component analysis and factor analysis, cluster analysis, stepwise regression analysis, discriminatory analysis and Cronbach's alpha. Three domains, 11 facets and 50 items made up the general structure of CH-QOL. CONCLUSION: Based on Chinese culture and the theory of traditional Chinese medicine, CH-QOL is made according to general principle accepted by international society, and it will be acknowledged and used extensively in future practice of traditional. Chinese medicine.