失眠症精神萎靡状态概念的确立和病机探究.pdfVIP

提 要 目的：本研究在导师多年临床经验的基础之上，拟界定失眠症精神萎靡状态的概 念，构建失眠症精神萎靡状态量化指标，并探讨精神萎靡状态的病机，以期为精神萎 靡状态的评定及临床干预提供思路和方法。 方法：运用心理测量学的理论，通过文献调查研究，专家咨询，确立了失眠症精 神萎靡状态评定量表的结构及条目，形成初始调查问卷。采集失眠症精神萎靡状态患 者的病案信息，经过统计处理，最终形成失眠症精神萎靡状态评定量表。最后，通过 文献检索，临床经验总结，对失眠症精神萎靡状态的病机进行分析研究。 结论：最终形成的量表具有良较好的信效度，可为失眠症精神萎靡状态提供准确 的衡量工具；通过对精神萎靡概念的确立及病机的研究，创造性地阐述神紊乱与失眠 症精神萎靡状态的相关性，完善构建失眠症辨证体系的理论。 关键词 失眠症；量化指标；精神萎靡状态；概念；病机 The Establishment of The Concept of Insomnia with The State of Spiritual Malaise and The Study on Pathogenesis Speciality：Internal Medicine of Traditional Chinese Medicine. Author ：Zhang Mingming Tutor：Professor Qi Xianghua Abstract Objective：For many years experience in our teacher clinical basis,this study was to define the concept of Insomnia with the State of spiritual malaise and to construct the quantitative indicators for it,and to explore the pathogenesis of insomnia with the state of spiritual malaise,so as to provide ideas and methods for the assessment and clinical intervention of insomnia with the state of spiritual malaise.Methods ：With the guidance of the theory of psychological measurement, we established the structure and entry of insomnia with the state of spiritual malaise by means of gathering the medical record about this such patient and handling it by statistics, then the questionnaires were formed. Finally, doing research on the pathogenesis of insomnia with the state of spiritual malaise, through literature research and summarizing clinical experience.Conclusion ：The results showed that the scale had good clinical utility and good reliability and validation. It provided accurate measurement tools for the insomniacs with the state of spiritual malaise.Af