冠心病临床专家调查问卷信度效度分析.docVIP

冠心病临床专家调查问卷信度效度分析 作者：张明雪,曹洪欣,林巾孝,张华敏 【摘要】 目的 分析冠心病证候要素、证候特征及证候病机演变规律临床专家调查问卷的信度和效度。方法 向305名临床一线心血管病医生发放“冠心病临床一线专家调查问卷”对冠心病四诊资料进行分期描述,并分别对量表的各模块及总量表进行信度及效度检验。结果 Cronbachsα系数：各个模块在0.959 3～0.972 5之间均大于0.8,整个问卷的Cronbachsα系数值为0.990 3。分半信度：各个模块在0.891 8～0.922 5之间,总量表的分半信度Cronbachsα系数值为0.920 7。因子分析结果显示：各个模块分别提取4个公因子,累计贡献率均在50%以上,采用方差最大旋转后的结果与理论构想一致。结论 该调查问卷能够全面反映冠心病患者症状和体征,可以利用其进行冠心病的证候研究。 【关键词】 冠心病；调查问卷；信度；效度 Abstract：Objective To study the reliability and validity of clinical experts questionnaire of syndrome factors, characteristics and evolution of coronary heart disease. Methods The clinical expert questionnaire was sent to 305 clinical doctors of cardiovascular disease. The questionnaire of coronary heart disease was described through four phases data, and reliability and validity of each module and the total scale were tested. Results Cronbach’s α coefficient of the modules varies between 0.959 3～0.972 5 and higher than 0.8, the value of the scale was 0.990 3. Split-half reliability of the modules varies between 0.891 8～0.922 5, Cronbach’s α of split-half reliability of the total scale was 0.920 7. Factor analysis showed that each module was abstracted four factors and the total contribution rate was more than 50%, the result after varimax rotation was consistent with the theory. Conclusion The questionnaire can fully reflect symptoms and signs of patients with coronary heart disease, and can be used for syndrome studies of coronary heart disease. 　　Key words：coronary heart disease；questionnaire；reliability；validity 根据国家颁布标准、查阅古今文献,同时结合专家咨询等研究方法,笔者从现代心理测量理论出发并引入结构化的决策方式,设计了冠心病(稳定性心绞痛)临床专家调查问卷。通过临床一线300名心血管专家的问卷调查,对量表的信度、效度进行了分析研究。 　　1 资料与方法 　　1.1 数据来源 设计并研制了冠心病临床一线专家调查问卷。将问卷发给北京、广州、沈阳等305名临床一线的心血管病医生进行调查,发放调查问卷305份,回收有效调查问卷300份,并且如期回收,调查问卷有效回收率为98%。 　　1.2 测试对象与方法 测试对象为从事医疗工作的专业人员,并具有3年及3年以上连续从事冠心病治疗经历的临床一线医师。排除主观上不同意对冠心病治疗采取中医药早期干预、近3年内没有连续从事临床一线医疗工作的行政或医辅人员。为了保证调查问卷的有效回收率及数据的可信性,对被调查的医师进行培训,在限定日期内回收问卷。情况见表1。表1 接受测试者一般情况(略) 　　1.3 量表计分方法 目前在症状体征等软指标量化研究中,能够分