發(fā)布時間：2018-05-24 11:23

  本文選題：糖尿病 + 陰虛熱盛��； 參考：《南京中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:編制符合中醫(yī)護理評估方法的糖尿病中醫(yī)陰虛熱盛證護理評估量表,確立其閾值并驗證其信效度,為臨床護理人員辨識此證型提供簡便易行的評估工具。方法:(1)本研究采用文獻調(diào)研聯(lián)合兩輪德爾菲專家函詢法,初步擬定了糖尿病中醫(yī)陰虛熱盛證護理評估量表的條目池,通過臨床調(diào)研的方式收集了 210位糖尿病患者的中醫(yī)四診信息,陰虛熱盛證主證應(yīng)用離散趨勢法、區(qū)分度分析法、相關(guān)系數(shù)法、克朗巴赫系數(shù)法以及因子分析法對條目進行篩選,兼證條目篩選則靈活選取了頻數(shù)分析法、區(qū)分度分析法、相關(guān)系數(shù)分析法和克朗巴赫系數(shù)法。(2)運用主觀專家評定法和客觀因子分析法進行條目賦權(quán),建立評估模型,進而采用ROC分析方法進行診斷閾值的確立。(3)通過臨床調(diào)研對量表的信度和效度對量表進行測評。結(jié)果:(1)通過主客觀的方法,最終確立糖尿病陰虛熱盛證量表,陰虛熱盛證包括18個條目,兼證濕熱證包括7個條目,兼證血瘀證包括3個條目。(2)建立量表評估模型Y=舌紅*3+苔黃*11+語音高亢*2+語速快*2+口渴*3+口燥*3+咽干*5+口干*8+易饑*5+多飲*5+心煩*4+煩躁易怒*5+怕熱*3+手足心熱*7+小便頻數(shù)*11+大便秘結(jié)*9+體重減輕*10+脈數(shù)*2(Y代表量表積分,數(shù)字代表對權(quán)重,"*"代表乘),量表的閾值為241分。(3)量表具有較好的信效度,體現(xiàn)在各測評指標(biāo)均符合量表編制的要求。糖尿病陰虛熱盛證主證重測信度為0.784,兼證濕熱證重測信度0.898,兼證血瘀證重測信度為0.826。糖尿病陰虛熱盛證主證分半信度為0.832,兼證濕熱證分半信度為0.712,兼證血瘀證分半信度為0.705。糖尿病陰虛熱盛證主證Cronbach' α系數(shù)為0.835,兼證濕熱證的Cronbach' α系數(shù)為0.708,兼證血瘀證Cronbach' α系數(shù)為0.712。陰虛熱盛證主證各條目水平內(nèi)容效度指數(shù)在0.889～1之間,兼證濕熱證各條目水平內(nèi)容效度指數(shù)在0.83～1之間,血瘀證各條目水平內(nèi)容效度指數(shù)在0.83～1之間,陰虛熱盛證主證量表水平內(nèi)容效度指數(shù)為0.944,兼證濕熱證量表水平內(nèi)容效度指數(shù)為0.865,兼證血瘀證量表水平內(nèi)容效度指數(shù)為0.852。量表和亞量表結(jié)構(gòu)效度解釋方差變異率60%,說明具有較好的結(jié)構(gòu)效度。結(jié)論:本研究建立的糖尿病陰虛熱盛證量表,包括兩個兼證量表,具有較好的信度和效度,適合作為糖尿病陰虛熱盛證的中醫(yī)護理評估工具。
[Abstract]:Objective: to develop a nursing evaluation scale for diabetes mellitus in accordance with TCM nursing evaluation method, establish its threshold value and verify its reliability and validity, and provide a simple and convenient evaluation tool for clinical nurses to identify this syndrome type. Methods in this study, by using literature investigation and two rounds of Delphi's expert letter, we have preliminarily drawn up the item pool of the scale of nursing evaluation of TCM Yin deficiency and Heat Sheng Syndrome in diabetes mellitus. The information of four diagnoses of 210 patients with diabetes mellitus was collected by clinical investigation. The main syndromes of Yin deficiency and heat flourishing syndrome were divided into four methods: discrete trend method, differentiation analysis method, correlation coefficient method, and so on. The Cronbach coefficient method and the factor analysis method are used to screen the items, and the frequency analysis method and the discriminant analysis method are chosen flexibly. Correlation coefficient analysis method and Cronbach coefficient method. Then the diagnostic threshold was established by ROC analysis. The reliability and validity of the scale were evaluated by clinical investigation. Results (1) through subjective and objective methods, the scale of deficiency of yin and heat of diabetes mellitus was finally established. The syndrome of deficiency of yin and heat of deficiency included 18 items, and the syndrome of dampness and heat of diabetes included 7 items. Establishment of a scale of evaluation model Y1 = tongue red 3 moss 3 moss 11 high speech hyperactivity 2 fast speech speed 2 thirst 3 mouth dryness 3 pharynx dryness 5 dry stomachs 8 easy hunger 5 drink 5 upset 5 irritable 4 irritable 5 fear of heat 3 palms heat 7 fen Urination frequency, 11 constipation problems, 9 weight loss, 10 pulse count and 2y represent scale integral, The number represents the weight, "*" means multiplies, and the threshold value of the scale is 241. 3) the scale has good reliability and validity, which is reflected in the fact that all the evaluation indexes are in line with the requirements of the development of the scale. The reliability of the main syndrome of diabetes mellitus was 0.784, that of dampness and heat was 0.898, and that of the syndrome of blood stasis was 0.826. The semi-reliability of the main syndrome of diabetes mellitus is 0.832, that of the damp-heat syndrome is 0.712, and that of the syndrome of blood stasis is 0.705. The coefficient of Cronbach'偽 in diabetes mellitus was 0.835, that of damp-heat syndrome was 0.708, and that of blood stasis syndrome was 0.7122.The coefficient of Cronbach'偽 was 0.835 in the syndrome of yin deficiency and heat, 0.708 in the syndrome of dampness and heat, and 0.712in the syndrome of blood stasis. The content validity index of each item was between 0.889 and 1, that of dampness and heat syndrome was between 0.83N-1, and that of blood stasis syndrome was between 0.831 and 0.831, respectively. The content validity index of the main syndrome scale was 0.944, the content validity index of the dampness and heat syndrome scale was 0.865, and the content validity index of the blood stasis scale was 0.852. The structural validity of the scale and subscale explained the variance variation rate of 60%, which indicated that it had better structural validity. Conclusion: the diabetes yin deficiency and heat syndrome scale, including two syndromes scale, has good reliability and validity, and is suitable for TCM nursing evaluation tool.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R248.1

【相似文獻】

相關(guān)期刊論文 前10條

1 柴可夫;黃曉玲;;2型糖尿病陰虛熱盛證基因表達的研究[J];中國中醫(yī)藥科技;2010年03期

2 劉新文;;知黃湯治療消渴病陰虛熱盛證療效觀察[J];中醫(yī)藥導(dǎo)報;2012年11期

3 王秋;養(yǎng)陰方對家兔陰虛熱盛證動物模型發(fā)熱效應(yīng)的影響[J];山東中醫(yī)學(xué)院學(xué)報;1996年02期

4 崔瑛;王君明;馮志毅;丁崗;朱鳳云;靖慧軍;;地黃對家兔陰虛熱盛證型發(fā)熱的解熱作用[J];河南中醫(yī);2007年01期

5 梁蘋茂;甄紅fE;范春來;王學(xué)文;;連梅湯對陰虛熱盛證2型糖尿病患者血清C反應(yīng)蛋白和白細胞介素-6的影響[J];中國中醫(yī)藥信息雜志;2006年05期

6 王秋;增液湯對陰虛熱盛證家兔血液流變學(xué)的影響[J];遼寧中醫(yī)雜志;2001年12期

7 王秋;象兔“溫病陰虛熱盛證”動物模型的實驗研究[J];遼寧中醫(yī)雜志;1995年09期

8 花戎;Ⅱ型糖尿病陰虛熱盛證、氣陰兩虛證血胰島素、C肽改變的研究[J];中醫(yī)研究;1997年02期

9 謝紋;潘素瓊;黎南中;商雪林;林鮮芳;;2型糖尿病患者中醫(yī)辨證分型與聽力損害的相關(guān)分析[J];中國臨床康復(fù);2006年27期

10 雷長國;張繼華;蔡林;;中西醫(yī)結(jié)合治療2型糖尿病療效及安全性分析[J];廣州中醫(yī)藥大學(xué)學(xué)報;2013年05期

相關(guān)會議論文 前3條

1 趙越;余江毅;安曉飛;;2型糖尿病陰虛熱盛證及氣陰兩虛證與血管病變危險因素的相關(guān)分析[A];內(nèi)分泌代謝病中西醫(yī)結(jié)合研究——臨床與基礎(chǔ)[C];2010年

2 梁蘋茂;甄紅fE;范春來;王學(xué)文;;連梅湯對陰虛熱盛證2型糖尿病患者血清C反應(yīng)蛋白和白細胞介素6的影響[A];內(nèi)分泌代謝病中西醫(yī)結(jié)合研究——臨床與基礎(chǔ)[C];2010年

3 蘇陽;蘇秀海;李文東;;自擬清涼止渴湯治療消渴病陰虛熱盛證療效觀察[A];5TH全國中西醫(yī)結(jié)合內(nèi)分泌代謝病學(xué)術(shù)大會暨糖尿病論壇論文集[C];2012年

相關(guān)重要報紙文章 前2條

1 江蘇 馬明林;糖尿病的辨證食療[N];民族醫(yī)藥報;2003年

2 馬明林;糖尿病病人的食療方[N];農(nóng)村醫(yī)藥報（漢）;2006年

相關(guān)碩士學(xué)位論文 前5條

1 孫玉嬌;糖尿病中醫(yī)陰虛熱盛證護理評估量表的編制[D];南京中醫(yī)藥大學(xué);2017年

2 劉佳;知黃湯治療消渴�。幪摕崾⒆C）臨床研究[D];長春中醫(yī)藥大學(xué);2010年

3 許費昀;知母總黃酮片治療陰虛熱盛證2型糖尿�、笃谂R床研究[D];南京中醫(yī)藥大學(xué);2009年

4 黃莉吉;葛荔膠囊治療陰虛熱盛證2型糖尿�、笃谂R床研究[D];南京中醫(yī)藥大學(xué);2004年

5 錢語;2型糖尿病不同中醫(yī)證型與骨密度及骨代謝變化的相關(guān)性研究[D];南京中醫(yī)藥大學(xué);2011年

，

本文編號：1928868