本文選題：中醫(yī)體質(zhì) + 艾森克人格問卷簡式量表中國版(EPQ-RSC)�。� 參考：《云南中醫(yī)學(xué)院》2017年碩士論文

【摘要】：目的:近年來醫(yī)學(xué)模式正在向著“生物—心理—社會(huì)”的醫(yī)學(xué)模式轉(zhuǎn)變,這與中醫(yī)觀念中的“整體觀”不謀而合。中醫(yī)體質(zhì)學(xué)對于體質(zhì)的認(rèn)識(shí)很好的體現(xiàn)了中醫(yī)“整體觀”這一觀點(diǎn)。中醫(yī)體質(zhì)學(xué)作為現(xiàn)代中醫(yī)學(xué)重要的分支學(xué)科,因其在臨床治療以及在養(yǎng)生保健中起到的作用而更加受到醫(yī)學(xué)界的重視。中醫(yī)體質(zhì)學(xué)認(rèn)為體質(zhì)不單受到到軀體素質(zhì)的影響,心理素質(zhì)對體質(zhì)的構(gòu)成也同樣起到重要的作用。本次研究希望通過調(diào)查問卷的方式,討論出昆明及周邊地區(qū)中醫(yī)九種體質(zhì)類型及其現(xiàn)代人格心理特征的相關(guān)性,以及同種體質(zhì)在不同基本情況下對于人格心理特征的影響。方法:于2016年3月至2016年7月,采取隨機(jī)抽樣的方式,對云南中醫(yī)學(xué)院、昆明醫(yī)科大學(xué)學(xué)生及昆明白塔區(qū)門診、圣愛中醫(yī)館門診、省中醫(yī)院門診處病人實(shí)施現(xiàn)場問卷調(diào)查。調(diào)查的內(nèi)容主要包括:基本情況、中醫(yī)體質(zhì)調(diào)查表、艾森克人格問卷簡式量表中國版(EPQ-RSC)。采用單因素方差分析和Logistic回歸分析,研究平和質(zhì)、陽虛質(zhì)、陰虛質(zhì)、氣虛質(zhì)、痰濕質(zhì)、濕熱質(zhì)、瘀血質(zhì)、氣郁質(zhì)、特稟質(zhì)九種中醫(yī)體質(zhì)的現(xiàn)代人格心理特征。結(jié)果:1.正式調(diào)查2周后,進(jìn)行了預(yù)調(diào)查,對兩次調(diào)查的結(jié)果進(jìn)行相關(guān)性分析,發(fā)現(xiàn)相關(guān)系數(shù)均大于0.75,表明本次量表的重測信度較好。2.學(xué)生人群、門診病人、全國人群三者九種體質(zhì)人群分布進(jìn)行比較,發(fā)現(xiàn)三者的構(gòu)成比不同,具有差異性(P0.001);學(xué)生人群以及門診病人與全國常模的構(gòu)成比差異均有差異性(P0.001),學(xué)生人群與門診病比較構(gòu)成比無差異(P0.05)。3.內(nèi)向型人群中,氣郁質(zhì)人群比例最高,特稟質(zhì)人群比例最低;中間型人群中,平和質(zhì)人群比例最高,血瘀質(zhì)人群比例最低;外向型人中,平和質(zhì)人群比例最高,氣郁質(zhì)人群比例最高。E量表的內(nèi)向型、中間型、外向型中九種體質(zhì)構(gòu)成比具有差異性(P0.001)。情緒穩(wěn)定型人群中,平和質(zhì)人群比例最高,氣郁質(zhì)人群比例最低;情緒中間型人群中,平和質(zhì)人群比例最高,血瘀質(zhì)人群比例最低;不穩(wěn)定型人群中,陰虛質(zhì)人群比例最高,血瘀質(zhì)人群比例最低。n量表的穩(wěn)定型、中間型、不穩(wěn)型中九種體質(zhì)構(gòu)成比具有差異性(p0.001)。精神質(zhì)正常人群中,平和質(zhì)人群比例最高,血瘀質(zhì)人群比例最低;傾向型人群中,平和質(zhì)人群比例最高,血瘀質(zhì)人群比例最低;神經(jīng)質(zhì)人群中,平和質(zhì)人群比例最高,特稟質(zhì)人群比例最低。p量表的正常型、傾向型、神經(jīng)質(zhì)中九種體質(zhì)構(gòu)成比具有差異性(p0.05)。4.內(nèi)外向維度中,平和質(zhì)人群得分最高((?)=52.79),氣郁質(zhì)人群得分最低((?)=40.74),與平和質(zhì)人群得分相比,陽虛質(zhì)、陰虛質(zhì)、氣郁質(zhì)人群的得分有差異性(p0.01);在神經(jīng)質(zhì)維度中,氣郁質(zhì)人群得分最高((?)=59.91),平和質(zhì)人群得分最低((?)=47.97),與平和質(zhì)人群的得分比較,陽虛質(zhì)、陰虛質(zhì)、氣虛質(zhì)、痰濕質(zhì)、濕熱質(zhì)、氣郁質(zhì)、特稟質(zhì)人群的得分有差異性(p0.05);在精神質(zhì)維度中,瘀血質(zhì)人群得分最高((?)=56.00),濕熱質(zhì)人群得分最低((?)=47.36),與平和質(zhì)人群的得分比較,濕熱質(zhì)人群的得分有差異性(p0.05)。5.分層研究時(shí)發(fā)現(xiàn):男性人群與女性人相比較,濕熱質(zhì)人群的得分在p維度上有差異性(p0.05);漢族人群與少數(shù)民族人群相比較,氣虛質(zhì)人群的得分在n維度上有差異性(p0.05);學(xué)生人群與門診病人相比較,特稟質(zhì)、血瘀質(zhì)人群的得分在e維度、痰濕質(zhì)人群的得分在p維度上有差異性(p0.05);本科學(xué)生人群與研究生人群相比較,氣虛質(zhì)人群的得分在n維度上有差異性(p0.05);已婚人群與未婚人群相比較,痰濕質(zhì)人群的得分在e、p2個(gè)維度上有差異性(p0.05);昆明市區(qū)人群與周邊地區(qū)人群相比較,瘀血質(zhì)人群的得分在n維度、陰虛質(zhì)人群的得分在p維度上有差異性(p0.05);有運(yùn)動(dòng)習(xí)慣人群與無運(yùn)動(dòng)習(xí)慣人群相比,各體質(zhì)上的得分均無差異性(p0.05)。6.Logistic回歸分析結(jié)果表明:e(內(nèi)外向)維度上與平和質(zhì)人群的得分相比較,陽虛質(zhì)、氣虛質(zhì)、氣郁質(zhì)人群的得分具有差異性(p0.05);n(神經(jīng)質(zhì))維度上與平和質(zhì)人群的得分相比較,陽虛質(zhì)、氣虛質(zhì)、痰濕質(zhì)、氣郁質(zhì)、特稟質(zhì)人群的得分具有差異性(p0.05);p(精神質(zhì))維度上與平和質(zhì)人群的得分相比較濕熱質(zhì)人群的得分具有差異性(p0.05)。結(jié)論:1.昆明地區(qū)九種中醫(yī)體質(zhì)構(gòu)成比與全國常模相比,陰虛質(zhì)與痰濕質(zhì)偏多,這可能與昆明地區(qū)多濕多燥的氣候特點(diǎn)以及長期飲食辛辣具有一定的關(guān)系。2.本次調(diào)查可以初步的證實(shí)在昆明地區(qū),中醫(yī)體質(zhì)與心理人格具有一定的相關(guān)性,與全國體質(zhì)常模中的心理構(gòu)成特點(diǎn)不盡相同,這也為中醫(yī)體質(zhì)學(xué)說提供了一定的流調(diào)學(xué)依據(jù)。3.在分層研究中發(fā)現(xiàn),各組分層中的九種體質(zhì)各人格維度得分具有統(tǒng)計(jì)學(xué)差異的較少,說明在昆明地區(qū)九種體質(zhì)在人格心理上可能都具有較為穩(wěn)定的特點(diǎn)。4.八種偏頗體質(zhì)與平和質(zhì)相比,在心理狀態(tài)上表現(xiàn)的更加的不穩(wěn)定,患上心理疾病的可能性也更大,所以本次調(diào)查研究可以為臨床上通過改變偏頗體質(zhì)來調(diào)整心理狀態(tài)提供了一定的調(diào)查基礎(chǔ)。
[Abstract]:Objective: in recent years, the medical model is changing to the "biological psycho social" medical model, which coincides with the "overall view" in the concept of traditional Chinese medicine. The understanding of Physique in traditional Chinese medicine embodies the view of "the whole view" of the Chinese medicine. The role of clinical treatment and health care in health care has been paid more attention by the medical community. The physique of traditional Chinese medicine believes that physique is not only affected by the physical quality, but also plays an important role in the constitution of the constitution. This study hopes to discuss the nine kinds of Chinese medicine in Kunming and its surrounding areas through the formula of questionnaire. The relationship between physical type and its modern personality and psychological characteristics, and the influence of the same constitution on personality and psychological characteristics under different basic conditions. Methods: from March 2016 to July 2016, the method of random sampling was taken to Yunnan University of Traditional Chinese Medicine, Kunming Medical University students and Kunming Baita District outpatient clinic, Saint love hospital outpatient department, Provincial Traditional Chinese Medicine The survey was carried out in the outpatient department of the hospital. The main contents of the investigation included the basic situation, the constitution questionnaire of traditional Chinese medicine and the simplified Chinese version of Eysenck Personality Questionnaire (EPQ-RSC). By using single factor analysis of variance and Logistic regression analysis, we studied flat, Yang deficiency, Yin deficiency, Qi deficiency, phlegm dampness, damp heat, blood stasis and qi stagnation. The characteristics of modern personality psychology of nine kinds of traditional Chinese medicine. Results: 1. after 2 weeks of formal investigation, a pre investigation was carried out. The correlation analysis of the results of the two surveys showed that the correlation coefficient was greater than 0.75, indicating that the retest reliability of the scale was better than that of the.2. students, the outpatient and the three people of the whole country were compared to the distribution of nine physical populations. It was found that the composition of the three was different (P0.001); there was a difference in the composition ratio of the students and the outpatient and the national norm (P0.001), and there was no difference in the comparison of the students and the outpatient diseases (P0.05) in the.3. introvert population with the highest proportion of the qi stagnation population and the lowest proportion of the special population; among the middle type, the population was the lowest. The proportion of the people in the flat group was the highest, the proportion of the blood stasis population was the lowest. Among the extroverted people, the proportion of the flat and the qualitative people was the highest. The proportion of the highest.E scales in the qi stagnation group was different (P0.001). The proportion of the people in the stable group was the highest, and the proportion of the qi stagnation population was the lowest. Among the middle groups, the proportion of the flat and the mass population was the highest, the proportion of blood stasis population was the lowest; among the unstable people, the proportion of the yin deficiency group was the highest. The proportion of the lowest.N scale in the blood stasis population was different (p0.001). The proportion of the people in the normal people with normal mental quality was the highest, and the blood was the highest in the normal people. The proportion of people with blood stasis was the lowest; the proportion of the flat and the qualitative population was the highest in the propensity population, and the proportion of blood stasis population was the lowest; in the neurotic population, the proportion of the flat and the qualitative population was the highest, the proportion of the lowest.P scale was the lowest, and the proportion of the 9 kinds of Physique in the neuroticism was different (P0.05) in the internal and external dimension of.4.. The highest score ((?) =52.79), the lowest score ((?) =40.74) in the qi depression group ((?)), and the score of Yang deficiency, yin deficiency and qi depression was different (P0.01); in the neuroticism, the score of qi depression was the highest ((?) =59.91), and the lowest ((?) =47.97) in the flat and quality population ((?) =47.97), compared with the level of the mass population, Yang Deficiency Quality, yin deficiency, Qi deficiency, phlegm dampness, dampness heat, qi stagnation, qi stagnation, and special temperament population were different (P0.05); in the mental dimension, the blood stasis group scored the highest ((?) =56.00), and the people with damp heat were the lowest ((?) =47.36). Compared with the score of the flat mass population, the score of the humid and hot population was different (P0.05) when the.5. stratification study was found. Compared with the female people, the scores of the hot and humid people were different in the P dimension (P0.05); the Han population was compared with the minority group, and the score of the Qi deficiency group was different in the n-dimension (P0.05); the students and the outpatients were compared with the outpatients, and the score of the blood stasis population was in the e dimension and the score of the phlegm damp population. There was a difference (P0.05) in the P dimension. Compared with the graduate students, the scores of the Qi deficiency were different (P0.05). Compared with the unmarried people, the scores of the married people were e, and the P2 dimensions were different (P0.05); the urban population in Kunming was compared with those in the surrounding areas, and the blood stasis was more than that of the people in the surrounding areas. The score of the group was in the n-dimensional degree, the score of the yin deficiency group was different in the P dimension (P0.05), and the scores of the physical habits were not different (P0.05) compared with those without the exercise habit (P0.05). The result of the.6.Logistic regression analysis showed that the E (internal and external) dimension was compared with the score of the flat and qualitative people, the deficiency of Yang, Qi deficiency and qi depression. The score of the crowd was different (P0.05); the score of the n (neuroticism) was compared with the score of the flat and qualitative crowd, the score of the Yang deficiency, the Qi deficiency, the phlegm wet quality, the qi stagnation, the quality of the extremely qualitative population was different (P0.05); the P (psychoticism) dimension compared with the score of the flat and qualitative people was different (P0.05). Conclusion: 1. Kunming Compared with the national norm, the constitution ratio of the nine kinds of Chinese medicine in the Ming area is compared with the national norm, which may be related to the climate characteristics of the wet and dry climate in Kunming and the long-term diet and spicy. This investigation can preliminarily confirm that in the Kunming area, the constitution of Chinese medicine has a certain correlation with the psychological personality and the national body. The psychological composition of the qualitative norm is different. It also provides a certain flow study basis for the theory of physique of traditional Chinese medicine (.3.). It is found in the stratified study that the scores of the personality dimensions of the nine kinds of Physique in each stratification are less statistically different, indicating that the nine Physiques in the Kunming region may have more stable personality in the personality psychology. Characteristic.4. eight kinds of biased constitutions are more unstable in psychological state and more likely to suffer from psychological diseases. Therefore, this investigation can provide a basis for clinical study to adjust the psychological state by changing the biased constitution.

【學(xué)位授予單位】：云南中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R229

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 邱男;徐瑩;;大學(xué)生中醫(yī)體質(zhì)、五態(tài)人格與抑郁情況的關(guān)系研究[J];醫(yī)學(xué)與哲學(xué)(B);2015年08期

2 李海峰;陳正;趙心華;;《內(nèi)經(jīng)》多維度多層面立體化體質(zhì)論的建構(gòu)分析[J];江蘇中醫(yī)藥;2013年12期

3 邵祺騰;杜漸;李黎;王昊;張振華;楊秋莉;;更年期婦女中醫(yī)人格、體質(zhì)特征分析[J];中醫(yī)雜志;2013年17期

4 董國杰;趙燕平;陳燦銳;龔成;鄭玲;張曉;;中醫(yī)體質(zhì)與人格特質(zhì)關(guān)系[J];中華中醫(yī)藥學(xué)刊;2013年04期

5 林湘屏;;小兒體質(zhì)分類及分類標(biāo)準(zhǔn)初探[J];中醫(yī)兒科雜志;2013年02期

6 曹田梅;張李興;張庭基;;特稟質(zhì)與其他體質(zhì)類型相關(guān)性研究[J];遼寧中醫(yī)雜志;2012年09期

7 王麗娟;;中醫(yī)體質(zhì)學(xué)的研究進(jìn)展[J];中國民間療法;2012年05期

8 許飛龍;符林春;岑玉文;;中醫(yī)體質(zhì)學(xué)的研究進(jìn)展[J];中華中醫(yī)藥學(xué)刊;2011年09期

9 王琦;;中醫(yī)體質(zhì)辨識(shí)在公共衛(wèi)生服務(wù)中的應(yīng)用[J];福建中醫(yī)藥大學(xué)學(xué)報(bào);2011年02期

10 楊秋莉;徐蕊;于迎;薛崇成;;五態(tài)人格、體質(zhì)類型與抑郁癥的中醫(yī)證型的關(guān)系探討[J];中醫(yī)雜志;2010年07期

相關(guān)碩士學(xué)位論文 前2條

1 于曉林;易感小兒中醫(yī)體質(zhì)分類的臨床探究[D];湖北中醫(yī)藥大學(xué);2014年

2 趙欣;80例先兆流產(chǎn)患者中醫(yī)證型與中醫(yī)體質(zhì)及人格特征的相關(guān)性分析[D];成都中醫(yī)藥大學(xué);2013年

，

本文編號(hào)：1849613