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題名:對中醫外感常見症狀術語標準化之初探
書刊名:中醫藥雜誌
作者:陳運泰陳嘉允陳稼洺鄭宗琳張恒鴻許堯欽楊中賢林宏任羅綸謙
作者(外文):Chen, Yun-taiChen, Chia-yunChen, Jia-mingCheng, Tsung-linChang, Hen-hongHsu, Yao-chinYang, Chung-hsienLin, Hung-jenLo, Lun-chien
出版日期:2015
卷期:26:1
頁次:頁45-58
主題關鍵詞:中醫學診斷症狀術語標準化認同度一致性Traditional Chinese medicineDiagnosisSymptom terminologyStandardizationConsistencyAgreement
原始連結:連回原系統網址new window
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目的:本研究旨在透過共識的凝聚,對中醫外感常見症狀術語的涵義及臨床操作模式進行標準化,以提昇中醫症狀術語臨床運用的一致性。 方法:採取文獻整理和專家共識法擬定初步標準化內容,再以李克特量表的形式製成半開放式問卷,交寄中醫師填答與回饋,問卷回收後分析認同度,並以Cronbach’s alpha 指數檢測一致性。 結果:專家選定惡風、惡寒、自汗、痰、口渴、喘、咳嗽、咽喉痛、項強和頭痛等十項外感常見症狀,擬定其涵義及臨床操作模式,此共識內容在問卷填寫者間獲得很高的認同,並有顯著的一致性,顯示了良好的共識。 結論:本研究首度嘗試以調查認同度的方式整合中醫師對症狀術語的共識,雖僅為初步成果,仍為症狀術語的研究提供了新方向,未來可參考本方法持續對重要的症狀術語進行標準化,並擴大參與面,凝聚更高的共識,提高中診斷的信度和客觀性。
Purpose: Symptoms with highly agreed definitions are essential for establishment of an objectivetraditional Chinese medicine (TCM) system. This study was intended to standardize definitions of tensymptoms of exogenous febrile disease in TCM. We attempted to build a preliminary consensus ofdefinitions of these symptoms within the group of TCM physicians in Taiwan.Methods: We adapted methods of literature collection and panel meeting to build a preliminaryconsensus of definitions of these symptoms. The result was transformed to questionnaire in the formof Likert scale. Then we used purposive sampling to select TCM physicians work in teaching hospitaland delivered questionnaire to them. After return of questionnaires, average value and Cronbach'salpha were calculated for testing the agreement and consistency, respectively.Results: The standardization of meaning and operational procedure of ten symptoms wereperformed, they were aversion to wind, aversion to cold, spontaneous sweating, sputum, thirsty,dyspnea, cough, sore throat, stiffness of the neck and headache.Conclusion: The result revealed that survey respondents were in high agreement with thepreliminary consensus built by experts. The consistency also had statistical significance. For increasingthe reliability and objectivity of TCM diagnosis, definitions of other symptoms should keep bestandardized, and methodology of this study was recommended to the following researcher.
期刊論文
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2.Wang, G.、Mao, B.、Xiong, Z. Y.、Fan, T.(2007)。The quality of reporting of randomized controlled trials of traditional Chinese medicine: a survey of 13 randomly selected journals from mainland China。Clin. Ther.,29,1456-1467。  new window
3.Manheimer, E.、Wieland, S.、Kimbrough, E.(2009)。Evidence from the Cochrane collaboration for traditional Chinese medicine therapies。J. Altern. Complement. Med.,15,1001-1014。  new window
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5.Xue, C. C.、Zhang, A. L.、Greenwood, K. M.(2010)。Traditional Chinese medicine: an update on clinical evidence。J. Altern. Complement. Med.,16,301-312。  new window
6.Kylie, A.、O'Brien, K. A.、Birch, S.(2009)。A review of the reliability of traditional East Asian medicine diagnoses。J. Altern. Complement. Med.,15,353-366。  new window
7.Chen, F. J.、Wang, H. S.、Huang, C. Y.、Chen, Y. S.(2012)。Pulse analysis in bipolar disordered and nonpsychotic human subjects。Am. J. Chin. Med.,40,455-465。  new window
8.龔彥穎、郭博昭、楊靜修、黃怡超(20120600)。更年期證型與自律神經相關性研究。中醫藥雜誌,23(1),1-15。new window  延伸查詢new window
9.Liou, J. M.、Huang, C. M.、Chiu, C. C.(2011)。Differences in pulse spectrum analysis between atopic dermatitis and nonatopic healthy children。J. Altern. Complement. Med.,17,325-328。  new window
10.Lo, L. C.、Chiang, J. Y.、Cheng, T. L.、Shieh, P. S.(2012)。Visual agreement analyses of traditional Chinese medicine: a multiple-dimensional scaling approach。Evidence-based complementary and alternative medicine,2012,1-5。  new window
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13.張啟明、王義國、張磊、于東林、王永炎(2010)。內涵最小的獨立症狀。北京中醫藥大學學報,33,5-10。  延伸查詢new window
14.張志強、王永炎、蓋國忠(2010)。論中醫症狀名稱規範五原則。北京中醫藥大學學報,33,595-596。  延伸查詢new window
15.張志強、王永炎、蓋國忠(2011)。中醫症狀術語的表述類型及特徵管窺。北京中醫藥大學學報,34,521-522。  延伸查詢new window
16.張志強、王永炎、蓋國忠(2011)。論中醫症狀術語規範中的"症狀各自獨立"。北京中醫藥大學學報,34,797-799。  延伸查詢new window
17.張會永、張杰、馬曉燕、張寧蘇、齊文誠、李德新(2011)。中醫內科學症狀術語規範化研究。遼寧中醫雜誌,38,1032-1033。  延伸查詢new window
18.廖祥琳、楊中賢(2013)。問診的臨床操作技巧--症狀的動態變化與時序。台灣中醫醫學雜誌,11,11-22。  延伸查詢new window
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圖書
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8.馬建中(1993)。中醫診斷學。臺北:正中書局。  延伸查詢new window
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