CN104657597A - Method and system for generating network-addiction TCM syndrome diagnostic scale - Google Patents
Method and system for generating network-addiction TCM syndrome diagnostic scale Download PDFInfo
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Abstract
The invention provides a method and system for generating a network-addiction TCM (traditional Chinese medicine) syndrome diagnostic scale. According to design philosophies and steps of the scale, methods such as literature research and expert consultation are combined, and through determining concepts of the network addiction and the TCM basic syndrome, building a scale structure and an item pool, generating questions and answers, pre-surveying, checking reliability and validity, revising and other processes under the guidance of TCM basic theories, the scale for evaluating the network addiction and the TCM basic syndrome is researched preliminarily; the scale forms five dimensionalities including liver stagnation syndrome, spleen-qi deficiency, liver-fire syndrome, kidney yin deficiency syndrome and phlegm-damp syndrome, and 36 items, and integrates with self assessments and interviews. By utilizing the scale to investigate clinical epidemiology of the network addicts, the syndrome of the network addicts can be evaluated quantitatively in certain degrees and the characteristics of the TCM basic syndrome of the network addicts can be mastered preliminarily. The scale provides a standardized tool and a standardized method for syndrome classified studies of the network addicts, being an effective method for deciding and measuring the network addiction.
Description
Technical field
The invention belongs to network addiction assessment technique field, particularly relate to a kind of network addiction TCM syndrome diagosis scale and generate method and system.
Background technology
Network addiction and Internet addiction disorder, normal with emotional handicap.In recent years, network addiction has become the public mental hygiene problem teen-age health of society being formed to significant threat, is also one of major reason of inferior health Negative Emotional formation simultaneously.The research of current modern medicine to Internet addiction disorder generation mechanism and means of intervention mainly concentrates on the aspects such as psychology, brain physiology, behavior.Traditional Chinese medicine gets involved fundamental research to network addiction problem, can promote from the more deep comprehensive understanding of traditional Chinese medicine unique perspective to network addiction Forming Mechanism.Therefore from traditional Chinese medical science body and the spirit one, the angle that syndrome is measured is launched research and is still belonged to blank.
Summary of the invention
The object of the present invention is to provide a kind of network addiction TCM syndrome diagosis scale to generate method and system, be intended to from TCM Syndrome Theories angle, development embodies the scale of TCM syndrome diagosis characteristic, explores, seeks judgement and measure the effective ways that network addiction is diagnosed.
The present invention is achieved in that a kind of network addiction TCM syndrome diagosis amount table generating method, comprises the following steps:
Choose experimenter with network addiction illness standard, collected the network addiction evaluation charter of experimenter's submission by answer and interview mode;
Carry out in answer and interview process experimenter, gather the physiological change of experimenter, and the addiction evaluation charter of the experimenter of the value that physiological change amplitude surpassed the expectation is deleted;
The addiction evaluation charter retained being carried out to the foundation of database, screen out invalid scale in database, statistical study is carried out to effective scale data, deleting the low entry with representing disease symptoms of response rate;
Rank correlation analysis is carried out to effective scale data, delete the entry with affiliated dimension correlativity rs<0.4, or other entries of deletion and affiliated dimension does not exist the entry of statistical significance correlativity.
Preferably, described rank correlation analysis is carried out to effective scale data in execution, delete and the entry of affiliated dimension correlativity rs<0.4, or delete and other entries of affiliated dimension there is not the step of the entry of statistical significance correlativity after also comprise:
By Krona Bach Alpha Coefficient Method, item analysis is carried out to revised scale, the overall coefficient of entry coefficient and each dimension is compared, delete the entry be lack of consistency with other entries of dimension, obtain network addiction TCM syndrome diagosis scale.
Preferably, described network addiction illness standard is use network time to meet or exceed 6h continuously average every day, and meets symptom standard and meet or exceed 3 months; Wherein, described symptom standard formulates " clinical criteria of network addiction " for foundation with General Hospital of Beijing Military Command, adolescents in China psychological development base.
Preferably, described network addiction evaluation charter is made up of the scale entry under dimension and dimension, described dimension comprises TCM liver depression, syndrome of deficiency of spleen qi, irascibility card, syndrome of deficiency of liver yin and phlegm wet card five dimensions, the evaluation form of described scale entry adopts Li Kete LikertScale Pyatyi scale entry to be foundation, Pyatyi evaluation is respectively not to be had at all, seldom have, have, Duo Shuoyou, always have, and counts 1 ~ 5 point forward or backwards depending on entry way to put questions; Described scale entry comprises Pyatyi and quantizes entry and non-Pyatyi quantification interview entry.
Preferably, described invalid scale comprises and fills in imperfect, that answer is inconsistent scale.
Invention further provides a kind of network addiction TCM syndrome diagosis scale generation system, described system comprises treating apparatus, and described treating apparatus comprises:
Scale generation module, for generating network addiction evaluation charter;
Scale removing module, for the physiological signal provided according to physiological signal detecting device, the addiction evaluation charter of the experimenter of the value that physiological change amplitude surpassed the expectation is deleted;
First entry removing module, for carrying out the foundation of database to the addiction evaluation charter retained, screens out invalid scale in database, carries out statistical study to effective scale data, deletes the low entry with representing disease symptoms of response rate;
Second entry removing module, for carrying out rank correlation analysis to effective scale data, delete the entry with affiliated dimension correlativity rs<0.4, or there is not the entry of statistical significance correlativity in other entries of deletion and affiliated dimension.
Preferably, described treating apparatus also comprises: third entry removing module, for carrying out item analysis by Krona Bach Alpha Coefficient Method to revised scale, the overall coefficient of entry coefficient and each dimension is compared, delete the entry be lack of consistency with other entries of dimension, obtain network addiction TCM syndrome diagosis scale.
Preferably, described system also comprises:
Display device, is shown to experimenter for the network addiction evaluation charter generated by treating apparatus;
Message input device, for experimenter by answer and interview mode by Data Enter in network addiction evaluation charter;
Physiological signal detecting device, for collecting the physiological signal of experimenter in experimenter's answer and interview process;
Wherein, described display device, message input device and physiological signal detecting device are all connected with treating apparatus signal.
Preferably, described network addiction evaluation charter is made up of the scale entry under dimension and dimension, described dimension comprises TCM liver depression, syndrome of deficiency of spleen qi, irascibility card, syndrome of deficiency of liver yin and phlegm wet card five dimensions, the evaluation form of described scale entry adopts Li Kete LikertScale Pyatyi scale entry to be foundation, Pyatyi evaluation is respectively not to be had at all, seldom have, have, Duo Shuoyou, always have, and counts 1 ~ 5 point forward or backwards depending on entry way to put questions; Described scale entry comprises Pyatyi and quantizes entry and non-Pyatyi quantification interview entry.
Preferably, described invalid scale comprises and fills in imperfect, that answer is inconsistent scale.
The present invention overcomes the deficiencies in the prior art, a kind of network addiction TCM syndrome diagosis scale is provided to generate method and system, according to principle and the step of design of Scales, in conjunction with literature research, the methods such as expert consulting, under Basic Theories of Chinese Medicine instructs, by determining network addiction and the basic syndrome concept of the traditional Chinese medical science, build scale construction and entry pond, have problems and answer, pre-investigation, the processes such as the inspection of letter validity and revision, the scale of the basic syndrome of the Preliminary development evaluation network addiction traditional Chinese medical science, this scale is formed and comprises TCM liver depression, syndrome of deficiency of spleen qi, irascibility is demonstrate,proved, syndrome of deficiency of kidney yin and phlegm wet card 5 dimensions, 36 entries (wherein Pyatyi quantizes entry 30), the scale that self-appraisal combines with interview.Scale is utilized to carry out investigation of clinical epidemiology to network addiction crowd, can quantitatively evaluating network addiction crowd syndrome to a certain extent, the basic Characteristics of Syndromes of the traditional Chinese medical science of preliminary grasp network addiction crowd, this scale can provide a standardized tool and method for the syndrome-classification research of network addiction crowd, is that network addiction judges and the effective ways measured.
Accompanying drawing explanation
Fig. 1 is the flow chart of steps of network addiction TCM syndrome diagosis amount table generating method one embodiment of the present invention;
Fig. 2 is the flow chart of steps of the another embodiment of network addiction TCM syndrome diagosis amount table generating method of the present invention;
Fig. 3 is the structural representation of network addiction TCM syndrome diagosis scale generation system one embodiment of the present invention;
Fig. 4 is the structural representation of the another embodiment of network addiction TCM syndrome diagosis scale generation system of the present invention.
Embodiment
In order to make object of the present invention, technical scheme and advantage clearly understand, below in conjunction with drawings and Examples, the present invention is further elaborated.Should be appreciated that specific embodiment described herein only in order to explain the present invention, be not intended to limit the present invention.
A kind of network addiction TCM syndrome diagosis amount table generating method, as shown in Figure 1, comprises the following steps:
Step S1, choose experimenter with network addiction illness standard, collect by answer and interview mode the network addiction evaluation charter that experimenter submits to.
In step sl, network addiction crowd experimenter choose flow process and standard specifically comprises:
Diagnostic criteria: formulate " clinical criteria of network addiction " according to General Hospital of Beijing Military Command, adolescents in China psychological development base, course of disease standard is use network time to meet or exceed 6h continuously average every day, and meets symptom standard and meet or exceed 3 months.
Inclusive criteria: 1. meet " clinical criteria of network addiction ", be diagnosed as Internet Addicts; 2. understand this research purpose, have cooperative desire, compliance is good; 3. Clear consciousness, vital sign is steady.
Exclusion standard: 1. suffer from mental illness and great physical disease; 2. lose or do not possess the patient of autonomous judgement.
In step sl, in the compilation process of network addiction evaluation charter, the principle of scale processed is specially:
1. according to the basic theory of TCM syndrome diagosis, according to the conceptual design of network addiction and the basic syndrome of the traditional Chinese medical science, the intension meeting the basic syndrome of the network addiction traditional Chinese medical science is made every effort to.2. scale entry representativeness is good, and independence is strong, and susceptibility is high.3. Pyatyi quantize entry be suitable for self-appraisal, because of the reasons such as schooling cannot self-appraisal time, can by tester one by one fixed pattern inquire record.4. design of Scales meets reliability, the validity requirement of mental measurement instrument.
Scale is the closed scale that self-appraisal combines with interview.Self-appraisal part mainly comprises the more common symptom of network addiction, sign.Interview part specifically comprises the contents such as the state of mind, complexion, tongue fur, pulse condition.The foundation that interview part judges as tcm syndrome, does not participate in scoring.
In conjunction with the observation of pertinent literature to network addiction crowd symptom characteristic, with reference to research process and the structural framing of existing inferior health mood measuring scale, internationally recognized network addiction measuring scale, Development of Quality of Life Scale, the present invention proposes the theoretical frame of questionnaire, and the card primary design that TCM liver depression, syndrome of deficiency of spleen qi, irascibility card, syndrome of deficiency of liver yin and phlegm wet is 5 dimensions of scale.
Academia generally acknowledges that the network addiction interpretation of the cause, onset and process of an illness is based on the obstruction of the circulation of vital energy (changing fire), and disorder of emotion is important behaviour form.Traditional Chinese medicine thinks that the basic pathogenesis that inernal injuries caused by seven emotions is fallen ill is depression and stagnation of QI, mostly is irritability catharsis too late, loses and reach in bar.Depressed and anxiety is the main feelings will performance of network addiction, and depressed very identical with Liver of TCM melancholia, anxiety is demonstrate,proved similar to irascibility.Network addiction crowd somatization often show as anorexia, gastrointestinal dysfunction this again with Spleen-Qi Deficiency and damp evil in close relations, the disorder of network addiction crowd sleep rhythm easily causes deficiency of the liver-yin problems again.
With the form that expert holds a conference or consultation, under the guidance of tcm syndrome theory, on the basis of concept connotation fully understanding the basic syndrome of the network addiction traditional Chinese medical science, in conjunction with expert's (being engaged in the expert of TCM basis and clinical and mental measurement, health evaluation aspect) scale investigation and experimenter's interview, finally determine scale dimension, and the entry under building dimension, define 5 dimensions, 45 rule object scales as clinical pre-investigation.
In addition, scale entry puts question to form in building, and the problem forming easy to understand answer according to selected entry is principle, and the entry problem as by asthenopia is changed into " your eyes are easily tired ".This goes back pay abundant attention experimenter interview in problem design process, and respondent is to the understanding of network addiction in research, analyzes the word custom of domestic description network addiction, avoids using obscure TCM-related Terms as far as possible, reduce experimenter and understand the error caused not in place.
To sum up, network addiction evaluation charter is made up of the scale entry under dimension and dimension, described dimension comprises TCM liver depression, syndrome of deficiency of spleen qi, irascibility card, syndrome of deficiency of liver yin and phlegm wet card five dimensions, the evaluation form of described scale entry adopts Li Kete LikertScale Pyatyi scale entry to be foundation, Pyatyi evaluation is respectively not to be had at all, seldom have, have, Duo Shuoyou, always have, and counts 1 ~ 5 point forward or backwards depending on entry way to put questions; Described scale entry comprises Pyatyi and quantizes entry and non-Pyatyi quantification interview entry.
Step S2, carry out in answer and interview process experimenter, gather the physiological change of experimenter, and the deletion of the addiction evaluation charter of the experimenter of value that physiological change amplitude is surpassed the expectation.
In step s 2, experimenter in the answer of above-mentioned network addiction evaluation charter and interview process, the physiological change of Real-time Collection experimenter, the modes such as such as body surface resistance, heart rate, pulse, blood pressure, and judge experimenter's emotional change according to these physiological change, judge whether experimenter fills in strictly according to the facts according to emotional change amplitude (desired value), scale excessive for emotional change amplitude is deleted, increase the authenticity of scale.
Step S3, the foundation of database is carried out to the addiction evaluation charter retained, screen out invalid scale in database, statistical study is carried out to effective scale data, delete response rate low and represent the entry of disease symptoms.
In step s3, adopt Epidata software to the addiction evaluation charter building database retained, screen out invalid scale, comprise and fill in imperfect, that answer is inconsistent scale.
Application SPSS statistical package carries out data statistics, and concrete statistical method has factorial analysis, Spearman rank correlation analysis, W ilcoxon rank test etc.By the maximum rotary process of positive crossvariance in Principal Component Factor Analysis, the KMO value extracting 5 common factors is 0.809, the chi-square value of Bartlett sphericity test is 8022.194 (P<0.01), accumulation contribution rate is 62.11%, the scale data that display is collected are applicable to carrying out factorial analysis, the structure of 5 common factors is comparatively reasonable, substantially contains the dimension of the scale formulated according to theory, and the entry gathering under each common factor is easier to explain.According to the result of factorial analysis, the entry of factor loading lower (<0.4), the low entry with representing disease symptoms of response rate is considered as the entry of deletion.
Step S4, rank correlation analysis is carried out to effective scale data, delete the entry with affiliated dimension correlativity rs<0.4, or to delete and other entries of affiliated dimension do not exist the entry of statistical significance correlativity.
In step s 4 which, find that most of entry divides the good relationship of dividing with its dimension by Spearman rank correlation analysis, the entry under prompting dimension reflects the content of this dimension substantially.Partial entry and affiliated dimension correlativity lower (rs<0.4) or and other entries of affiliated dimension there is not statistical significance correlativity (P>0.05), be considered as the entry of deletion.
The Wilcoxon rank test of being compared by two independent samples, find that each entry score average divides into groups all there is significant difference (P<0.01) between (dimension scores is positioned at the sample of front 27%) and low grouping (dimension scores is positioned at the sample of rear 27%) at the height of each dimension scores of scale, the discrimination of prompting entry is good.Based on above-mentioned statistical analysis, according to the requirement of clinical practice, in conjunction with experimenter, entry is understood to the feedback of situation, to response rate, the low entry with representing disease symptoms is deleted, carry out merging to 39 entries of Pyatyi quantification in scale to delete, revision draws 33 entries.
For studying additions and deletions entry rationality further, in further implementation process, network addiction TCM syndrome diagosis amount table generating method of the present invention, as shown in Figure 2, also comprises:
Step S5, by Krona Bach Alpha Coefficient Method, item analysis is carried out to revised scale, the overall coefficient of entry coefficient and each dimension is compared, delete the entry be lack of consistency with other entries of dimension, obtain network addiction TCM syndrome diagosis scale.
In step s 5, Krona Bach Alpha Coefficient Method is adopted to carry out item analysis to the scale that 33 Pyatyis quantize entry.The overall coefficient of coefficient and each dimension after certain entry of removal is compared, as side reaction coefficient reduces, points out this entry and dimension to have internal requirement; As side reaction coefficient raises, illustrate that this entry and other entries of dimension are lack of consistency.The analysis of application Krona Bach Alpha Coefficient Method draws should remove thirsty, flushing, thin not well 3 entries in large loose stool.The scale of the total entry of final formation 36 (30 Pyatyi quantizes entry, 6 non-Pyatyis quantize entry).
The scale obtained by step S5 carries out reliability and validity analysis, and detailed process comprises:
First Academy's Clinical Psychology, Wei Fang city the People's Hospital's Psychology Dept., Linyi City mental health center Wang Jie center, Shandong net Kang Jiaoyu Jinan training school collection network addiction crowd effective sample 98 example is found in the outpatient service of Shandong University The Second Hospital psychological consultation net ring, Shandong Province year Dec in March, 2013 ~ 2013, non-network addiction crowd effective sample 26 example, has carried out Validity detection.Reliability context of detection, the Krona Bach side reaction coefficient value of the overall and each dimension of scale, by half coefficient value and stability series numerical value are respectively between 0.72 ~ 0.94,0.69 ~ 0.88,0.89 ~ 0.98.Discrimination validity shows as network addiction crowd, each dimension of non-network addiction crowd scale and overall scores and all has obvious statistical significance (P<0.01); Construction validity adopts factorial analysis, and extract 5 common factors by feature root >1, accumulation contribution rate is 63.63%.Entry contained by comprehensive 5 common factors, and the not ipsilateral each factor represented carries out corresponding with commercial weight table after concluding, and forms TCM liver depression, syndrome of deficiency of spleen qi, irascibility is demonstrate,proved, syndrome of deficiency of kidney yin and phlegm wet card 5 common factors.Therefore this scale has good reliability and validity, can as an instrument of net tcm syndrome classification and yardstick.
Conclusion:
Network addiction refers to out of control without the internet behavior impulsion under addictive substance effect, causes individual significantly society, mental functioning infringement owing to excessively using internet, and along with the enhancing of enjoyment, tries to stop but cannot, be difficult to extricate oneself.Network addiction person has four features: the dependence feeling on behavior and mentality; Selfdiscipline and the control of behavior are lost substantially; The normal order of work and life is upset; Physical and mental health is subject to more serious infringement.Once lack the network life, body and mind just there will be abnormal response.Network addiction symptom can be divided into mental symptoms and somatization.The mental symptoms of network addiction shows as emotional lability, low, irritated.Hypomnesia, feels depressed, and treat that people is cold and detached, behavior is strange, haves the fidgets, and substantially be unable to do without network; Somatization comprises: the disorderly and fatigue and weak of anorexia, gastrointestinal dysfunction, malnutrition, sleep rhythm, the nervous vegetative nerve functional disturbance such as uncomfortable in chest.Because watching computer screen attentively for a long time, notice high concentration, number of winks reduce, can cause that visual fatigue, eye are dry and astringent, distending pain, blurred vision, visual impairment, even occur that screen is fainted phenomenon (blackout, can with Nausea and vomiting).Contrasted with above-mentioned clinical observation by scale and find, the syndrome distribution of scale can comprise the common tcm syndrome of the network addiction that above-mentioned observation describes.
The network addiction crowd study on syndromes in the past carried out, maximum shortcoming lacks the standardized survey instrument of tcm syndrome exactly.The present invention is from TCM Syndrome Theories angle, by scale Evaluation Method, particularly Scale assessment method is wherein incorporated into network addiction research field, current evaluation measures can be made up to a great extent the deficiency that (soft quota) evaluate is experienced to network addiction crowd oneself, thus effectively judge and measure network addiction state, be a significant exploration to network addiction tcm syndrome sort research method.By setting up network addiction tcm syndrome conceptual framework, collect entry and form entry pond, selected entry, formation problem, carry out a series of flow processs such as pre-investigation, tentatively completing the development of network addiction tcm syndrome scale.By above method and step, have developed the scale that self-appraisal combines with interview, comprise TCM liver depression, syndrome of deficiency of spleen qi, irascibility is demonstrate,proved, syndrome of deficiency of kidney yin and phlegm wet card 5 dimensions, article 36, entry (it is 30 that Pyatyi quantizes entry), and never ipsilateral is evaluated its function, according to reliability, validity Evaluation result is known, overall and each dimension Krona Bach A coefficient, stability coefficient, split half reliability coefficient is all higher, discrimination validity is good, the division reasonable of construction validity is practical, this scale is satisfactory in the measurement data result of different dimensions and scale entirety.
The attribute of scale of the present invention to network addiction tcm syndrome proposes new understanding, think that the basic basic pathogenesis of the network addiction traditional Chinese medical science is based on the deficiency of vital energy, the obstruction of the circulation of vital energy (changing fire) and wet card, comprise TCM liver depression, syndrome of deficiency of spleen qi, irascibility card, syndrome of deficiency of kidney yin and phlegm wet card 5 aspects, and extract the basic syndrome of the representational entry formation network addiction traditional Chinese medical science, ensure that the integrality of the rationality of scale construction, content, the representativeness of entry.Scale is in the mode of filling in, and to be certainly chosen as master, interview is auxiliary.Reduce on the one hand doctor's subjective judgement slip up the error brought, also guarantee by investigator, the lower experimenter that cannot fill in scale of schooling knows that scale content is also correctly answered on the other hand.Scale adopts standardization point system, carries out Quantitative marking to measured's subjective information, is easy to operation, is convenient to compare, can judges the syndrome tendentiousness of individuality, can make evaluation again to the syndrome distribution situation of crowd.
To sum up, the present invention is intended to work out the survey instrument that can carry out scientific evaluation to network addiction tcm syndrome, to working out norm, sets up network addiction specification, unified TCM syndrome diagnostic criteria, thus the traditional Chinese medical science interventional therapy of comprehensive assurance network addiction.
Invention further provides a kind of network addiction TCM syndrome diagosis scale generation system, as shown in Figure 3, described system comprises treating apparatus 1, and described treating apparatus 1 comprises:
Scale generation module 10, for generating network addiction evaluation charter;
Scale removing module 11, for the physiological signal provided according to physiological signal detecting device, the addiction evaluation charter of the experimenter of the value that physiological change amplitude surpassed the expectation is deleted;
First entry removing module 12, for carrying out the foundation of database to the addiction evaluation charter retained, screens out invalid scale in database, carries out statistical study to effective scale data, deletes the low entry with representing disease symptoms of response rate;
Second entry removing module 13, for carrying out rank correlation analysis to effective scale data, delete the entry with affiliated dimension correlativity rs<0.4, or there is not the entry of statistical significance correlativity in other entries of deletion and affiliated dimension.
More specifically, described treating apparatus 1 also comprises: third entry removing module 14, for carrying out item analysis by Krona Bach Alpha Coefficient Method to revised scale, the overall coefficient of entry coefficient and each dimension is compared, delete the entry be lack of consistency with other entries of dimension, obtain network addiction TCM syndrome diagosis scale.
It is corresponding that treating apparatus 1 in the embodiment of the present invention and above-mentioned network addiction TCM syndrome diagosis scale generate embodiment of the method, with above-mentioned embodiment of the method contents equally for explaining treating apparatus 1 embodiment of the present invention, do not repeat them here.
As whole set of system, more specifically, in embodiments of the present invention, network addiction TCM syndrome diagosis scale generation system of the present invention, as shown in Figure 4, also comprises:
Display device 2, is shown to experimenter for the network addiction evaluation charter generated by treating apparatus 1;
Message input device 3, for experimenter by answer and interview mode by Data Enter in network addiction evaluation charter;
Physiological signal detecting device 4, for collecting the physiological signal of experimenter in experimenter's answer and interview process;
Wherein, described display device 2, message input device 3 and physiological signal detecting device 4 are all connected with treating apparatus 1 signal.
In embodiments of the present invention, display device 2 is display, and message input device 3 comprises voice interaction device, such as headset, and mouse, and physiological signal detecting device 4 comprises electrode slice, blood pressure instrument etc., and treating apparatus 1 is PC.Each device communicatively connects.Experimenter completes the Data Enter of answer to scale and interview mode by headset, mouse etc., and carries out information processing by treating apparatus 1.
Compared to the shortcoming and defect of prior art, the present invention has following beneficial effect: the attribute of the present invention to network addiction tcm syndrome proposes new understanding, think that the basic basic pathogenesis of the network addiction traditional Chinese medical science is based on the deficiency of vital energy, the obstruction of the circulation of vital energy (changing fire) and wet card, comprise TCM liver depression, syndrome of deficiency of spleen qi, irascibility card, syndrome of deficiency of kidney yin and phlegm wet card 5 aspects, and extract the basic syndrome of the representational entry formation network addiction traditional Chinese medical science, ensure that the integrality of the rationality of scale construction, content, the representativeness of entry.Scale is in the mode of filling in, and to be certainly chosen as master, interview is auxiliary.Reduce on the one hand doctor's subjective judgement slip up the error brought, also guarantee by investigator, the lower experimenter that cannot fill in scale of schooling knows that scale content is also correctly answered on the other hand.Scale adopts standardization point system, carries out Quantitative marking to measured's subjective information, is easy to operation, is convenient to compare, can judges the syndrome tendentiousness of individuality, can make evaluation again to the syndrome distribution situation of crowd.
The foregoing is only preferred embodiment of the present invention, not in order to limit the present invention, all any amendments done within the spirit and principles in the present invention, equivalent replacement and improvement etc., all should be included within protection scope of the present invention.
Claims (10)
1. a network addiction TCM syndrome diagosis amount table generating method, is characterized in that, comprise the following steps:
Choose experimenter with network addiction illness standard, collected the network addiction evaluation charter of experimenter's submission by answer and interview mode;
Carry out in answer and interview process experimenter, gather the physiological change of experimenter, and the addiction evaluation charter of the experimenter of the value that physiological change amplitude surpassed the expectation is deleted;
The addiction evaluation charter retained being carried out to the foundation of database, screen out invalid scale in database, statistical study is carried out to effective scale data, deleting the low entry with representing disease symptoms of response rate;
Rank correlation analysis is carried out to effective scale data, delete the entry with affiliated dimension correlativity rs<0.4, or other entries of deletion and affiliated dimension does not exist the entry of statistical significance correlativity.
2. network addiction TCM syndrome diagosis amount table generating method as claimed in claim 1, it is characterized in that, described rank correlation analysis is carried out to effective scale data in execution, delete and the entry of affiliated dimension correlativity rs<0.4, or delete and other entries of affiliated dimension there is not the step of the entry of statistical significance correlativity after also comprise:
By Krona Bach Alpha Coefficient Method, item analysis is carried out to revised scale, the overall coefficient of entry coefficient and each dimension is compared, delete the entry be lack of consistency with other entries of dimension, obtain network addiction TCM syndrome diagosis scale.
3. as right wants the network addiction TCM syndrome diagosis amount table generating method as described in 2, it is characterized in that, described network addiction illness standard is use network time to meet or exceed 6h continuously average every day, and meets symptom standard and meet or exceed 3 months; Wherein, described symptom standard formulates " clinical criteria of network addiction " for foundation with General Hospital of Beijing Military Command, adolescents in China psychological development base.
4. network addiction TCM syndrome diagosis amount table generating method as claimed in claim 3, it is characterized in that, described network addiction evaluation charter is made up of the scale entry under dimension and dimension, described dimension comprises TCM liver depression, syndrome of deficiency of spleen qi, irascibility card, syndrome of deficiency of liver yin and phlegm wet card five dimensions, the evaluation form of described scale entry adopts Li Kete LikertScale Pyatyi scale entry to be foundation, Pyatyi evaluation is respectively not to be had at all, seldom have, have, Duo Shuoyou, always have, and counts 1 ~ 5 point forward or backwards depending on entry way to put questions; Described scale entry comprises Pyatyi and quantizes entry and non-Pyatyi quantification interview entry.
5. network addiction TCM syndrome diagosis amount table generating method as claimed in claim 4, it is characterized in that, described invalid scale comprises fills in imperfect, that answer is inconsistent scale.
6. a network addiction TCM syndrome diagosis scale generation system, is characterized in that, described system comprises treating apparatus, and described treating apparatus comprises:
Scale generation module, for generating network addiction evaluation charter;
Scale removing module, for the physiological signal provided according to physiological signal detecting device, the addiction evaluation charter of the experimenter of the value that physiological change amplitude surpassed the expectation is deleted;
First entry removing module, for carrying out the foundation of database to the addiction evaluation charter retained, screens out invalid scale in database, carries out statistical study to effective scale data, deletes the low entry with representing disease symptoms of response rate;
Second entry removing module, for carrying out rank correlation analysis to effective scale data, delete the entry with affiliated dimension correlativity rs<0.4, or there is not the entry of statistical significance correlativity in other entries of deletion and affiliated dimension.
7. network addiction TCM syndrome diagosis scale generation system as claimed in claim 6, it is characterized in that, described treating apparatus also comprises: third entry removing module, for carrying out item analysis by Krona Bach Alpha Coefficient Method to revised scale, the overall coefficient of entry coefficient and each dimension is compared, delete the entry be lack of consistency with other entries of dimension, obtain network addiction TCM syndrome diagosis scale.
8. network addiction TCM syndrome diagosis scale generation system as claimed in claim 7, it is characterized in that, described system also comprises:
Display device, is shown to experimenter for the network addiction evaluation charter generated by treating apparatus;
Message input device, for experimenter by answer and interview mode by Data Enter in network addiction evaluation charter;
Physiological signal detecting device, for collecting the physiological signal of experimenter in experimenter's answer and interview process;
Wherein, described display device, message input device and physiological signal detecting device are all connected with treating apparatus signal.
9. network addiction TCM syndrome diagosis scale generation system as claimed in claim 8, it is characterized in that, described network addiction evaluation charter is made up of the scale entry under dimension and dimension, described dimension comprises TCM liver depression, syndrome of deficiency of spleen qi, irascibility card, syndrome of deficiency of liver yin and phlegm wet card five dimensions, the evaluation form of described scale entry adopts Li Kete LikertScale Pyatyi scale entry to be foundation, Pyatyi evaluation is respectively not to be had at all, seldom have, have, Duo Shuoyou, always have, and counts 1 ~ 5 point forward or backwards depending on entry way to put questions; Described scale entry comprises Pyatyi and quantizes entry and non-Pyatyi quantification interview entry.
10. network addiction TCM syndrome diagosis scale generation system as claimed in claim 9, it is characterized in that, described invalid scale comprises fills in imperfect, that answer is inconsistent scale.
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| CN106295108A (en) * | 2015-06-08 | 2017-01-04 | 财团法人交大思源基金会 | Method for evaluating dependence degree of testee on network activity |
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| CN110706762A (en) * | 2019-08-30 | 2020-01-17 | 昆明医科大学 | AIDS discrimination multidirectional parallel measurement method based on medical institution |
| CN111009325A (en) * | 2019-11-22 | 2020-04-14 | 陈吉茗 | System and method for evaluating addiction degree of electronic product |
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