REN Ming, HAO Juanjuan, SUN Zengtao, et al. Construction and Clinical Applicability of Chinese Medicine Three Domains Report Outcomes Scale for Chronic Obstructive Pulmonary Disease[J]. Journal of Traditional Chinese Medicine2018, 59(8): 654-658.
REN Ming, HAO Juanjuan, SUN Zengtao, et al. Construction and Clinical Applicability of Chinese Medicine Three Domains Report Outcomes Scale for Chronic Obstructive Pulmonary Disease[J]. Journal of Traditional Chinese Medicine2018, 59(8): 654-658.DOI: 10.13288/j.11-2166/r.2018.08.007.
Objective To construct a Chinese medicine three domains report outcomes( TDROs) scale for chronic obstructive pulmonary disease( COPD) and evaluate its clinical applicability. Methods Delphi method was used to conduct expert opinion consultation on the scoring weights of the 4 subscales in the TDROs scale
and internal consistency tests were conducted to form a unified scoring method. Forty patients with COPD were evaluated on the first and seventh day of admission by the Chronic Obstructive Pulmonary Disease Assessment Test( CAT) questionnaire
and their doctors
nurses
family members
and patients themselves completed the TDROs scale. The pulmonary function values of the 40 patients at admission were recorded. The feasibility was evaluated by observing the acception rate
completion rate and the completion time of the TDROs scale. Distinction was measured by comparing the difference in the total score before and after treatment. The correlation between TDROs scale and CAT questionnaire as well as physiological index( pulmonary function) were analyzed. Results The weights for the TDROs scale system were set to be 0. 4 for the patient scale
0. 4 for the doctor scale
0. 1 for the nursing scale
and 0. 1 for the family scale. Through clinical verification
the acception and the completion rate of the TDROs scale were both100%
and the average completion time was( 22. 45 ± 3. 94) min
which is feasible. Patients with different measurement times and different interventions had good differentiation. The correlation analysis showed that the correlation between TDROs scale and CAT questionnaire and lung function was not strong
which could reflect different aspects of COPD patients. Conclusion The formed TDROs scale is applicable to the efficacy evaluation of COPD in Chinese medicine.