中醫體質量表及分型指標之評值
蘇奕彰
中國醫藥大學中醫學系
本研究的目的在評值中醫體質量表信效度及各分型的指標基準，並確認量表內部結構。採立意取樣，以滾雪球方式收案，研究對象來自醫院健檢門診、社區及大學。依年齡及性別分層選取20至60歲自覺身體正常且沒有慢性病史者1323位。使用94年度完成之中醫體質量表進行資料收集，以測驗此量表的穩定度。資籵收集後，以SPSS＋ 13.0版統計軟體進行分析，本年度完成中醫體質量表信效度及體質分型指標評值之結果，各體質類型量表之Cronbach’s α值介於0.7533〜0.8474，但仍有少數題目缺乏內在一致性；各體質類型初步診斷基準，乃根據抽取一個因素的因素負荷（factor loading）數值，選取各體質類型前七個問項，其事後機率之估計仍在進行中。本體質量表可提供醫療人員客觀評估體質之工具，有助於中醫臨床及研究疾病防治的推展，且促進中醫現代化。更希望藉此量表做為保健介入性研究之評估工具，促進健康政策之推展。
關鍵字：中醫體質量表及分型指標之評值
The Evaluation of Traditional Chinese Medical Constitutional Scale and Classification Index
Chen-Hong CHEN
Hospital of Traditional Chinese Medicine
The purpose of this study is to develop the classificatory index of Traditional Chinese Medical Constitutional Scale（TCMCS） and confirm the internal construction. A primary scale was established in the first year. The subjects will be come from hospital health exam. center, university and communities by snowball sampling. Stratified sampling for 1323 subjects will be included from the year of 20 to 60, in order to test the stability of TCMCS that was developed last year. The SPSS+ 13.0 analyzed the data; the Latent variable model was used to draw a factor to analyze the factor loading. The first 7 items in very constitutional subtype were used for estimate the Maximum likelihood estimator, and then use the result for Bayes theorem’s Posterior probability to establish the classificatory index. Three types of response scale in frequency and the intensity were used as “seldom have”, “half-half have”, “always have”, and “a little have”, “medium have”, “strongly have”. The Cronbach’s α in every subtype constitution scale was between 0.75331and 0.8474. All the questions had had statistically discrimination. But a little question was lack of internal consistency and stability. The classificatory index was done by draw one factor loading and used the preliminary 7items in every subtype constitution items, and then be establishing the classificatory index.
關鍵字：Constitution；Traditional Chinese Medical Constitutional Scale；Constitutional type
