首页|基于访谈法提取并分析内风证患者口述症状

基于访谈法提取并分析内风证患者口述症状

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目的:挖掘内风证患者口述症状,结合内风证诊断标准对比分析,同时归纳其对患者生活、工作的影响,为优化临床问诊及内风证疗效评价量表构建提供参考.方法:参考《中医临床诊疗术语第2部分:证候》《中医内科学》等中内风证内容进行访谈提纲构建,通过目的抽样法采集病例,运用深度访谈法挖掘患者口述症状.结果:共访谈患者30例,其中预访谈4例,正式访谈26例;男性13例,女性17例.患者中频数较多的症状包含头晕(23例)、肢体麻木(20例)、肢体颤动(17例)、耳鸣(16例)、头胀或头痛(15例)、行走不稳(15例)、言语謇涩(10例)等.结论:内风证患者的口述症状繁多复杂,易因生活质量下降出现焦虑、抑郁的情绪,可结合现行国家标准,为问诊及量表构建提供参考.
Extract and analyze oral symptoms of patients with endogenous wind syndromes based on interview method
Objective:To extract the self-reported of patients with endogenous wind syndromes,comparative analysis of diagnostic criteria combined with endogenous wind syndrome and summarize its impact on patients'life and work.It provides some reference for clinical inquiry and construction of internal wind curative effect evaluation scale.Methods:The interview outline was constructed by referring to the contents of internal wind syndrome in textbooks such as Traditional Chinese Medicine Clinical Diagnosis and Treatment Terminology Part 2:Syndromes and Internal Medicine of Traditional Chinese Medicine.The cases were collected by purposive sampling,and the oral symptoms of patients were extracted by interview until the information was saturated.Results:A total of 30 patients were interviewed,4 were pre interviewed,and 26 were formally interviewed,including 13 males and 17 females.The patient's oral symptoms were complex and varied,including 23 cases of vertigo,20 cases of limb numbness,17 cases of limb fibrillation,16 cases of tinnitus,15 cases of head swelling or headache,15 cases of walking unsteadily,10 cases of speech sluggish,and so on.Conclusion:The symptoms of patients with external wind syndrome are complex and diverse,and they are prone to anxiety and depression due to decreased quality of life.It can be combined with the grouping of TCM clinical terms to provide reference for consultation and scale construction.

Endogenous wind syndromesLiver windLiver wind agitationInterviewPatient-reported outcomesSymptoms

任立松、于莉、张会永、陈智慧、白燕来、刘竞男、杨关林

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辽宁中医药大学,沈阳 110847

辽宁中医药大学附属医院,沈阳 110032

内风 肝风 肝风内动 访谈法 患者报告结局 症状

国家自然科学基金青年科学基金项目

81503468

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(9)