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Journal of Chinese Integrative Medicine ›› 2011, Vol. 9 ›› Issue (5): 468-482.doi: 10.3736/jcim20110502

Special Issue: Traditional Chinese Medicine

• Review • Previous Articles     Next Articles

On the necessity of developing quality of life instruments in traditional Chinese medicine

Zheng-kun Hou, Feng-bin Liu(), Ying-yu Liang, Kun-hai Zhuang, Chu-hua Lin, Li-juan Li    

  1. Department of Gastric Diseases, First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • Received:2010-12-26 Accepted:2011-02-14 Online:2011-05-20 Published:2011-05-15
  • Contact: Liu Feng-bin E-mail:liufb163@163.com

The development of health-related quality of life (HRQL) instrument in traditional Chinese medicine (TCM) is increasing rapidly in China, but few studies focus on their necessity. This study explores the necessity of the development of TCM instruments from both theoretical and practice perspectives, and aims to explain whether the adoption of the cross-medical style is valid. Through theoretical analysis, both TCM and Western medicine instruments show the same objectives, whereas TCM instruments are more suitable for the Chinese social behavior, customs and expectations. In practical analysis, 47 TCM instruments were identified, among which 17 had 18 corresponding Western medical instruments. In the domains layer, except for physiological, psychological and social factors, TCM instruments focus more on the harmony between body and spirit, humanity and nature or human and society and the constitution, etc. In the facts layer, TCM instruments focus on the emotions, initiative social intercourse, TCM symptoms, diet, sleep, taste, feces and urine, etc. In addition, significant differences existed in the methods of information selection. There is no need to modify cross-medical style research except when TCM characteristic terms exist, but attention must be paid to the influence of culture in different areas. Therefore, the TCM instruments can resolve the limitations of the application of Western medical instruments to the Chinese setting, while also having remarkable abilities of information coverage and detection. Both forms of instruments have the capacity and requirement to inter-communicate with each other in order to serve the whole Chinese cultural system. Generally speaking, there is no need to modify the instruments in cross-medical style research. But this point requires further demonstration in the rigorous designed clinical trials.

Key words: patient-reported outcomes, quality of life, instruments, traditional Chinese medicine

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第一作者 发表年份 量表名称 疾病/状态/普适性 条目b 领域
庄昆海[11] 2010 中医功能性胃肠病初量表 胃肠功能性疾病 43+1 4
张玮[12] 2010 慢性乙型肝炎患者中医生存质量量表 乙型病毒性肝炎 78 4
向亚平等[13] 2010 白癜风患者中医生存质量量表 白癜风 25 3
李建生等[14] 2009 肺炎患者报告结局量表 肺炎 17 3
周兴刚[15] 2009 维持性血液透析患者生存质量量表 血液透析 20 6
方坚[16] 2009 膝骨性关节炎生存质量量表 膝骨关节炎 30 3
吴大嵘等[17] 2009 中医健康量表 普适性 45 3
王伟[18] 2009 冠心病中西医结合生存质量量表 冠心病 21 4
史晓等[19] 2009 原发性骨质疏松症患者中医量表 骨质疏松 不详 4
高恒[20] 2009 原发性骨质疏松症患者生存质量量表 骨质疏松 22 4
王军文等[21] 2009 痤疮中医生活质量量表 痤疮 30 3
李慧等[22] 2008 中医中风生存质量量表 中风 60 4
周梅花[23] 2008 银屑病中医生存质量量表 银屑病 25 4
胥昊[24] 2008 慢性乙肝患者中医生存质量量表 乙型肝炎 不详 不详
辛莉[25] 2008 血液透析患者中医生存质量量表 血液透析 27 4
林谦等[26] 2008 慢性心力衰竭中西医结合生存质量量表 心力衰竭 36 6
杨志波等[27] 2008 慢性湿疹中医生存质量量表 湿疹 26 3
刘艾明[28] 2008 近视患者生存质量调查问卷 近视 15 5
朱婷等[29] 2008 中医特色冠心病生存质量量表 冠心病 30 7
石鹏岩[30] 2008 肝硬化中医生存质量量表 肝硬化 38 6
杨小兰[31] 2008 中医肝病(肝硬化)患者报告结局量表 肝病 62+1 5
郭良芬[32] 2008 鼻咽癌患者生存质量量表 鼻咽癌放疗后 30 6
刘凤斌等[33] 2007 中华生存质量量表 普适性 50 3
刘凤斌等[34] 2007 中医健康状况量表 普适性 30 8
刘凤斌等[35] 2007 中医脾胃系疾病PRO量表c 脾胃系疾病 44 4
梁炳君[36] 2010 肠易激综合征量表d 肠易激综合征 42+1 4
黄尧达[37] 2009 慢性胃炎量表d 慢性胃炎 31+1 4
郭丽[38] 2007 重症肌无力患者PRO量表c 重症肌无力 52 4
刘杰[39] 2007 哮喘儿童生活质量评估表 哮喘 22 3
刘求红[40] 2007 消渴目病生存质量量表 消渴目病 30 5
王义国等[41] 2007 中医生存质量自评量表 普适性 32 10
陈荣明[42] 2007 失眠症中医生存质量量表 失眠症 21 5
郭选贤等[43] 2007 HIV/AIDS患者生存质量量表c 艾滋病 46 4D
刘凤斌等[44] 2006 中医肝病临床疗效评价PRO量表c 肝病 30 2
王建凯[45] 2006 膝骨性关节炎中医生存质量量表 膝骨关节炎 24 2
宋群利[46] 2006 肾内科生存质量量表 肾脏疾病 29 7
王天芳等[47] 2006 疲劳自评量表 疲劳 30 5
阮岩等[48] 2006 变应性鼻炎患者生存质量量表 变应性鼻炎 46 5
王畅[49] 2006 银屑病患者生存质量量表 银屑病 25 3
王绍辉等[50] 2005 外科术后康复评价量表 术后 10 2
刘晓玲等[51] 2005 强直性脊柱炎患者生存质量测定量表 强直性脊柱炎 37 5
吴薇[52] 2005 帕金森病中医生存质量量表 帕金森病 25 4
刘铭山[53] 2005 慢性盆腔炎生存质量量表 慢性盆腔炎 19 4
项凤梅[54] 2005 艾滋病生存质量量表 艾滋病 55 3
胡学军等[55] 2004 中风病患者生存质量量表 中风 36 4
张荣芹[56] 2004 胃癌患者中西医结合生存质量量表 胃癌 不详 12
张庆宏等[57] 2003 胃肠功能性疾病病症结合生存质量量表 胃肠功能性疾病 44+1 6
张洪来[58] 2000 自拟颈椎病生存质量量表 颈椎病 26 7
刘凤斌[4] 1997 胃肠疾病患者生存质量量表 胃肠疾病 43 5

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疾病/状态/
普适性
中医量表名称 发表年份 第一作者 西医量表名称 发表年份 第一作者
普适性 中医健康量表 2009 吴大嵘等[17] 第二代亚健康调查表 2008 陈晶等[59]
中华生存质量量表 2007 刘凤斌等[33] 中国一般人群生活质量量表 2003 谢高强[60]
中医健康状况量表 2007 刘凤斌等[34] 生存质量量表 1998 吴小南等[61]
中医生存质量自评量表 2007 王义国等[41]
中风 中医中风生存质量量表 2008 李慧等[22] 脑卒中患者生活质量量表 2003 曹卫华等[62]
中风病患者生存质量量表 2004 胡学军等[55] 脑卒中患者生活质量量表 1995 何成松等[63]
乙型肝炎 慢性乙型肝炎患者中医生存质量量表 2010 张玮[12] 乙型肝炎患者生存质量量表 2004 李跃平等[64]
慢性乙肝患者中医生存质量量表 2008 胥昊[24]
近视 近视患者生存质量调查问卷 2008 刘艾明[28] 近视患者的视觉生活质量调查表 2010 王静等[65]
湿疹 慢性湿疹中医生存质量量表 2008 杨志波等[27] 湿疹患者生活质量量表 2008 李湘辉[66]
冠心病 冠心病中西医结合生存质量量表 2009 王伟[18] 冠心病患者生活质量自制量表 2010 吴学琴等[67]
中医特色冠心病生存质量量表 2008 朱婷等[29] 冠心病患者生存质量评定量表 2003 郭兰等[68]
骨质疏松症 原发性骨质疏松症患者中医量表 2009 史晓等[19] 原发性骨质疏松症患者生活质量量表 2004 刘健[69]
原发性骨质疏松症患者生存质量量表 2009 高恒[20] 骨质疏松病患者生命质量量表 2000 孙丁[70]
鼻咽癌 鼻咽癌患者生存质量量表 2008 郭良芬[32] 鼻咽癌患者生存质量量表 2009 古模发等[71]
鼻咽癌调强适形放疗后患者生存质量量表 2009 马礼钦等[72]
康复期鼻咽癌患者生命质量量表 2007 刘丹萍等[73]
鼻咽癌患者生存质量评价量表 2006 樊晋川等[74]
鼻咽癌患者生存质量量表 1994 陈和年[75]
艾滋病 HIV/AIDS患者生存质量量表 2007 郭选贤等[43] 中国HIV感染者生命质量量表 2007 孟亚军[76]
艾滋病生存质量量表 2005 项凤梅[54]
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