A configurations perspective on the impact of traditional Chinese medicine constitutions on health-related quality of life

ZHAO Xinyuan; ZHU Yanbo; LI Yuqiong; LONG Liqun; CHEN Pipi

doi:10.3969/j.issn.1006-2157.2023.01.015

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A configurations perspective on the impact of traditional Chinese medicine constitutions on health-related quality of life

TCM Constitutions | 更新时间：2023-02-03

- A configurations perspective on the impact of traditional Chinese medicine constitutions on health-related quality of life
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 1, Pages: 93-99(2023)
- 作者机构：
  
  北京中医药大学管理学院　北京　100029
- 作者简介：
  
  Prof. ZHU Yanbo, Ph.D., Doctoral Supervisor. School of Management, Beijing University of Chinese Medicine, No.11, Beisanhuan Donglu Road, Chaoyang District, Beijing 100029. E-mail: yanbo0722@sina.com
- 基金信息：
  
  General Program of Beijing Municipal Natural Science Foundation(7222282)
- DOI：10.3969/j.issn.1006-2157.2023.01.015
  CLC： R2-031
- Received：25 April 2022，
  
  Online First：07 September 2022，
  
  Published：30 January 2023
- 稿件说明：
移动端阅览
ZHAO Xinyuan, ZHU Yanbo, LI Yuqiong, et al. A configurations perspective on the impact of traditional Chinese medicine constitutions on health-related quality of life[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(1): 93-99.
DOI：

ZHAO Xinyuan, ZHU Yanbo, LI Yuqiong, et al. A configurations perspective on the impact of traditional Chinese medicine constitutions on health-related quality of life[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(1): 93-99. DOI： 10.3969/j.issn.1006-2157.2023.01.015.

摘要

目的

对中医体质健康状态进行整体综合分析，探讨不同的兼夹体质组态对健康相关生命质量(HRQOL)的影响。

方法

采用方便抽样法，应用中医体质量表－41条目简短版、简明健康状况调查问卷中文版等工具对18～60岁无偿献血人群施测，运用模糊集定性比较分析探索影响HRQOL的中医体质组态。

结果

纳入分析的研究对象共2 254名，平均年龄(30.72±9.78)岁。平和质占35.71%，3种以上偏颇体质兼夹占33.81%。负向影响生理领域HRQOL的中医体质组态有3类，一是以非平和质、气虚质、阳虚质、痰湿质、血瘀质为核心条件；二是以非平和质、气虚质、痰湿质、血瘀质、特禀质为核心条件；三是8种偏颇体质都为核心条件出现。负向影响心理领域HRQOL的中医体质组态有3类，一是以非平和质、气虚质、痰湿质、血瘀质、气郁质为核心条件；二是以非平和质、气虚质、阴虚质、湿热质、气郁质为核心条件；三是8种偏颇体质都为核心条件出现。

结论

本研究以组态视角的模糊定性比较分析方法，揭示了中医体质对HRQOL的影响是一种多要素组合的并发机制。本研究充分分析了兼夹体质的多样性及其与HRQOL关系的复杂性，为研究者更深入地挖掘体质调护、提升生命质量的干预路径提供参考方向。

Abstract

Objective

A holistic and comprehensive analysis of traditional Chinese medicine (TCM) constitutions health states was conducted to explore the impact of different concurrently clamped constitution histories on health-related quality of life (HRQOL).

Methods

Using the convenient sampling method

the Constitution in Chinese Medicine Questionnaire-41 entry short version

the Chinese verison of SF-36

and other tools were used to measure the unpaid blood donor population aged 18 to 60 years old

and the fuzzy set qualitative comparative analysis was used to explore configuration of the TCM constitution that affected HRQOL.

Results

The mean age of the 2 254 study subjects included in the analysis was (30.72±9.78) years. The percentage of gentleness constitution was 35.71%

and 33.81% had a combination of more than 3 types biased constitutions. Three categories of TCM constitution groupings negatively influenced HRQOL in the physiological domain. First

non-gentleness constitution

qi-deficiency constitution

yang-deficiency constitution

phlegm-wetness constitution

and blood-stasis constitution were the core conditions; second

non-gentleness constitution

qi-deficiency constitution

phlegm-wetness constitution

blood-stasis constitution and special diathesis constitution were the core conditions; and third

all eight biased constitutions were present as core conditions. Three categories of TCM constitution groupings negatively influenced HRQOL in the psychological domain. First

non-gentleness constitution

qi-deficiency constitution

phlegm-wetness constitution

blood-stasis constitution

and qi-depression constitution were the core conditions; second

non-gentleness constitution

qi-deficiency constitution

yin-deficiency constitution

wetness-heat constitution

and qi-depression constitution were the core conditions; and third

all eight biased constitutions occurred as core conditions.

Conclusion

The fuzzyset qualitative comparative analysis method with a configuration perspective revealed the effect of TCM constitution on HRQOL as a multi-component combination of concurrent mechanisms. The diversity of concurrently clamped constitution and the complexity of its relationship with HRQOL were fully analyzed

and this results provide a reference direction for researchers to dig deeper into the intervention pathways of TCM constitution conditioning to enhance quality of life.

关键词

Keywords

references

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