摘要
基于文献研究和德尔菲法对中医水肿的疗效评定标准进行修订,以推进水肿疗效评价的标准化建设,促进中医药标准制修订技术的研究。检索并纳入1994年1月1日-2021年7月1日中国知识资源总库(CNKI)、中文科技期刊数据库(重庆维普)、中国学术期刊数据库(万方数据)、中国生物医学文献服务系统(SinoMed)文献221篇,提取文献内容,构建调查问卷条目池;采用德尔菲法进行2轮专家问卷调查,统计并分析专家意见集中程度及协调程度,筛选出需要修订的内容及纳入修订的指标,形成水肿疗效评定标准修订稿。共32位专家参与了本研究,第1轮专家积极系数为84.21%、第2轮为78.13%;采用均值(Xˉ)、满分比、等级和、变异系数(CV)、肯德尔法协调系数(Kendall's W)等筛选问卷调查条目,第2轮专家问卷调查Kendall's W=0.368,P=0.000,高于第1轮,最终纳入疗效评价条目11个;纳入条目在第2轮调查问卷中的CV低于第1轮,Kendall's W高于第1轮,且专家意见趋向统一,经专家论证会表决达成共识,初步形成水肿疗效评价标准修订稿。
Based on literature research and Delphi method,the curative effect evaluation criteria of Traditional Chinese Medicine(TCM)edema were revised,in order to promote the standardization construction of the curative effect evaluation of edema and strengthen the research on the revision technology of TCM standards.From January 1,1994 to July 1,2021,the China National Knowledge Infrastructure(CNKI),China Science and Technology Journal Database(Chongqing VIP),Chinese Academic Periodical Database(Wanfang Data)and Chinese Biomedical Literature Service System(SinoMed)were searched,and 221 articles were included.Then the questionnaire item pool was constructed after extracting the contents of the articles.Delphi method was used to conduct two rounds of expert questionnaire survey.And then the concentration degree and coordination degree of expert opinions were counted and analyzed to screen out the content to be revised and the indicators to be included in the revised version,so as to form the revised version of curative effect evaluation criteria of edema.A total of 32 experts participated in this study,and the positive coefficient of experts in the first round was 84.21%,and the positive coefficient of experts in the second round was 78.13%.The mean value(Xˉ),full score ratio,rank sum,coefficient of variation(CV),Kendall's coefficient of concordace(Kendall's W)were used to select the questionnaire items.Kendall's W of the second round of expert questionnaire survey was 0.368,P=0.000,higher than that of the first round,and 11 items were finally included in the curative effect evaluation.The CV of the included items in the second round of the questionnaire is lower than that in the first round,and Kendall's W was higher than that in the first round,and the expert opinions tend to be unified.Consensus was reached after the expert discussion meeting,and the revised version of curative effect evaluation criteria of edema has been preliminarily formed.
作者
毛信心
宋庆桥
李雨濛
吴华芹
郑昊然
张并璇
Mao Xinxin;Song Qingqiao;Li Yumeng;Wu Huaqin;Zheng Haoran;Zhang Bingxuan(Department of Comprehensive Internal Medicine,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;China Academy of Chinese Medical Sciences,Beijing 100700,China;Department of Cardiology,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Master Degree Student of Grade 2021,Clinical School of Medicine,Beijing University of Chinese Medicine,Beijing 100105,China)
出处
《国际中医中药杂志》
2024年第10期1264-1270,共7页
International Journal of Traditional Chinese Medicine
基金
国家中医药管理局中医药标准化项目(GZY-FJS-2020-214)。
关键词
水肿
中医学
疗效评定
德尔菲法
文献研究
Edema
Traditional Chinese Medicine
Curative effect evaluation
Delphi method
Literature researches
