基于德尔菲法的《小儿癫痫中医诊疗指南》问卷调查分析

Questionnaire survey and analysis of Guidelines for Diagnosis and Treatment of Pediatric Epilepsy with Traditional Chinese Medicine based on Delphi method

关键词:  中医  小儿癫痫  诊疗指南  德尔菲法  问卷调查

Key words:  traditional Chinese medicine  pediatric epilepsy  diagnosis and treatment guideline  Delphi method  questionnaire survey

摘要:

[目的] 筛选和评价中医儿科行业专家对小儿癫痫的诊断、辨证分型、治疗及预防与调护等的意见，为修订《小儿癫痫中医诊疗指南》提供依据。[方法] 采用德尔菲法的问卷调查方法，在前期文献研究的基础上，制定《小儿癫痫中医诊疗指南的专家问卷调查表》，对来自全国26个单位的40位专家进行两轮问卷调查，对所得回收的问卷数据进行统计及分析。。[结果] 问卷调查第1轮发出40份，收回有效问卷36份；第2轮发出36份，回收36份，专家积极系数分别为90%、100%。专家对诊断、辨证分型、治疗以及预防与调护的集中程度与协调程度均较高，经过两轮问卷后x值介于1.06~2.00，S值介于38~72，R值介于0%~19.40%，CV值介于0~0.632。。[结论] 专家的积极性与专业水平均较高且覆盖地区范围较广，《小儿癫痫中医诊疗指南》涉及的诊断、辨证分型、治疗及预防与调护等基本上得到专家的认可。

Abstract:

[Objective] To screen and evaluate the opinions of experts in pediatrics of traditional Chinese medicine on the diagnosis,syndrome differentiation,treatment,prevention and nursing of pediatric epilepsy,so as to provide the basis for revising the Guidelines for Diagnosis and Treatment of Pediatric Epilepsy with Traditional Chinese Medicine.[Methods] On the basis of previous literature research,Delphi method was used to formulate Expert Questionnaire of Traditional Chinese Medicine Diagnosis and Treatment Guidelines for Pediatric Epilepsy,and 40 experts from 26 units in China were surveyed twice,and the collected questionnaire data were counted and analyzed.[Results] Forty questionnaires were sent out in the first round,and 36 valid questionnaires were returned. In the second round,36 copies were sent out and 36 copies were returned. The expert positive coefficients were 90% and 100% respectively. Experts have a high degree of concentration and coordination on diagnosis,syndrome differentiation,treatment,prevention and nursing. After two rounds of questionnaires,the x value is between 1.06 and 2.00,and the S value is between 38 and 72;the R value is between 0 and 19.40%;the CV value is between 0 and 0.632.[Conclusion] Experts' enthusiasm and professional level are high and cover a wide range of areas. The diagnosis,syndrome differentiation,treatment,prevention and nursing involved in the Guidelines for Diagnosis and Treatment of Pediatric Epilepsy with Traditional Chinese Medicine are basically recognized by experts.