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基于德尔菲法的《过敏性紫癜中医诊疗指南》(修订)临床问题和结局指标构建
冯家威1, 任献青1,2, 朱荣欣1,2, 姜盈盈1,2
1.河南中医药大学儿科医学院, 郑州 450000;2.河南中医药大学第一附属医院儿科医院, 郑州 450000
摘要:
目的 构建《过敏性紫癜中医诊疗指南》修订的临床问题和结局指标。方法 在前期文献研究的基础上,结合专家访谈意见,拟定原始临床问题和结局指标清单,制作专家调研问卷并发放给共识组专家;统计分析第一轮问卷调研结果,汇总整理专家意见,制定并发放第二轮调研问卷;分析专家问卷调研结果,最终确定指南修订的临床问题和结局指标。结果 经过两轮德尔菲法,共纳入14个临床问题和27个结局指标,问卷专家积极系数为93.18%、84.09%,格朗巴赫α系数分别为0.95、0.89,权威系数分别为0.87、0.85,专家积极性较高,权威度高,问卷可信度较高。结论 通过德尔菲法调研构建了《过敏性紫癜中医诊疗指南》修订的临床问题与结局指标,为后续指南修订工作奠定良好基础。
关键词:  过敏性紫癜  儿童  指南  修订  德尔菲法
DOI:10.11656/j.issn.1672-1519.2025.10.10
分类号:R781.67
基金项目:国家自然科学基金项目(82374519);河南省特色骨干学科中医学学科建设项目(STG-ZYX03-202122);2023年度河南省中医学“双一流”创建科学研究专项课题(HSRP-DFCTCM-2023-8-07)
Construction of clinical questions and outcome indicators for revision of Traditional Chinese Medicine Diagnosis and Treatment Guidelines for henoch-schoenlein purpura
FENG Jiawei1, REN Xianqing1,2, ZHU Rongxin1,2, JIANG Yingying1,2
1.Pediatric Medical College, Henan University of Chinese Medicine, Zhengzhou 450000, China;2.Pediatrics Hospital, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450000, China
Abstract:
Objective To establish the clinical questions and outcome indicators for the revision of the Traditional Chinese Medicine Diagnosis and Treatment Guidelines for henoch-schoenlein purpura.Methods Based on the preliminary literature review, combined with the expert interview opinions, the list of original clinical questions and outcome indicators was formulated, and the first round of expert survey questionnaires was formulated, which was distributed to the experts of the guideline consensus group. After statistical analyses and summary of the initial round of questionnaire surveys and expert opinions, the second round of survey questionnaires was developed and distributed to the consensus expert group. Finally, the clinical questions and outcome indicators for guideline revision were determined.Results Delphi method: After two rounds of expert questionnaire surveys and analyses, a total of 14 clinical questions, 27 outcome indicators were determined, expert response rates were 93.18% and 84.09%, and the Cronbach's Alpha were 0.95 and 0.89, authority coefficients were 0.87 and 0.85, which demonstrated that the experts were positively motivated and authoritative, and the questionnaires were highly credible.Conclusion This study identified the clinical problems and outcome indicators of the revised Traditional Chinese Medicine Diagnosis and Treatment Guidelines for henoch-schoenlein purpura, through the Delphi method, which provides a good basis for subsequent guideline revision.
Key words:  henoch-schoenlein purpura  children  guidelines  revise  Delphi method
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