基于专家问卷调查的慢性阻塞性肺疾病急性加重期疗效评价指标体系的建立

发布时间：2018-03-29 11:50

本文选题：慢性阻塞性肺疾病　切入点：疗效评价　出处：《中华中医药杂志》2014年07期

【摘要】：目的:基于专家调查筛选慢性阻塞性肺疾病急性加重期(AECOPD)疗效评价指标和构建指标体系。方法:制定AECOPD疗效评价专家调查问卷,遴选呼吸领域专家50名,采用信函法进行调查,运用德尔菲法进行评价,采用均数和满分率评价专家意见集中程度,采用百分权重法对各结局指标进行赋权。结果:发放问卷50份,回收50份,专家积极系数为100.0%。专家意见集中的评价指标有动脉氧分压、喘息、动脉二氧化碳分压等。根据权重大小排序的指标有中医证候相关指标、经济学指标、BODE指数、SAFE指数、最小临床意义变化值、肺功能状态与呼吸困难问卷等。结论:基于专家问卷构建的AECOPD疗效评价指标体系包括4类指标,医护人员注重的指标、患者注重的指标、实验室指标、中医证侯相关指标。
[Abstract]:Objective: to screen and construct an index system for evaluating the efficacy of AECOPD in patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) based on expert investigation. Methods: a questionnaire of 50 experts in respiratory field was established, and 50 experts in respiratory field were selected and investigated by letter method. Delphi method was used to evaluate the degree of expert opinion concentration, and the percentage weight method was used to evaluate the degree of concentration of experts' opinions. Results: 50 questionnaires were distributed and 50 were recovered. The expert positive coefficient is 100.00.The evaluation indexes in the expert opinion concentration include arterial partial pressure of oxygen, wheezing, partial pressure of arterial carbon dioxide, etc. According to the weight, there are related indexes of TCM syndromes, economic indexes such as BODE index and safe index. Conclusion: the evaluation index system of AECOPD curative effect based on expert questionnaire includes four kinds of indexes, which are emphasized by the medical staff, the indexes that the patients pay attention to, the indexes of the laboratory, the indexes that the patients pay attention to, the indexes that the patients pay attention to, the indexes that the patients pay attention to. TCM syndromes related indicators.
【作者单位】：河南中医学院第一附属医院;河南中医学院老年医学研究所;
【基金】：“十一五”国家科技支撑计划(No.2006BA104A13-02) 国家自然科学基金(No.81102665) 河南省科技攻关(No.112102310148) 河南省教育厅科技攻关计划(No.2011B360009) 教育部新世纪优秀人才计划(No.NCET-10-0136) 河南省高校科技创新人才支持计划(No.13HASTIT028)~~
【分类号】：R563.9

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