摘要
目的:按照《艾滋病中医临床实践指南》的工作要求,进行临床问题设置专家问卷的调查问卷设计,收集、分析《基于PICO的艾滋病中医临床问题设置专家问卷》调查结果,确定拟开展文献评价的临床问题。方法:在现有的中西医治疗艾滋病指南、规范、专家经验、文献等的基础上,确定临床问题条目池,召开专家咨询会对问题筛选进行论证,设计问卷初稿,经专家审核后,进行修改完善,确定最终调查问卷——《基于PICO的艾滋病中医临床问题设置专家问卷》,共设置14个问题,其中专家信息问题6个,临床问题筛选问题选择及排序题6个,开放性问题2个,使用腾讯问卷进行在线发放、回收,发放对象为艾滋病临床一线专家,然后对收集的数据进行分析。结果:回收有效问卷41份,咨询专家男19位(占46.3%)、女22位(占53.7%);平均年龄(43.6±8.2)岁;从事艾滋病临床工作时间平均(9.6±4.7)年;职称中初级6位(占14.6%),中级12位(占29.3%),副高级15位(占36.6%),正高级8位(占19.5%);专业构成中医23位(占56.1%),西医12位(占29.3%),护理4位(占9.8%),其他2位(占4.9%);所在单位省级医院16位(占39.0%),市级医院13位(占31.7%),县级医院9位(占22.0%),其他(高校)2位(占4.9%),疾控部门1位(占2.4%)。综合临床常见问题、中医药(中西医结合)治疗有优势病症、有较成熟的中医(中西医结合)治疗方案、可以纳入指南病症、可以使用中医药非药物治疗方法病症等问题,纳入指南建议病种为如下14种:艾滋病疲乏、艾滋病食欲不振、艾滋病腹泻、艾滋病免疫重建功能不良、艾滋病带状疱疹、艾滋病咳嗽、艾滋病发热、艾滋病皮疹、艾滋病感冒、艾滋病失眠、老年艾滋病病毒(HIV)感染、艾滋病肝功能损伤、HIV感染者、艾滋病抑郁。结局指标重要性排序位列前T淋巴细胞等免疫功能(CD4^(+)、CD8^(+)计数,CD4^(+)/CD8^(+)比值等)、症状体征(症候群)减
Objective:According to the requirements of Clinical Practice Guidelines of Chinese Medicine for AIDS,to design the expert questionnaire about clinical problems,to collect and analyze the questionnaire results,and to determine the clinical problems that are intended to be given literature evaluation.Methods:On the basis of the existing guidelines,norms,expert experience and literature on the treatment of AIDS in Chinese and western medicine,we determined the item pool of clinical problems,held an expert consultation meeting to demonstrate the selection of problems,designed the first draft of the questionnaire,revised and improved it after the review by experts,and determined the final questionnaire,namely Expert Questionnaire about Clinical Problems of Chinese Medicine for AIDS Based on PICO Model.A total of 14 questions were set in the questionnaire,including 6 questions about expert information,6 multiple-choice and sequencing questions about clinical and sieving problems,and 2 open questions.Tencent Questionnaire was used for online distribution and collection,and the distribution objects were clinical experts for AIDS,and then the collected data were analyzed.Results:A total of 41 valid questionnaires were collected,and the consultant experts included 19 males(46.3%)and 22 females(53.7%).The average age of the experts was 43.6±8.2 years old,and the average time of their clinical work on AIDS was 9.6±4.7 years.There were 6 experts with junior title(14.6%),12 intermediate(29.3%),15 deputy senior(36.6%),and 8 senior(19.5%).In terms of their majors,there were 23 experts majoring in Chinese medicine(56.1%),12 in western medicine(29.3%),4 in nursing(9.8%)and 2 in others(4.9%).When it comes to where they work,it turned out that 16 experts were working at provincial hospitals(39.0%),13 at municipal hospitals(31.7%),9 at county-level hospitals(22.0%),2 at universities(4.9%)and 1 at disease control department(2.4%).The following questions,including common clinical problems,Chinese medicine(integrated Chinese and weste
作者
姜枫
陈薇
刘振威
郑景辉
唐友明
宋策
刘建平
JIANG Feng;CHEN Wei;LIU Zhenwei;ZHENG Jinghui;TANG Youming;SONG Ce;LIU Jianping
出处
《新中医》
CAS
2021年第8期194-200,共7页
New Chinese Medicine
基金
国家自然科学基金项目(81660771,81673828)
全国中医药创新骨干人才培训项目(国中医药办人教函[2019]91号)
广西第二批广西医学高层次骨干人才培养“139”计划项目(桂卫科教发[2018]22号)
广西中医药适宜技术开发与推广项目(GZSY21-34)。
关键词
艾滋病
中医
临床问题
专家问卷结果
PICO模式
AIDS
Chinese medicine
Clinical problems
Results of expert questionnaire
PICO model
