摘要
目的:通过德尔菲法筛选出构成推拿基本手法定义的各要素组成。方法:利用12本推拿相关工具书和23本推拿统编教材,筛选出频数≥5的基本推拿手法,提取定义,并拆分其要素,作为条目池筛选的依据。经过2轮专家问卷调查筛选出合适的条目。结果:两轮问卷专家积极系数均大于90%,权威程度系数均大于0.85,协调系数分别为0.479、0.571,共纳入8个一级条目,24个二级条目,18个三级条目。结论:核心要素包括具体操作要点、受术部位、疗效及应用、受术主体、施术主体、具体分类、手法别名等8个核心一级指标,在具体操作要点下,还有发力部位、操作支点、着力面/点、作用角度、作用力度、运动轨迹、持续时间、操作频率和作用层次等9个核心二级指标,共17个核心要素,可作为单个手法定义的研究框架。
Objective:To screen the composition of various elements that constitute the definition of basic massage manipulation through the Delphi method.Methods:12 reference books on massage and 23 textbooks on massage were used to screen out the basic massage techniques with frequency≥5,extract definitions,and split their elements as the basis for item pool screening.Suitable items were selected after 2 rounds of expert questionnaire survey.Results:The positivity coefficients of experts in both rounds of the questionnaire were greater than 90%,the authority coefficients were greater than 0.85,and the coordination coefficients were 0.479 and 0.571,respectively.A total of 8 first-level items,24 second-level items,and 18 third-level items were included.Conclusion:The core elements consist of eight core level indicators include the nicknames of techniques,practitioner,subject,site of operation,specific operation points,specific classification,curative effect,application and other contents.There are also nine core secondary indicators under specific operation points include power parts;operating fulcrum;focus surface/point;angle of action;strength of action;motion path;duration;operating frequency;level of action.17 core elements of massage manipulation can be used as a framework for the study ofthe definition and composition for a single manipulation.The core elements include 8 core primary indicators,including specific operating points,site of operation,efficacy and application,subject of recipient,subject of practitioner,specific classification,and alias of techniques.Under the specific operating points,there are also 9 core secondary indicators,including the starting point,fulcrum of operation,focus area/point,angle of action,intensity of action,movement trajectory,duration,frequency and level of action.A total of 17 core elements,which can be used as a research framework for the definition of a single technique.
作者
赵峻嘹
李拓
赵思雨
柏洁
沈潜
ZHAO Junliao;LI Tuo;ZHAO Siyu;BO Jie;SHEN Qian(The Second Clinical Medical College of Beijing University of Chinese Medicine,Beijing 100029,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)
出处
《中医药导报》
2023年第12期215-220,共6页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
关键词
推拿手法
定义
核心要素
德尔菲法
标准化
massage manipulation
definition
core elements
Delphi method
standardization
