本文選題：小兒細(xì)菌性痢疾 + 診療指南��； 參考：《河南中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:應(yīng)用Delphi法制定出科學(xué)規(guī)范的“小兒細(xì)菌性痢疾中醫(yī)診療指南”。方法:結(jié)合文獻(xiàn)研究的結(jié)果、采用專家問(wèn)卷調(diào)查(Delphi法)、專家論證會(huì)及行業(yè)專家征求意見(jiàn)相結(jié)合的方法制訂“小兒細(xì)菌性痢疾中醫(yī)診療指南”。專家問(wèn)卷調(diào)查:在文獻(xiàn)研究成果的基礎(chǔ)上,制定第一輪專家調(diào)查問(wèn)卷,采用電子郵件的方式,向全國(guó)范圍內(nèi)遴選的40位專家發(fā)送問(wèn)卷。對(duì)回收的第一輪調(diào)查問(wèn)卷進(jìn)行統(tǒng)計(jì)分析,形成第二輪專家調(diào)查問(wèn)卷。將第二輪問(wèn)卷發(fā)送給回復(fù)第一輪問(wèn)卷的專家及再次遴選的其他專家共40位(第一輪未回復(fù)專家不再發(fā)送),再次統(tǒng)計(jì)分析第二輪回收的問(wèn)卷,并將前兩輪專家所提出的共性問(wèn)題作為第三輪納入指標(biāo),形成第三輪調(diào)查問(wèn)卷。將第三輪問(wèn)卷發(fā)送給回復(fù)第二輪問(wèn)卷的專家及再次遴選的其他專家共40位(第二輪未回復(fù)專家不再發(fā)送),再次統(tǒng)計(jì)分析第三輪回收的問(wèn)卷,所得問(wèn)卷即“小兒細(xì)菌性痢疾中醫(yī)診療指南”的草稿。專家論證會(huì):邀請(qǐng)國(guó)內(nèi)著名中醫(yī)兒科專家,召開(kāi)專家論證會(huì),對(duì)“小兒細(xì)菌性痢疾中醫(yī)診療指南”的草稿進(jìn)行討論、論證。最后根據(jù)專家討論共識(shí),結(jié)合課題負(fù)責(zé)人修改意見(jiàn),形成“小兒細(xì)菌性痢疾中醫(yī)診療指南”的初稿。行業(yè)專家征求意見(jiàn):將“小兒細(xì)菌性痢疾中醫(yī)診療指南”初稿報(bào)送專家指導(dǎo)組論證,根據(jù)專家指導(dǎo)組意見(jiàn)修改完善并征求同行意見(jiàn),形成指南評(píng)價(jià)稿。結(jié)果:在文獻(xiàn)研究的基礎(chǔ)上,編制專家問(wèn)卷調(diào)查表,共進(jìn)行了三輪專家咨詢,專家積極系數(shù)分別為77.5%、92.5%、92.5%,在第三輪問(wèn)卷中專家意見(jiàn)已基本趨于一致,因此結(jié)束專家咨詢,并通過(guò)專家會(huì)議的論證,形成符合臨床實(shí)際的科學(xué)規(guī)范的“小兒細(xì)菌性痢疾中醫(yī)診療指南”初稿。并將其報(bào)送專家指導(dǎo)組論證,根據(jù)專家指導(dǎo)組意見(jiàn)修改完善并征求同行意見(jiàn),形成指南評(píng)價(jià)稿。結(jié)論:應(yīng)用Delphi法進(jìn)行小兒細(xì)菌性痢疾中醫(yī)診斷、辨證、治療、預(yù)防和調(diào)護(hù)的規(guī)范化研究,并根據(jù)專家所提供的意見(jiàn)和建議,制訂了“小兒細(xì)菌性痢疾中醫(yī)診療指南”,同時(shí)證明Delphi法作為一種充分發(fā)揮專家智慧、知識(shí)和經(jīng)驗(yàn)的方法,具有一定的科學(xué)性和可操作性,是中醫(yī)診療規(guī)范化研究中具有客觀性、傳統(tǒng)性及可操作性的重要方法學(xué)。
[Abstract]:Objective: to establish a scientific standard guide for the diagnosis and treatment of bacillary dysentery in children by Delphi method. Methods: according to the results of literature research, the method of Delphi method was used to make the guidance of traditional Chinese medicine diagnosis and treatment of bacillary dysentery in children. Expert questionnaire: based on the results of literature research, the first round of expert questionnaire was made, and the questionnaire was sent to 40 experts selected in the whole country by email. The second round of expert questionnaire was formed by statistical analysis of the first round of questionnaire. The second round of the questionnaire was sent to the experts who responded to the first round of the questionnaire and the other experts who were re-selected. The common problems raised by the experts in the first two rounds are taken as the index of the third round, and the third round questionnaire is formed. The third round of the questionnaire was sent to 40 experts who responded to the second round of the questionnaire and other experts who were re-selected. The questionnaire is the draft of the Guide to traditional Chinese Medicine diagnosis and treatment of Pediatric bacillary dysentery. Expert demonstration meeting: invite famous Chinese medicine paediatrics experts to hold expert demonstration meeting to discuss and demonstrate the draft of the guide of traditional Chinese medicine diagnosis and treatment of pediatric bacillary dysentery. Finally, according to the consensus of the expert discussion and the revised opinion of the person in charge of the project, the first draft of the guidelines for the diagnosis and treatment of Pediatric bacillary dysentery was formed. The first draft of the guide for the diagnosis and treatment of pediatric bacillary dysentery was submitted to the expert guidance group for argumentation, which was revised and perfected according to the opinion of the expert guidance group and the peer opinion was solicited to form the evaluation draft of the guide. Results: on the basis of literature study, the questionnaire of experts was compiled and three rounds of expert consultation were conducted. The positive coefficient of experts was 77.5 and 92.5, respectively. In the third round of questionnaires, the opinions of experts had basically converged, so the expert consultation was concluded. Through the demonstration of the expert meeting, the first draft of the guidelines for the diagnosis and treatment of Pediatric bacillary dysentery in accordance with the scientific norms of clinical practice was formed. And submit it to the expert guidance group for argumentation, revise and perfect according to the expert guidance group's opinion and solicit the peer opinion, and form the evaluation draft of the guide. Conclusion: using Delphi method to study the standardization of TCM diagnosis, differentiation, treatment, prevention and nursing care of children bacillary dysentery, and according to the opinions and suggestions provided by experts, we have formulated the guidelines of traditional Chinese medicine diagnosis and treatment of pediatric bacillary dysentery. At the same time, it is proved that Delphi method, as a method of giving full play to expert wisdom, knowledge and experience, is scientific and operable, and it is an important methodology with objectivity, tradition and maneuverability in the standardization research of TCM diagnosis and treatment.
【學(xué)位授予單位】：河南中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R272
，

本文編號(hào)：1825956