Zhao Nanqi, Wu Xiaodong, Li Bin, Hu Jing, Ding Nan, Liu Yali, Mu Dongxiao, Liu Lu
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Beijing Hospital of TCM Affiliated to Capital Medical University.
Zhongguo Zhen Jiu. 2024 Nov 12;44(11):1331-38. doi: 10.13703/j.0255-2930.20240718-k0001.
To develop the clinical questions and outcomes of based on released by World Federation of Acupuncture and Moxibustion Societies.
Combined the investigation with expert consultation and consensus method, and taken clinicians (members) of Chinese Association of Acupuncture and Moxibustion as the subjects, the clinical questions concerned were collected and the two-round consultation was conducted among expert group by letter. In the first round questionnaire, using the voting method, the relevant clinical questions in intervention measures were collected; and in the second round, with the Delphi method adopted, the importance of clinical questions and outcomes in the investigation was scored.
A total of 200 structured clinical questions proposed by 153 clinicians and the clinical experience with 13 kinds of combined therapies involved and fire needling as the key measure were collected. The authority coefficient () of the Delphi questionnaire was >0.70, and the coefficient of variation for the importance scores of alternative clinical questions and outcomes was 0.06-0.26 and 0.12-0.47, respectively. The top 10 clinical questions and 12 outcomes (6 outcomes referred to the patients either in the acute stage or the post-neuralgia stage) were included, with the importance score of clinical questions>4, the importance score of outcomes>6, and the coefficient of variation ≤0.25.
The clinical questions and outcomes of are formulated, which provides the research basis for the recommendation development of the guideline.
基于世界针灸学会联合会发布的[具体内容未提及]制定临床问题和结局。
采用调查与专家咨询及共识法相结合的方式，以中国针灸学会的临床医生（会员）为研究对象，收集相关临床问题，并通过信函方式对专家组进行两轮咨询。第一轮问卷采用投票法收集干预措施中的相关临床问题；第二轮采用德尔菲法对调查中的临床问题和结局的重要性进行评分。
共收集到153名临床医生提出的200个结构化临床问题，涉及13种联合疗法的临床经验，并以火针为关键措施。德尔菲问卷的权威系数（[具体系数未提及]）>0.70，备选临床问题和结局重要性评分的变异系数分别为0.06 - 0.26和0.12 - 0.47。纳入了前10个临床问题和12个结局（6个结局涉及急性期或神经痛后期患者），临床问题重要性评分>4，结局重要性评分>6，变异系数≤0.25。
制定了[具体内容未提及]的临床问题和结局，为指南推荐制定提供了研究依据。
