艾滋病咳嗽中医诊疗规程调查问卷的构建及分析

Construction and analysis of questionnaires on AIDS cough in traditional Chinese medicine diagnosis and treatment procedures

目的:为规范艾滋病咳嗽中医诊疗行为和提高艾滋病咳嗽中医临床水平,构建艾滋病咳嗽中医诊疗规程。方法:通过查阅国内外中英文文献和专家论证,结合临床,制订艾滋病咳嗽中医诊疗专家调查问卷进行专家咨询,用德尔菲方法对调查问卷结果进行统计学验证。结果:完整问卷的回收率为90.63%,问卷内容中的概述、病因病机、诊断标准、辨证用药(痰热阻肺、肺肾阴虚、肺脾气虚)、治疗(肺脾气虚)、艾灸治疗和调护(护理、饮食和心理)均值(2.93～3.00)、满分率(93.10～100)、等级均值(9.91～10.67)、等级和(287.50～309.50)均为最高值,变异系数0.00,肯德尔系数(Kendalls W)为0.049,有统计学意义,问卷信度值α为0.788。讨论:初步规范了艾滋病咳嗽的概念、病因病机、诊断及辨证治疗,基本上得到了该领域专家的认可,为制定艾滋病咳嗽中医药诊疗规程奠定了基础。

Objective： To norm the behavior of AIDS cough in traditional Chinese medicine diagnosis and treatment and improve the clinical level of cough treatment for HIV/AIDS, and build AIDS cough diagnosis and treatment procedures in traditional Chinese medicine. Method： Combined with clinical practice,to formulate questionnaire on AIDS cough in traditional Chinese medicine diagnosis and treatment by both English and Chinese literature research to expertise consultation and verify the results of the questionnaires on the statistics using the Delphi method. Result： Questionnaire contents consist of overview, pathogeny, diagnosis standard, dialectical medication （phlegm heat resistance pulmonary lung and kidney Yin deficiency lung spleen-deficiency）, treating spleen-deficiency （lung）, moxibustion treatment and aftercare care and diet and mental, average （2.93-3.00）, full mark rate （93.10%-100%） ranks average （9.91-10.67） and （287.50-309.50） of which are the most high value, and the variation coefficient is 0.00, the Kendall coefficient （Kendalls W） is 0.049 which is statistical significance, the questionnaire reliability value of alpha was 0.788. Conclusion： Preliminary standarded concept, etiology and pathogenesis, diagnosis and syndrome differentiation treatment of AIDS cough, basically recognised by the experts in this field, and laid the foundation of traditional Chinese medicine diagnosis and treatment on develop the AIDS cough specifications.keywords：AIDS cough