杵针操作规范及质量评价标准

Expert consensus on nursing operation specification and quality evaluation standard of Li's pestle

杵针疗法即“李仲愚杵针疗法”,是国家级非物质文化遗产,川派医学的瑰宝,具有针具不刺入皮肤,兼具针刺与按摩的功效,已在临床上广泛应用,具有良好的调治作用。但至今关于杵针操作尚缺乏统一规范,其操作流程也未见明确依据或原则。本文基于循证医学规则就杵针操作基本手法、操作时间和频率、消毒、疗效评定,查阅国内外相关文献,通过两轮德尔菲专家咨询和专家会议,对内容进行论证,形成《杵针操作规范及质量评价标准》(简称《标准》)。《标准》共包含杵针操作规范及质量评价标准两个方面。杵针操作规范从基本手法、角度、时间、频度等展开;质量评价标准涉及仪表、核对、评估、告知、用物准备、环境与患者准备、操作过程、操作后处置、评价、理论提问等10个一级指标、24个二级指标以及25个三级指标。具有一定的科学性,规范了杵针的临床操作,为临床提供指导,从而保障了患者治疗的临床安全性及疗效。

Pestle and needle therapy,namely"Li Zhongyu pestle and needle therapy",is a national intangible cultural heritage and the treasure of Sichuan medicine.It has the effects of acupuncture and massage.At present,it is widely used in clinic and has a good therapeutic effect.There is no unified specification for pestle and needle operation,and there is no clear basis or principle for its operation process.Based on the rules of evidence-based medicine,this paper consulted the relevant literature at home and abroad on the basic operation methods,operation time and frequency,disinfection and curative effect evaluation of pestle needle,demonstrated the content through two rounds of Delphi expert consultation and expert meeting,and formed the pestle needle operation specification and quality evaluation standard.It includes two aspects:pestle needle operation specification and quality evaluation standard.The pestle needle operation specification is carried out from the basic technique,angle,time and frequency;The quality evaluation standard involves 10 first-class indicators,24 second-class indicators and 25 third-class indicators such as instrument,check,evaluation,notification,material preparation,environment and patient preparation,operation process,post operation disposal,evaluation and theoretical questions.It has a certain scientific nature,standardizes the clinical operation of pestle and needle,provides guidance for clinical practice,and thus ensures the clinical safety and efficacy of patient treatment.