基于德尔菲法确定《子宫腺肌病中西医结合诊疗指南》的临床问题

Determination on Clinical Questions of the Guidelines for Diagnosis and Treatment of Adenomyosis with Integrated Traditional Chinese and Western Medicine Based on Delphi Method

目的:基于德尔菲法形成《子宫腺肌病中西医结合诊疗指南》的临床问题,形成子宫腺肌病的规范性、实用性中西医结合诊疗指南。方法:基于德尔菲法,结合前期文献研究结果,采用问卷星编制调查问卷,向全国13个省(市、自治区)的34名专家进行两轮函询。结果:两轮德尔菲法均发放34份问卷,问卷回收率为100%,两轮函询积极系数均为100%,权威系数均>0.70,变异系数分别为0.00~0.38、0.13~0.37,肯德尔和谐系数分别为0.229、0.100(P<0.05);共形成了30个临床问题,凝练后最终形成10个必须在指南中形成推荐意见或说明的临床问题。结论:本研究通过两轮德尔菲法调查确定了需要纳入《子宫腺肌病中西医结合诊疗指南》的临床问题,为指南的后续制定工作奠定了良好基础。

Objective:Based on the Delphi method,the clinical qnestions of the Guidelines for Diagnosis and Treatment of Adenomyosis with Integrated Traditional Chinese and Western Medicine were formulated,to form a normative and practical guideline for the diagnosis and treatment of adenomyosis with integrated traditional Chinese and Western medicine.Method:Based on the Delphi method and combined with previous literature research results,a survey questionnaire was developed using QuestionStar.Two rounds of inquiry were conducted with 34 experts from 13 provinces(cities,autonomous regions)across the country.Result:34 questionnaires were distributed in both rounds of Delphi method,with a response rate of 100%.The positive coefficients for both rounds of inquiry were 100%,and the authority coefficients were>0.70.The coefficients of variation were 0.00~0.38 and 0.13-0.37,respectively.The Kendall harmony coefficients were 0.229 and 0.100(P<0.05).A total of 30 clinical questions were formed,and after refinement,10 clinical questions that must be recommended or explained in the guidelines were ultimately formed.Conclusion:This study identified the clinical issues that need to be included in the Guidelines for Diagnosis and Treatment of Adenomyosis with Integrated Traditional Chinese and Western Medicine through two rounds of Delphi method investigation,laying a good foundation for the subsequent development of the guidelines.