| ObjectiveDelphi method on TCM Syndrome Types of Mammary Nodules and the diagnostic criteria for evidence-based research and analysis experts, and through clinical epidemiological investigation to test its clinical feasibility and influence by collecting and analyzing cases of breast by sick of all factors, the final and initial establishment of addiction in the Diagnostic Criteria Chinese Ru pi and its influencing factors, for the further development of Ru pi standard for the diagnosis of addiction medicine and prevention foundation.MethodsThe study, conducted on the basis of previous literature, collection of Ru pi addiction symptoms information on Chinese medicine, the use of Delphi method, two experts in questionnaire design, to the National Traditional Chinese Medicine and Integrative Medicine in the field of breast disease experts conducted a questionnaire survey. Consultation questionnaire, including all types of Chinese Ru pi addiction symptom entry advice, please check against climate experts agree that the distribution is reasonable or not to make judgments, then according to evidence-based diagnostics, the status of the symptoms of entries to judge. Recovery in the first round of consultation table, the subject of an expert panel from the hospital the results were analyzed, revised the first round of expert consultation questionnaire, the formation of a second round of expert consultation questionnaire. Further from the country's "Guide to the preparation of Chinese surgical treatment," members of the second round of expert consultation research. Consulting table recovery, the hospital group of experts on statistical results of the second round of consultation. First established by the EPidata2.1a data repository, and then use a database package SPSS 13.0 statistics and statistical analysis using descriptive analysis, reliability analysis, correlation between multiple, non-parametric analysis, comparative sequencing method and other statistical methods, observed concentration of expertise, the level of coordination of expert advice and a questionnaire reliability indicators, on the screening questionnaire items, sorting, and the initial establishment of Ru pi addiction TCM diagnostic criteria.Results A total of two rounds of expert consultation, the first round of expert consultation were 23,22 questionnaires back, consulting the table recovery was 95.65%, the positive coefficient of 95.65% of experts, met the inclusion criteria of 22 experts, which in Chinese medicine or breast disease experts in Integrative Medicine 19,3 Chinese gynecologists, including senior title with 22 experts and 100%, professionally for 10 years or above 21, accounting for 95.45%. The second round of selection, "Chinese Medical Clinic Guide" prepared by experts of the 14 members of Chinese surgeons to improve the first round of selection are geographical restrictions expert enough in the second round of expert advice consult the table 100% recovery rate, experts actively coefficient of 100%, all experts involved in the completion of the second round of the subtropical high and titles over the experts, the longest in professional 45 years, average 24.43±7.73 years, prompted experts in the fields are better representative and the higher the authority of the Delphi method to meet the higher demands on the experts and improve the credibility of the findings of the second round. The investigation of various syndrome differentiation, the average coefficient of variation (0.306) average in the first round of the coefficient of variation (1.2796) were significantly increased, indicating high consistency of experts, each card type entries, the average coefficient of variation (0.29386) than in the first round The average coefficient of variation of each entry (0.775) were improved, indicating the findings of the second round of the expert advice of experts within the high consistency. The second round of expert investigations of internal consistency reliability index average (0.7892) for high reliability, reliability in the first round of the average value (0.6468) were significantly increased, indicating strong internal consistency of the questionnaire to investigate the scientific, credible Therefore, an end to expert advice. On this basis, the entry of the various syndromes out of ratio, the weight coefficients of a comprehensive evaluation, are all evidence-based composition of the primary disease and secondary disease, the initial establishment of Ru pi addiction syndrome diagnostic criteria. Two experts in the Delphi questionnaire to conclude, based on the questionnaire produced by the line of clinical epidemiology, collected 258 cases of patients to validate the questionnaire results of expert scientific and practical, and cases collected under investigation incidence of Ru pi addiction related factors (including level of education, diet partial addicted, personality differences, family history, body type, age of marriage, child-bearing age, etc.), statistical analysis to arrive at Ru pi factors related.ConclusionWin with Delphi method standardized Chinese milk addiction syndrome research and clinical epidemiology, initially built according to the clinical practice of milk addiction syndrome diagnostic criteria and milk addiction factors for the further development of Chinese milk addiction syndrome lay the foundation for the industry standard. At the same time permit Mingdeerfei Act as a full expert wisdom, knowledge and experience of the method, has a scientific and feasible, and epidemiological and clinical phase, enhance the breast transvestite on this topic Syndrome type of standardized clinical application. |
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