基于专家问卷调查的慢性阻塞性肺疾病急性加重期疗效评价指标体系的建立  

Establishment of efficacy evaluation index system for acute exacerbation of chronic obstructive pulmonary disease based on expert questionnaire

作　　者：王明航[1] 李建生[1,2] 李素云[1] 余学庆[1] 

机构地区：[1]河南中医学院第一附属医院,郑州450003 [2]河南中医学院老年医学研究所,郑州450008

出　　处：《中华中医药杂志》2014年第7期2120-2124,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金："十一五"国家科技支撑计划(No.2006BA104A13-02);国家自然科学基金(No.81102665);河南省科技攻关(No.112102310148);河南省教育厅科技攻关计划(No.2011B360009);教育部新世纪优秀人才计划(No.NCET-10-0136);河南省高校科技创新人才支持计划(No.13HASTIT028)~~

摘　　要：目的:基于专家调查筛选慢性阻塞性肺疾病急性加重期(AECOPD)疗效评价指标和构建指标体系。方法:制定AECOPD疗效评价专家调查问卷,遴选呼吸领域专家50名,采用信函法进行调查,运用德尔菲法进行评价,采用均数和满分率评价专家意见集中程度,采用百分权重法对各结局指标进行赋权。结果:发放问卷50份,回收50份,专家积极系数为100.0%。专家意见集中的评价指标有动脉氧分压、喘息、动脉二氧化碳分压等。根据权重大小排序的指标有中医证候相关指标、经济学指标、BODE指数、SAFE指数、最小临床意义变化值、肺功能状态与呼吸困难问卷等。结论:基于专家问卷构建的AECOPD疗效评价指标体系包括4类指标,医护人员注重的指标、患者注重的指标、实验室指标、中医证侯相关指标。Objective： To establish the efficacy evaluation index system for acute exacerbation of chronic obstructive pulmonary disease（AECOPD） based on expert questionnaire. Methods： The expert questionnaire was designed, and 50 experts in the respiratoryfield were investigated by letters. The Delphi method was used to evaluate. The concentration degree of expert opinions was evaluated with mean and full mark rate. The outcome indicators were empowered with percentage weighting method. Results： 50 questionnaires were sent out and returned. The expert active coeficient was 100.0%. The concentrated evaluation index of expert advices included arterial oxygen pressure, asthmatic, artery CO2 pressure, etc. According to the evaluation index of weights, the indexes included TCM syndromes related indicators, economic indicators, BODE index, SAFE index, the smallest changes in the value of clinical significance, pulmonary function and dyspnea questionnaire, etc. Conclusion： The efficacy evaluation index system for AECOPD based on expert questionnaire includes indicators of medical attention, indicators of patient attention, laboratory parameters and TCM syndromes related indicators.

关 键 词：慢性阻塞性肺疾病 疗效评价 指标体系 专家问卷调查 

分 类 号：R563.9[医药卫生—呼吸系统]