基于德尔菲法HIV/AIDS中医证候专家问卷分析  

An Expert Questionnaire HIV/AIDS TCM Syndrome Based on Delphi Method

作　　者：王兴 李钦 周青 叶芳 曲源 温伟波 WANG Xing;LI Qin;ZHOU Qing;YE Fang;QU Yuan;WEN Wei-bo(Central Laboratory,the First Affiliated Hospital of Yunnan University of Chinese Medicine/Yunnan Provincial Hospital of Traditional Chinese Medicine,Kunming 650021,Yunnan,China;School of Basic Medicine,Yunnan University of Chinese Medicine,Kunming 650500,Yunnan,China;AIDS Project Office of Traditional Chinese Medicine,Linxiang Hospital of Traditional Chinese Medicine,Lincang 677000,Yunnan,China)

机构地区：[1]云南中医药大学第一附属医院/云南省中医医院中心实验室,云南昆明650021 [2]云南中医药大学基础医学院,云南昆明650500 [3]临翔区中医医院中医药治疗艾滋病项目办公室,云南临沧677000

出　　处：《医学信息》2021年第2期73-77,共5页Journal of Medical Information

基　　金：云南省科学技术厅重点项目(编号:2019FA036)。

摘　　要：目的明确HIV/AIDS中医常见的症状、体征(含舌脉),为HIV/AIDS中医证候诊断标准化的建立提供依据。方法整理1999年1月~2018年12月有关HIV/AIDS证候的文献结果,制定HIV/AIDS中医证候信息专家问卷,向全国16名专家发放问卷调查并对回收问卷进行专家积极程度、专家权威度、专家意见集中程度、专家意见协调程度及问卷信度分析。结果本次调查每轮共发放问卷16份,第一轮收回16份,回收率为100%,其中有效问卷16份;第二轮和第三轮均回收14份,回收率为87.50%,其中有效问卷14份;第一轮Cr为0.977,第二轮Cr为0.957,第三轮Cr为0.950;第一轮x波动于2.313~4.688,第二轮x波动于2.857~4.857,第三轮x波动于3.000~4.786;第一轮的CV波动于0.102~0.541,第二轮CV波动于0.075~0.451,第三轮CV波动于0.089~0.371;三轮问卷获得的协调系数(W)分别为0.265,0.278,0.280;三轮Cronbach'sα系数分别为0.996,0.989,0.986。结论德尔菲法的专家积极程度、权威程度、意见集中程度、协调程度高,问卷可靠程度高,明确了HIV/AIDS常见证候指标体系,可以构建HIV/AIDS中医证候调查表,为开展HIV/AIDS中医证候诊断标准化研究提供参考。Objective To clarify the common symptoms and signs of HIV/AIDS in TCM(including tongue and pulse),and provide a basis for the establishment of standardization of HIV/AIDS TCM syndrome diagnosis.Methods The results of the literature on HIV/AIDS syndromes from January 1999 to December 2018 were compiled,and the HIV/AIDS TCM syndrome information expert questionnaire was formulated,and the questionnaire survey was distributed to 16 experts nationwide and the questionnaires were returned to assess the degree of expert enthusiasm and experts Analysis of authority,concentration of expert opinions,coordination of expert opinions and questionnaire reliability.Results A total of 16 questionnaires were issued in each round of this survey.16 were returned in the first round,with a recovery rate of 100%,of which 16 were valid questionnaires;in the second and third rounds,14 were returned with a recovery rate of 87.50%,among which were valid,there are 14 questionnaires;the first round of Cr was 0.977,the second round of Cr was 0.957,and the third round of Cr was 0.950;the first round of x fluctuates from 2.313 to 4.688,the second round of x fluctuates from 2.857 to 4.857,and the third round of x fluctuates from 3.000 to 4.786;the first round of CV fluctuates from 0.102 to 0.541,the second round of CV fluctuates from 0.075 to 0.451,and the third round of CV fluctuates from 0.089 to 0.371;the coordination coefficients(W)obtained in the three rounds of questionnaires are 0.265,respectively0.278,0.280;three rounds of Cronbach'sαcoefficients were 0.996,0.989,0.986,respectively.Conclusion The Delphi method has a high degree of enthusiasm,authority,concentration of opinions,and a high degree of coordination,and a high degree of reliability of the questionnaire.It clarifies the HIV/AIDS common syndrome index system,and can construct a HIV/AIDS TCM syndrome questionnaire for the development of HIV/AIDS TCM syndrome diagnosis standardization research provides reference.

关 键 词：HIV/AIDS 德尔菲法 证候 问卷分析 

分 类 号：R512.91[医药卫生—内科学]