国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2014年
3期
181-184
,共4页
德尔菲法%慢性阻塞性肺疾病%发展
德爾菲法%慢性阻塞性肺疾病%髮展
덕이비법%만성조새성폐질병%발전
Delphi method%Chronic obstructive pulmonary disease%Development
目的 应用德尔菲法探讨COPD患者病情发展“快”“慢”的评价标准.方法 在前期流行病学调查、文献研究及第1轮专家问卷的基础上,编制第2轮“慢性阻塞性肺疾病发展快、慢评价标准”专家咨询表,发送给中华医学会呼吸病学分会涉及10个省及直辖市的20位专家进行问卷调查,对答卷进行回收,并采用德尔菲法进行分析.结果 专家积极系数为100％,专家权威程度为82.57％,在发展慢评价标准的主要指标中肺功能≤Ⅱ级、病程≥15年满分比均＞60％,变异系数均＜0.3,次要指标中各项满分比均＞60％,变异系数均＜0.3;在发展快评价标准的主要指标中肺功能≥Ⅲ级、病程≤5年满分比均＞60％,变异系数均＜0.3,次要指标中除BMI＜21 kg/m2外,其余满分比均＞60％,变异系数均＜0.3.结论 COPD病情发展“快”“慢”评价标准的框架及条目基本得到专家认可,为之后研究病情发展速度不同的两组患者的相关研究提供有力依据.
目的 應用德爾菲法探討COPD患者病情髮展“快”“慢”的評價標準.方法 在前期流行病學調查、文獻研究及第1輪專傢問捲的基礎上,編製第2輪“慢性阻塞性肺疾病髮展快、慢評價標準”專傢咨詢錶,髮送給中華醫學會呼吸病學分會涉及10箇省及直轄市的20位專傢進行問捲調查,對答捲進行迴收,併採用德爾菲法進行分析.結果 專傢積極繫數為100％,專傢權威程度為82.57％,在髮展慢評價標準的主要指標中肺功能≤Ⅱ級、病程≥15年滿分比均＞60％,變異繫數均＜0.3,次要指標中各項滿分比均＞60％,變異繫數均＜0.3;在髮展快評價標準的主要指標中肺功能≥Ⅲ級、病程≤5年滿分比均＞60％,變異繫數均＜0.3,次要指標中除BMI＜21 kg/m2外,其餘滿分比均＞60％,變異繫數均＜0.3.結論 COPD病情髮展“快”“慢”評價標準的框架及條目基本得到專傢認可,為之後研究病情髮展速度不同的兩組患者的相關研究提供有力依據.
목적 응용덕이비법탐토COPD환자병정발전“쾌”“만”적평개표준.방법 재전기류행병학조사、문헌연구급제1륜전가문권적기출상,편제제2륜“만성조새성폐질병발전쾌、만평개표준”전가자순표,발송급중화의학회호흡병학분회섭급10개성급직할시적20위전가진행문권조사,대답권진행회수,병채용덕이비법진행분석.결과 전가적겁계수위100％,전가권위정도위82.57％,재발전만평개표준적주요지표중폐공능≤Ⅱ급、병정≥15년만분비균＞60％,변이계수균＜0.3,차요지표중각항만분비균＞60％,변이계수균＜0.3;재발전쾌평개표준적주요지표중폐공능≥Ⅲ급、병정≤5년만분비균＞60％,변이계수균＜0.3,차요지표중제BMI＜21 kg/m2외,기여만분비균＞60％,변이계수균＜0.3.결론 COPD병정발전“쾌”“만”평개표준적광가급조목기본득도전가인가,위지후연구병정발전속도불동적량조환자적상관연구제공유력의거.
Objective To discuss the standard of the development speed of chronic obstructive pulmonary disease by Delphi.Methods To compile to second round consultation form of "the standard of development speed of chronic obstructive pulmonary disease" which is based on the preview research,documents study and first round experts' questionnaires,and to send out to experts of Chinese Medicine Association Respiratory Branch,and then to collect the data to analyze with Delphi Method.Results The expert positive coefficients are 100％,the authority coefficients is 82.57％.For the main index in the slow development standard,the lung function is lower than level two,the period of the disease is longer and equal than 15 years,all the ratio marks over 60 ％,and the coefficient of variation is lower than 0.3; the items in the secondary index,all the ratio marks over 60％,and the coefficient of variation is lower than 0.3.For the main index in the fast development standard,the lung function is higher and equal than level three,the period of the disease is shorter and equal than 5 years,all the ratio marks over 60％,and the coefficient of variation is lower than 0.3; the items in the secondary index,all the ratio marks except BMI is lower than 21 that is over 60％,and the coefficient of variation is lower than 0.3.Conclusions The frame of the standard has been accepted by the experts,and to provide the basis for the future research on the different development of the disease.
