Technical specifications operation of manual lactation technique based on Delphi method
10.3760/cma.j.cn115398-20230503-00014
- VernacularTitle:基于德尔菲法的哺乳期乳腺炎手法通乳技术操作规范构建
- Author:
Jingjin XU
1
;
Ling TANG
;
Xueling MA
;
Hong CHEN
;
Hong GUO
Author Information
1. 北京中医药大学护理学院，北京 102400
- Keywords:
Mastitis;
Lactation;
Acute mastitis;
Delphi method;
Surveys and questionnaires;
Technical specifications
- From:
International Journal of Traditional Chinese Medicine
2023;45(11):1337-1344
- CountryChina
- Language:Chinese
-
Abstract:
We applied literature review and the Delphi method to develop technical operation of manual lactation technique. The databases and websites were systematically searched, such as UpToDate, the Cochrane Library, CNKI, VIP, Wanfang, and SinoMed. The evidence related to the technique was evaluated by Appraisal of Guidelines for Research and Evaluation (AGREE Ⅱ), and A Measure Tool to Assess Systematic Reviews 2 (AMSTAR 2). the included evidence was classified and summarized to form the preliminary draft of the technical operation specification. A total of 26 experts were selected to evaluate the draft, and some recommendations were deleted and modified according to the screening criteria and expert opinions, resulting in the final technical specifications for manual lactation technique applicable to health care professionals. The study included 4 guidelines, 5 expert consensus articles, 2 clinical decisions, and 3 systematic reviews, and the overall quality of the evidence was fair. A total of 26 questionnaires were collected in each of 2 rounds of expert consultation, with a 100% return rate and an overall authority coefficient of 0.91. The technical practice specification was formed in 11 aspects, including assessment content, indications, contraindications, operation methods, adverse events, and treatment methods, with a total of 50 recommendations. The technical operation specification is comprehensive, and the recommendations are clearly expressed, which is in line with the real clinical situation and can provide effective reference for the clinical practice of this technique.
