Selection and Weight Determination of Diagnostic Items for Qi Stagnation Syndrome Based on Delphi Method and Analytic Hierarchy Process
10.13288/j.11-2166/r.2024.21.008
- VernacularTitle:基于德尔菲法和层次分析法的气滞证诊断条目筛选及权重确定
- Author:
Xuan ZHOU
1
;
Ge FANG
2
;
Qingyu MA
1
;
Xiaojuan LI
1
;
Yongxin LI
1
;
Zhixi HU
3
;
Xiantao LI
4
;
Jiaxu CHEN
1
Author Information
1. Formula-pattern Research Center，School of Traditional Chinese Medicine，Jinan University，Guangzhou，510632
2. School of Traditional Chinese Medicine，Hunan Traditional Chinese Medical College
3. Institute of Chinese Medicine Diagnosis，Hunan University of Chinese Medicine
4. School of Basic Medical Sciences，Guangzhou University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
qi stagnation syndrome;
diagnosis scale;
weights;
Delphi method;
analytic hierarchy process
- From:
Journal of Traditional Chinese Medicine
2024;65(21):2211-2216
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveUsing the Delphi method and analytic hierarchy process （AHP） to screen diagnostic items for qi stagnation syndrome and determine their weights， providing a reference for the development of a diagnostic scale of qi stagnation syndrome. MethodsLiterature related to qi stagnation syndrome were screened from databases including CNKI， Wanfang， VIP， SinoMed （from inception to October 31， 2020）. Through systematic review of literature and expert discussions， the information on the four examinations of traditional Chinese medicine were organized and an item pool was constructed. The Delphi method was used to screen the item indicators， while the AHP was employed to determine their weights. Statistical methods such as mean value， full score ratio， rank sum， unimportant percentage， and coefficient of variation were used for item screening， with the weights calculated by AHP serving as the item weights. ResultsA total of 235 articles and books were included for analysis， resulting in an item pool of 16 items. After three rounds of expert consultation， a total of 84 valid questionnaires were collected， with a total expert enthusiasm coefficient of 99% and authority coefficient of 0.86， 0.84， 0.83， respectively， and the coordination coefficients were 0.45， 0.49， and 0.29， respectively. Through the statistics analysis， 8 diagnosis items were screened out， including distension （stuffi-ness） or distending pain or scurrying pain， wiry pulse， depressed emotions， frequent sighing， deep and wiry pulse， irritability， pale red tongue， and thin white coating. The AHP showed that the order of weights of the first-level indicators from high to low was clinical symptoms， pulse manifestation， and tongue manifestation； the order of weights of the second-level indicators from high to low was distension （stuffiness） or distending pain or scurrying pain， wiry pulse， depressed emotions， frequent sighing， deep and wiry pulse， irritability， pale red tongue， and thin white coating. ConclusionBy applying the Delphi method and AHP to analyze and evaluate the diagnostic items for qi stagnation syndrome， key diagnostic items were screened and their weights determined， laying the foundation for the development of a diagnostic scale for qi stagnation syndrome.
