Constructing Du-moxibustion technique operation scheme for patients with ankylosing spondylitis based on "multidimensional evidence body" model
10.3760/cma.j.cn211501-20240607-01473
- VernacularTitle:基于"多维证据体"模式强直性脊柱炎患者督灸技术操作方案的构建
- Author:
Li LI
1
;
Yuanhong WANG
1
;
Jiao MIAO
1
;
Ting XU
1
;
Linling WU
1
;
Ting GU
1
Author Information
1. 江苏省中医院风湿科，南京 210029
- Publication Type:Journal Article
- Keywords:
Delphi technique;
Ankylosing spondylitis;
Multidimensional evidence body;
Du-moxibustion
- From:
Chinese Journal of Practical Nursing
2025;41(7):514-522
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a Du-moxibustion technique operation scheme suitable for patients with ankylosing spondylitis based on the "multidimensional evidence body" model, so as to provide a reference for clinical Du-moxibustion in the treatment of ankylosing spondylitis.Methods:This study was based on the "multidimensional evidence body" model, integrating evidence such as modern literature, ancient Chinese medicine books, and the experience of famous doctors, and combined with semi-structured interviews of 20 patients to form a first draft of the operation plan from April to June 2023. Twenty traditional Chinese medicine experts from 13 regions participated in the review and revision of the plan through two rounds of consultation and expert consensus meetings from July to August 2023, forming the final draft of the operation scheme.Results:Among 20 experts, there were 3 males and 17 females, aged (42.70 ± 6.57) years old. The effective response rates of the questionnaires in the two rounds of correspondence inquiries were 95%(19/20) and 18/18 respectively, and the expert authority coefficients were 0.80 and 0.81. The coefficients of variation were 0.00-0.19 and 0.00-0.21 respectively, and the Kendall harmony coefficients were 0.179 and 0.344 respectively (both P<0.01). The final scheme included 6 first-level items, including "terms and definitions""assessment""operation point""abnormal situations and handling measures""precautions""effect evaluation" and 27 second-level items and 17 third-level items. Conclusions:The operation scheme of Du-moxibustion technique is scientific, feasible and targeted, which can provide effective guidance for clinical practice and ensure the comprehensiveness and effectiveness of treatment.
