Establishment of TCM Comprehensive Control and Prevention Program of Elderly Hypertension with Early Renal Damage Based on Delphi Method
- VernacularTitle:基于德尔菲法的老年高血压早期肾损害中医综合防控方案的构建
- Author:
Rui FANG
1
;
Yong YANG
;
Le XIE
;
Yan YANG
;
Yue ZHOU
;
Wenfeng XU
;
Jinwen GE
Author Information
- Publication Type:Journal Article
- Keywords: Elderly hypertension; Early renal damage; Chinese medicine; Delphi method
- From: World Science and Technology-Modernization of Traditional Chinese Medicine 2025;27(7):1867-1877
- CountryChina
- Language:Chinese
- Abstract: Objective To establish a scientific and feasible Chinese medicine(CM)comprehensive control and prevention program for elderly hypertension with early renal damage(EH-ERD)patients through high-level evidence-based medicine(EBM)evidence.Methods On the basis of literature research and evidence evaluation,we construct a database of specific prescriptions and implementation methods of CM comprehensive control and prevention program with EH-ERD.40 senior titled-experts were consulted in two rounds of questionnaires based on Delphi methods.We selected,evaluated,and revised specific CM comprehensive control and prevention program of EH-ERD through the analysis of multiple factors,such as expert's positive activity coefficient,authority coefficient,degree of opinion concentration and degree of coordination.Results In view of the CM appropriate intervention techniques with high-grade evidence(level Ⅰ and Ⅱ)and recommendation(level A and B),we have developed the CM comprehensive control and prevention plan items for EH-ERD.The activity coefficients in two-round consultation were 92.5%and 97.14%respectively,the overall authority coefficient(Cr)was exceeded 0.70,and the coordination coefficient was less than 0.25.With a sound activity coefficient,a relatively high Cr and a rather unified degree of opinion concentration and coordination,the CM comprehensive control and prevention program for EH-ERD was established,which included six primary indicators(CM compound preparation,acupuncture and massage,CM health education,medicinal diet therapy,health care exercise and foot bath)and seventeen secondary indicators.Conclusion The CM comprehensive control and prevention program for EH-ERD established in this study can provide a basis for the further formation of expert consensus or guidelines.Moreover,it can supply the strategy and paradigm for standardization of CM-based health management of EH-ERD.
