Zhongguo quanke yixue (Aug 2023)
Expert Questionnaire Survey and Result Analysis of TCM Symptom Assessment in High Risk Population of Osteoporosis in Ling-nan Region
Abstract
Background The occurrence and development of osteoporosis experience a long process, therefore, attention should be paid to bone health throughout the whole life cycle of human, early prevention and treatment of osteoporosis is of positive significance. There is a relative lack or insufficiency of research on TCM symptom assessment in the high risk population of osteoporosis in Ling-nan region.Objective To conduct expert questionnaire analysis on the assessment of TCM symptoms in high risk population of osteoporosis in Ling-nan region and form expert consensus opinions.Methods Based on the previous literature review and the first round of "Questionnaire for TCM symptom assessment in high risk population of osteoporosis in Ling-nan region", the Delphi method was adopted to optimize the second round of expert questionnaire from October 2021 to September 2022, in combination with the expert opinions of the first academic conference of Ling-nan bone and joint disease in December 2021 and the expert group of Guangdong Provincial Association of Chinese Medicine concerned Specialist Committee on Bone and Joint Degeneration and Injury. The experts in the department of orthopedics in Ling-nan region were consulted for their opinions, and the data of the investigation results were statistically analyzed.Results 192 experts with solid theoretical knowledge and clinical diagnosis and treatment skills in TCM or Chinese and western integrative medicine were selected from various provinces and cities in the Ling-nan region. The research fields of the surveyed experts included orthopedics and traumatology of Chinese medicine, orthopedics and traumatology of Chinese and western integrative medicine and clinical rehabilitation, etc. involving TCM clinical practice, Chinese and western integrative medicine clinical practice and scientific research, etc. Among them, there were 115 male experts, 77 female experts, 31 experts with senior professional titles, 76 experts with associate senior professional titles and 85 experts with intermediate professional titles, with the duration of carrying out specialty not less than 6 years. The expert positive coefficient was 100%, and the average authority coefficient was (0.81±0.04) . The concentration and coordination degree of the surveyed experts' opinions were relatively higher, that is, the sample mean±coefficient variation of the TCM symptom items of high risk population of osteoporosis in Ling-nan region included " humpback deformity" (88.93±13.46, 15.14%) , "generalized bone pain" (89.45±14.56, 16.28%) , "fracture occurred in recent 5 years" (85.68±17.44, 20.36%) , "low back pain" (84.51±15.27, 18.07%) , "shortened height" (82.94±16.14, 19.46%) , "heavy joints unable to bend or extend" (80.21±14.43, 17.99%) , "heavy body trapped" (76.17±17.22, 22.60%) , "tiredness" (75.26±14.69, 19.52%) , "tooth shaking and hair loss" (74.87±15.87, 21.20%) , etc.Conclusion The motivation and professionalism of experts surveyed by "Questionnaire for TCM symptom assessment in high risk population of osteoporosis in Ling-nan region" are good with a wide distribution region and good representation. The preferred items of TCM symptoms of high risk population of osteoporosis in Ling-nan region were "humpback deformity" , "generalized bone pain" , "fracture occurred in recent 5 years" , "low back pain" , "shortened height" , "heavy joints unable to bend or extend" , "heavy body trapped" , "tiredness" , "tooth shaking and hair loss" , etc. The recommendations of experts in this field on the TCM symptoms assessment in high risk population of osteoporosis in Lingnan region can be better summarized based on Delphi method, which can provide references for the subsequent early diagnosis of osteoporosis and the development of the assessment scale.
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