The Research Of Preventive Treatment Of Disease Practice Guide For Healthy Lifestyle

ObjectiveTo develop scientific and standard practice guide of preventive treatment of disease for heal thy lifestyle.MethodsThrough combining three methods of literature research,expert survey(Delphi method)and expert meeting to develop the practice guide of preventive treatment of disease for healthy lifestyle.Then,providing the basis for the revision of this guide by conformance testing to each clouse.Literature research:guided by the principles of evidence-based medic ine,using search tools to search published ancient and modern literatur e for nearly 30 years(1978-2015),searching related discussion about 1 ifestyle in the 4th edition of Chinese medical classics,and manually se arching textbooks and monographs.Then,based on the principles of evidenc e-based medicine to carry out evidence collection,screening,evaluation and classification,preliminarily summarized lifestyle factors and effect ive of healthy lifestyle,formed a healthy lifestyle literature summary report.Expert survey(Delphi method):in the field of prevention and treatmen t of disease,preventive health care and traditional Chinese medicine tr eatment,to investigate the experts’ views on the directions of TCM abou t healthy lifestyle and discuss frameworks and the formulation of this g uide.Through two rounds of Delphi questionnaire survey,using SPSS 19.0s oftware to statistic and analyze the expert positive degree,degree of co ncentration,level of coordination and degree of authority of the.Base d on the statistical analysis of two rounds of expert questionnaire resu Its to form the first draft of preventive treatment of disease practice guide healthy lifestyle.Invited industry authority experts review and a bsorbed comments to form the draft of expert meeting.The expert meeting and consultations:invited internal experts engaged in TCM and health care to hold expert meeting,to discuss and make suggestions for this guide and form the draft.To revise the opinions of experts by means of extensive comments,We revised and final approvalled the preventive treatment of disease practice guide for healthy lifestyle.The conformance testing:provided the basis for the revision of the preventive treatment of disease practice guide for healthy lifestyle by conformance testing to each clouse.ResultsLiterature research:a total of 133944 Chinese and English literatures were searched,there were 143 articles met the inclusion criteria.4 important guide and reference and 3 textbooks and monographs were included.In the ancient documents,a total of 145 papers were included.The above-mentioned documents for evaluating and grading that healthy lifestyle should be including spirit,diet,exercise,rest,health care methods,including nutrition recommended reference 2010 Chinese Nutrition Society "dietary guidelines for Chinese residents",other guidelines and standards can be as the guidelines for preparation of reference.4 non randomized controlled trials and 145 ancient documents can be recommended as a guide for the preparation of the recommended evidence,which can be used as evidence in the literature.There were a small number of literature as evidences.In addition to the above literatures to refine as evidence and recommendations,we studied healthy lifestyle by the way of expert opinion.Experts survey(Delphi method):first round expert questionnaire recovery rate was 84.31%and the second was 100%.Two coordination coefficient respectively 0.106 and 0.211,chi square test(P = 0.000).Two rounds of the average of expert authority were 0.86 and 0.87 respectively.The conformance testing:a total of 200 patients were included in the consistency test from ten hospitals,including 91 men and 109 women,aged between 19-85 years old.The consistency of suitable population,diet,living,psychology,exercise,clinical practice and simple health care methods were above 79%.Didn’t need to modify the existing standard entry with the results.The satisfaction of patients received preventive health measures was 98.5%,The satisfaction of doctors provided service for preventive health measures and implementation process was 100%,it indicated that the guide had the high degree of acceptance.Through combining the methods of literature research,expert survey,expert meeting and conformance testing to develop scientific preventive treatment of disease practice guide for healthy lifestyle,as the industry standard will be promulgated and implemented by the China Association of Chinese medicine.ConclusionA more scientific preventive treatment of disease practice guide for healthy lifestyle was developed by using literature research expert survey and expert meeting.This guide will establish guidelines for the health lifestyle in the treatment of disease and provide reference for the service of preventive treatment of disease.