PDF(Pubmed)
Abstract：
UNASSIGNED: Hand oedema (swelling) is a common consequence of hand trauma or surgery, but there is little agreement on how interventions to treat hand oedema should be delivered in practice. The purpose of this study was to engage a group of self-identified hand therapy experts to develop consensus on how four commonly used oedema management treatments should be implemented, which could be used in clinical practice or future clinical trials.
UNASSIGNED: A web-based Delphi study was conducted with eight volunteer hand therapists who met the pre-defined eligibility criteria for an \'expert\' and were members of the British Association of Hand Therapists (BAHT). An a priori level of agreement was set at 75%. Interventions requiring consensus were decided on as a result of a previous national survey of practice and consisted of compression, elevation, massage and kinesiology tape.
UNASSIGNED: A total of 25 items were discussed across 3 rounds. This ranged from 23 items in round 1, to three items in round 3. In round 1, consensus was reached on 7/23 (30%) items. The required 75% consensus was reached on 14 items in round 2 and 1/3 items achieved consensus in round 3. Massage was the only treatment that required a third round.
UNASSIGNED: Consensus was reached on intervention description for three of the four modalities including the materials used (what), method of application including duration and frequency (when and how much) and tailoring or modifications. Two questions relating to massage did not reach the required consensus threshold and a majority agreement was accepted. The small panel size is a limitation and may affect the credibility of the consensus reached.
UNASSIGNED: A web-based Delphi study was conducted with eight volunteer hand therapists who met the pre-defined eligibility criteria for an \'expert\' and were members of the British Association of Hand Therapists (BAHT). An a priori level of agreement was set at 75%. Interventions requiring consensus were decided on as a result of a previous national survey of practice and consisted of compression, elevation, massage and kinesiology tape.
UNASSIGNED: A total of 25 items were discussed across 3 rounds. This ranged from 23 items in round 1, to three items in round 3. In round 1, consensus was reached on 7/23 (30%) items. The required 75% consensus was reached on 14 items in round 2 and 1/3 items achieved consensus in round 3. Massage was the only treatment that required a third round.
UNASSIGNED: Consensus was reached on intervention description for three of the four modalities including the materials used (what), method of application including duration and frequency (when and how much) and tailoring or modifications. Two questions relating to massage did not reach the required consensus threshold and a majority agreement was accepted. The small panel size is a limitation and may affect the credibility of the consensus reached.
摘要：
■手部水肿（肿胀）是手部外伤或手术的常见后果，但对于如何在实践中实施手部水肿的干预措施,目前尚无一致意见.这项研究的目的是聘请一组自我认同的手部治疗专家，就如何实施四种常用的水肿管理治疗达成共识。可用于临床实践或未来的临床试验。
■一项基于网络的Delphi研究与8名志愿者手治疗师进行，他们符合“专家”的预定资格标准，并且是英国手治疗师协会（BAHT）的成员。协议的先验水平设定为75%。根据先前的全国实践调查，决定了需要达成共识的干预措施，包括压缩措施，高程,按摩和运动学胶带。
■共讨论了3个项目。范围从第1轮的23个项目到第3轮的3个项目。在第一轮中，就7/23（30％）项目达成了共识。在第2轮中对14个项目达成了所需的75％共识，在第3轮中对1/3个项目达成了共识。按摩是唯一需要第三轮治疗的方法。
■就四种模式中的三种干预描述达成了共识，包括使用的材料（什么），应用方法，包括持续时间和频率(何时和多少)以及定制或修改。与按摩有关的两个问题未达到所需的共识门槛，并接受了多数协议。小组规模小是一个限制，可能会影响达成共识的可信度。
■一项基于网络的Delphi研究与8名志愿者手治疗师进行，他们符合“专家”的预定资格标准，并且是英国手治疗师协会（BAHT）的成员。协议的先验水平设定为75%。根据先前的全国实践调查，决定了需要达成共识的干预措施，包括压缩措施，高程,按摩和运动学胶带。
■共讨论了3个项目。范围从第1轮的23个项目到第3轮的3个项目。在第一轮中，就7/23（30％）项目达成了共识。在第2轮中对14个项目达成了所需的75％共识，在第3轮中对1/3个项目达成了共识。按摩是唯一需要第三轮治疗的方法。
■就四种模式中的三种干预描述达成了共识，包括使用的材料（什么），应用方法，包括持续时间和频率(何时和多少)以及定制或修改。与按摩有关的两个问题未达到所需的共识门槛，并接受了多数协议。小组规模小是一个限制，可能会影响达成共识的可信度。
