《肿瘤中医诊疗指南》临床应用评价研究

发布时间：2018-01-15 00:27

本文关键词：《肿瘤中医诊疗指南》临床应用评价研究　出处：《中国中药杂志》2017年17期 　论文类型：期刊论文

【摘要】：评价《肿瘤中医诊疗指南》的适用性和临床应用情况。评价方法包括适用性评价和应用性评价。适用性评价采用调查问卷方法,评价《指南》熟悉和使用情况、质量水平、临床适用情况等;应用性评价采用前瞻性病例调查分析方法,评价《指南》临床应用符合度和应用效果(包括疗效、安全性、经济性)。采用统计学基本描述、构建不同比较组进行交叉或分层统计学检验、多因素分析以及混杂因素处理等多种分析方法。适用性综合性评价结果显示,《指南》内容完全适用和基本适用者为63.03%,不适用者4.24%;应用性综合评价结果显示,《指南》"总体疗效与技术水平"、"满意度"、"在临床实践中的适用性"较好的累计统计分别为85.46%,80.43%,69.40%。该研究表明基地单位医师对《肿瘤中医诊疗指南》的认知度较高,低年资医师是主要使用群体,临床指南总体临床适用、临床应用符合度较好,但《指南》的诊疗方案的质量和适应性等尚需改进。指南在支持证据、方法学规范及临床使用性上有所欠缺,应尽快通过修订进一步提高质量。
[Abstract]:To evaluate the applicability and clinical application of the guidelines for the diagnosis and treatment of Cancer in TCM. The evaluation methods include applicability evaluation and application evaluation. The applicability evaluation adopts questionnaire method to evaluate the familiarity and use of the guidelines. Quality level, clinical application and so on; The prospective case investigation and analysis method was used to evaluate the degree of conformity and effect of clinical application (including curative effect, safety and economy). Different comparison groups were constructed to carry out cross or stratified statistical tests, multivariate analysis and hybrid factor processing. The applicability of comprehensive evaluation results showed. The content of the Guide is fully applicable and basic applicable to 63.03, not applicable to 4.24; The results of application comprehensive evaluation showed that the cumulative statistics of "overall curative effect and technical level", "satisfaction" and "applicability in clinical practice" were 85.46% and 80.43% respectively. 69.40. the research shows that the doctors of base units have a high degree of recognition of "Cancer TCM Diagnostic and treatment guidelines", the junior doctors are the main use group, the clinical guidelines are generally applicable, and the clinical application coincidence is good. However, the quality and adaptability of the guidelines need to be improved. The guidelines are deficient in supporting evidence, methodological specifications and clinical usability, and should be further improved through revision as soon as possible.
【作者单位】：中国中医科学院中医临床基础医学研究所;
【基金】：国家中医药管理局标准化项目(ZYYBZ[PJ85],ZYYBZ[PJ86],ZYYS-2013[0010])
【分类号】：R273
【正文快照】： 临床实践指南是通过科学合理的诊疗行为得到最佳的医疗质量的有效手段[1]。随着中医药国际化、标准化进程的加速,临床实践指南也被引入到中医领域,用以规范中医诊疗行为、促进中医药推广应用[2]。自“十一五”至今,在国家中医药药管理局的支持下,中医药相关行业学会围绕常见病

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