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《中医耳鼻咽喉科常见病诊疗指南》临床应用评价研究

发布时间:2019-01-01 07:41
【摘要】:对《中医耳鼻咽喉科常见病诊疗指南》进行临床应用评价,为《指南》修订提供依据。评价分为适用性评价和应用性评价两部分,前者采用调查问卷方法,由中医师独立填写《中医临床诊疗指南适用性调查问卷》;后者采用前瞻性病例调查分析方法,由主管医生填写《中医临床诊疗指南应用评价病例调查表》。采用描述性统计分析方法。完成适用性评价调查问卷151份,应用性评价观察了1 016例患者。结果显示:88.74%熟悉《指南》,45.70%使用过《指南》;《指南》的质量、应用相关项目在适用性和应用性评价中比较一致,除"调摄预防"外,其他项目好评度均超过85.00%。提示《中医耳鼻咽喉科常见病诊疗指南》质量较高,并且能够较好指导和应用于临床。未来《指南》修订过程中,应改进"调摄预防"部分内容,并纳入循证医学证据,以最终提高临床使用率。
[Abstract]:The clinical application of the guidelines for the diagnosis and treatment of Otorhinolaryngology in traditional Chinese Medicine was evaluated in order to provide the basis for the revision of the guidelines. The evaluation is divided into two parts: applicability evaluation and application evaluation. The former adopts questionnaire method, and Chinese medicine doctor fills out the applicability questionnaire of clinical diagnosis and treatment guide of TCM independently. In the latter, the prospective case investigation and analysis method was used, and the competent doctor filled out the questionnaire for the application of the guidelines for clinical diagnosis and treatment of traditional Chinese medicine (TCM). Descriptive statistical analysis method was used. 151 questionnaires were completed and 1016 patients were observed by application evaluation. The results showed that 88.74% were familiar with the guidelines and 45.70% had used the guidelines. The quality of "Guide", the application of relevant items in the applicability and application evaluation is more consistent, except for "adjustment prevention", the other items are more than 85.00 degree of praise. The results suggest that the quality of the guidelines for the diagnosis and treatment of common diseases in otorhinolaryngology of traditional Chinese medicine is high, and it can be used in clinical practice. In the course of future revision of the guidelines, we should improve some of the contents of "modulation prevention" and incorporate evidence based medical evidence in order to eventually increase the clinical use rate.
【作者单位】: 中国中医科学院中医临床基础医学研究所;中国中医科学院;
【基金】:中国中医科学院中医临床基础医学研究所自主选题项目(Z0411);中国中医科学院自主选题项目(Z0483) 国家中医药管理局资助项目(ZYYS-2016[0013],ZYYS-2014[20])
【分类号】:R276.1

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