论文部分内容阅读
目的 :评价造口专科护理相关临床实践指南的质量,以分析当前造口护理相关临床实践指南的研究现状,为构建适合我国本土的造口护理临床实践指南提供参考。方法 :计算机检索中国知网(CNKI)、维普数据库(VIP)、万方数据库(WANFANGDATA)、中国生物医学文献数据库(CBM)、Pub Med、Pro Quest、WebofScience数据库,以及与指南发布及指南资料相关的其他网站,检索时限为2006-2015年。纳入公开发表的造口专科护理相关临床实践指南,语言为中文或英文,描述性分析纳入指南的名称、发表年份、发布机构、制定方法等内容。采用AGREEⅡ工具评价指南质量。结果:共纳入19篇指南,其中美国9篇,英国5篇,加拿大3篇,瑞典1篇,中国1篇。已获全文予以评价的指南有14篇,指南的总体质量一般,A级4篇,B级8篇,C级2篇。AGREEⅡ6大领域平均得分依次为范围和目的(76.59%)、清晰性(74.01%)、参与人员(66.67%)、严谨性(51.93%)、应用性(46.73%)和编辑独立性(37.50%)。结论 :造口专科护理领域的临床实践指南在严谨性、应用性和编辑独立性上要加强,注意清楚描述利益冲突;提倡基于循证制定指南,使用最佳证据;目前我国尚无本土化造口专科护理临床实践指南,建议借鉴国外经验,基于循证制定符合我国国情的造口专科护理临床实践指南。
OBJECTIVE: To evaluate the quality of clinical practice guidelines for ostomy nursing to analyze the current research status of clinical practice guidelines for stoma care, and to provide a reference for the construction of a clinical practice guideline for stoma care in China. Methods: CNKI, VIP, WANFANGDATA, CBM, Pub Med, Pro Quest and WebofScience databases were searched by computer and related to the guideline publication and guideline data Other websites, with search timeframe of 2006-2015. Include published guidelines for clinical practice related to ostomy nursing in either Chinese or English, descriptive analysis of the name of the guideline, year of publication, organization of release, method of formulation, etc. Using AGREE Ⅱ tool to evaluate guideline quality. Results: A total of 19 guides were included, including 9 in the United States, 5 in the United Kingdom, 3 in Canada, 1 in Sweden and 1 in China. There are 14 guides that have been evaluated in full text. The overall quality of the guideline is generally 4 for A level, 8 for B level and 2 for C level. The average scores of AGREEⅡ6 were range and purpose (76.59%), clarity (74.01%), participants (66.67%), rigor (51.93%), applicability (46.73%) and editorial independence . Conclusion: The guidelines for clinical practice in stomatology specialist nursing should be strengthened in terms of rigor, applicability and editorial independence, with a clear description of conflicts of interest, advocacy based on evidence-based guidelines and the use of best evidence. At present, there is no indigenous manufacturing in China Oral clinical nursing guidelines, it is recommended to learn from foreign experience, based on evidence-based development in line with China’s national standard of specialty clinical nursing guide.