《中医药单用/联合抗生素治疗常见感染性疾病临床实践指南·脓毒症》临床应用评价与修订意见
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摘要
调查我国临床医生对《中医药单用/联合抗生素治疗常见感染性疾病临床实践指南·脓毒症》的临床应用情况,以促进该《指南》的后续修订和进一步推广。应用评价调查问卷和适用评价调查问卷均采用记名问卷方法,向我国使用过该《指南》的临床医师各投放500份;采用Excel 2016建立数据库,进行描述性统计分析。应用性评价调查问卷和适用性评价调查问卷各回收211份。该调查得出结论:在现有推荐方案评价较好的基础上,针对整体内容、整体结构上再做调整;对推荐方案的方剂选择、临床证据进行更新;对《指南》应用过程中的阻碍因素提出改善措施,同时为了更好更明确地推广,应加强医患教育,提高指南质量,增大宣传力度,为《指南》的实施推广策略提供依据。
To investigate the clinical application of clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for sepsis,in order to promote the follow-up revision and further promotion of the Guidelines. Copies of 500 application evaluation questionnaire and 500 copies of applicability evaluation questionnaire were given to the clinicians who had used this Guideline in China,both in a form of registered questionnaire,and a database was established by Excel 2016 for descriptive statistical analysis. Copies of 211 application evaluation questionnaire and 211 copies of applicability evaluation questionnaire were collected. We can conclude from the survey that we should adjust the whole content and structure on the basis of better evaluation of the present recommendation scheme,update the prescription selection and clinical evidence of the recommendation scheme,and put forward the improvement measures for the hindrance factors in the application of the Guideline. Furthermore,in order to promote the Guideline more clearly,we should strengthen the doctor-patient education,improve guidance quality and increase the publicity,providing basis for the implementation and promotion strategies of the Guideline.
To investigate the clinical application of clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for sepsis,in order to promote the follow-up revision and further promotion of the Guidelines. Copies of 500 application evaluation questionnaire and 500 copies of applicability evaluation questionnaire were given to the clinicians who had used this Guideline in China,both in a form of registered questionnaire,and a database was established by Excel 2016 for descriptive statistical analysis. Copies of 211 application evaluation questionnaire and 211 copies of applicability evaluation questionnaire were collected. We can conclude from the survey that we should adjust the whole content and structure on the basis of better evaluation of the present recommendation scheme,update the prescription selection and clinical evidence of the recommendation scheme,and put forward the improvement measures for the hindrance factors in the application of the Guideline. Furthermore,in order to promote the Guideline more clearly,we should strengthen the doctor-patient education,improve guidance quality and increase the publicity,providing basis for the implementation and promotion strategies of the Guideline.
引文
[1] Singer M,Deutschman C S,Seymour C W,et al. The third international consensus definitions for sepsis and septic shock(sepsis3)[J]. J Am Med Assoc,2016,315(8):801.
[2]赵威,高炜,王贵松.急性ST段抬高心肌梗死临床指南知晓率及应用情况调查[J].心肺血管病杂志,2007(2):96.
[3]刘清泉,张晓云,孔立,等.高热(脓毒症)中医诊疗专家共识意见[J].中国中医急症,2014,23(11):1961.
[4]陈仁波,陈耀龙,盖国忠,等.基于RIGHT标准分析脓毒症实践指南的报告规范[J].中国中药杂志,2017,42(8):1514.
[5]赵国桢,王强,李博,等.基于AGREEⅡ对国内外脓毒症临床实践指南的评价[J].中医杂志,2018,59(14):1193.
[6]王芳,杨洋,刘孟宇,等.基于指南熟悉和使用程度探索中医诊疗指南实施推广策略[J].中华中医药杂志,2016,31(8):3162.
[7]蔡治国,褚志杰,孙中华,等.《咳嗽中医诊疗指南》在山东省不同级别中医医院的适用性评价研究[J].中华中医药杂志,2016,31(8):3158.
[2]赵威,高炜,王贵松.急性ST段抬高心肌梗死临床指南知晓率及应用情况调查[J].心肺血管病杂志,2007(2):96.
[3]刘清泉,张晓云,孔立,等.高热(脓毒症)中医诊疗专家共识意见[J].中国中医急症,2014,23(11):1961.
[4]陈仁波,陈耀龙,盖国忠,等.基于RIGHT标准分析脓毒症实践指南的报告规范[J].中国中药杂志,2017,42(8):1514.
[5]赵国桢,王强,李博,等.基于AGREEⅡ对国内外脓毒症临床实践指南的评价[J].中医杂志,2018,59(14):1193.
[6]王芳,杨洋,刘孟宇,等.基于指南熟悉和使用程度探索中医诊疗指南实施推广策略[J].中华中医药杂志,2016,31(8):3162.
[7]蔡治国,褚志杰,孙中华,等.《咳嗽中医诊疗指南》在山东省不同级别中医医院的适用性评价研究[J].中华中医药杂志,2016,31(8):3158.