诊断试验类证据在临床护理实践指南中的应用
|
摘要
护理评估是护理诊断的基础,其常借用评估量表收集资料。评估工具的准确性及临床应用价值,越来越引起临床护理专家的关注。伴随临床护理实践指南制定的热潮,与评估工具相关的诊断性推荐意见的制定已成为指南制定小组常常遇到的内容。本文就诊断性试验在护理评估中应用的必要性、诊断试验准确性系统评价在临床护理实践指南推荐意见制定时可能遇到的问题进行探讨和总结,以期为护理研究人员在制定或应用相关主题的诊断试验准确性系统评价时提供参考。
Nursing assessment is the basis of nursing diagnosis,and is essential part in the process of nursing practice.It often uses assessment tools to collect disease data.The accuracy and clinical value of assessment tools has attracted more and more attention of clinical nursing specialists.With clinical nursing practice guidelines development upsurge,making recommendations related to diagnostic assessment tools has become significant content for guideline development group to consider.This article discussed and summarized the necessity of the application of diagnostic test in nursing assessment and questions on application of diagnostic systematic review in clinical nursing practice guidelines for the sake of making suggestions for nursing researchers.
Nursing assessment is the basis of nursing diagnosis,and is essential part in the process of nursing practice.It often uses assessment tools to collect disease data.The accuracy and clinical value of assessment tools has attracted more and more attention of clinical nursing specialists.With clinical nursing practice guidelines development upsurge,making recommendations related to diagnostic assessment tools has become significant content for guideline development group to consider.This article discussed and summarized the necessity of the application of diagnostic test in nursing assessment and questions on application of diagnostic systematic review in clinical nursing practice guidelines for the sake of making suggestions for nursing researchers.
引文
[1] IOM(Institute of Medicine).Clinical practice guidelines we can trust[M].Washington,DC:The National Academies Press,2011.
[2]钟勤,罗海燕.我国护理评估研究现状[J].全科护理,2009(21):1968-1969.
[3]何长英,魏丽君,钟杏,等.基于德尔菲法构建住院老年患者跌倒风险评估量表的研究[J].护士进修杂志,2017,32(9):771-774.
[4]周君桂,李亚洁,范建中.Morse跌倒评估量表中文版在我国住院老年患者中的信度及效度研究[J].中国康复医学杂志,2012,27(3):244-248.
[5]杜燕平,但冬玉.防跌倒评估量表在产科护理中的应用[J].实用临床护理学电子杂志,2017,2(17):139-142.
[6]严广斌.NRS疼痛数字评价量表numerical rating scale[J].中华关节外科杂志:电子版,2014(3):410-410.
[7]徐波.肿瘤护理学[M].北京:人民卫生出版社,2008:99.
[8]吴燕萍,覃惠英,范育英,等.中国人癌症疼痛评估工具效度与信度的分析[J].护士进修杂志,2001,16(10):737-738.
[9] Wang G L,Hsu S H,Feng A C,et al.The hads and the dt for screening psychosocial distress of cancer patients in taiwan[J].Psychooncology,2011,20(6):639-646.
[10] Krespi Boothby M R,Hill J,Holcombe C,et al.The accuracy of HADS and GHQ-12in detecting psychiatric morbidity in breast cancer patients[J].Turk PsikiyatriDerg,2010,21(1):49-59.
[11] Alexander S,Palmer C,Stone P C.Evaluation of screening instruments for depression and anxiety in breast cancer survivors[J].Breast Cancer Res Treat,2010,122(2):573-578.
[12] Maclean E N,Stone I S,Ceelen F,et al.Reporting standards in cardiac MRI,CT,and SPECT diagnostic accuracy studies:Analysis of the impact of STARD criteria[J].Eur Heart J Cardiovasc Imaging,2014,15(6):691-700.
[13] Bossuyt P M,Reitsma J B,Bruns D E,et al.Towards complete and accurate reporting of studies of diagnostic accuracy:The STARD initiative[J].Ann Intern Med,2003,138(1):40-44.
[14] Bossuyt P M,Reitsma J B,Bruns D E,et al.Stard 2015:An updated list of essential items for reporting diagnostic accuracy studies[J].Clin Chem,2015,61(12):1446-1452.
[15]朱一丹,李会娟,武阳丰.诊断准确性研究报告规范(STARD)2015介绍与解读[J].中国循证医学杂志,2016,16(6):730-735.
[16] McCarthy H,McNulty H,Dixon M,et al.Screening for nutrition risk in children:The validation of a new tool[J].J Hum Nutr Diet,2008,21(4):395-396.
[17]McCarthy H,Dixon M,Crabtree I,et al.The development and evaluation of the screening tool for the assessment of malnutrition in paediatrics for use by health care staff[J].J Hum Nutr Diet,2012,25(4):311.
[18] Sermet Gaudelus I,Poisson Salomon A S,Colomb V,et al.Simple pediatric nutritional risk score to identify children at risk of malnutrition[J].Am J Clin Nutr,2000,72(1):64-70.
[19] Secker D J,Jeejeebhoy K N.Subjective global nutritional assessment for children[J].Am J Clin Nutr,2007,85(4):1083-1089.
[20] Whiting P,Rutjes A W,Reitsma J B,et al.The development of QUADAS:A tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews[J].BMCMed Res Methodol,2003,3:25.
[21] Whiting P,Rutjes A W,Dinnes J,et al.Development and validation of methods for assessing the quality of diagnostic accuracy studies[J].Health Technol Assess,2004,8(25):1-234.
[22] Higgins J P T,Green S.Cochrane handbook for systematic reviews of interventions version 5.1.0[EB/OL][2017-03-11].The cochrane collaboration,2011.http://www.cochranehandbook.org.
[23] Deeks J J,Bossuyt P M,Gatsonis C.Cochrane handbook for systematic reviews of diagnostic test accuracy version 1.0.0.the cochrane collaboration,2009[EB/OL][2017-05-12].http://srdta.cochrane.org.
[24] Critical appraisal skills programme.CASP(insert name of checklist i.e.diagnostic test study)checklist[EB/OL][2018-01-15]:http://www.casp-uk.net/wp-content/uploads/2018/01/CASP_Diagnostic_Appraisal_Checklist_2018.pdf.
[25] Whiting P F,Rutjes A W,Westwood ME,et al.QUADAS-2:A revised tool for the quality assessment of diagnostic accuracy studies[J].Ann Intern Med,2011,155(8):529-536.
[26]田金徽,陈杰峰.诊断试验系统评价/Meta分析指导手册[M].北京:中国医药科技出版社,2015:98.
[27]邬兰,张永,曾宪涛.QUADAS-2在诊断准确性研究的质量评价工具中的应用[J].湖北医药学院学报,2013,32(3):201-208.
[28] First M B.Diagnostic and statistical manual of mental disorders and clinical utility[J].J NervMent Dis,2013,201(9):727-729.
[29] Ely E W,Siegel M D,Inouye S K.Delirium in the intensive care unit:An under-recognized syndrome of organ dysfunction[J].Semin Respir Crit Care Med,2001,22(2):115-126.
[30] Moeeni V,Walls T,Day A S.Nutritional status and nutrition risk screening in hospitalized children in New Zealand[J].Acta Paediatr,2013,102(9):419-423.
[31] Goldenberg G,Kiselev P,Bharathan T,et al.Predicting postoperative delirium in elderly patient undergoing surgery for hip fracture[J].Psychogeriatrics,2006,6(2):43-48.
[32] Vochteloo A J,Moerman S,van der Burg B L,et al.Delirium risk screening and haloperidol prophylaxis program in hip fracture patients is a helpful tool in identifying high-risk patients,but does not reduce the incidence of delirium[J].BMC Geriatrics,2011,11:39.
[33]徐强.老年髋部骨折患者围手术期谵妄的危险分层及病因分析[D].重庆:重庆医科大学,2012:7-25.
[34]张慧文,顾莺,杨玉霞,等.STAMP量表筛检住院儿童营养不良风险的系统评价[J].护理学杂志,2016,31(7):85-90.
[35] Freter S,Dunbar M,Koller K,et al.Risk of pre-and post-operative delirium and delirium elderly at risk tool in hip fracture patients[J].Can Geriatr J,2015,18(4):212-6.
[36]陈耀龙,李幼平,杜亮,等.医学研究中证据分级和推荐强度的演进[J].中国循证医学杂志,2008,8(2):127-133.
[37]李幼平.循证医学[M].3版.北京:高等教育出版社,2013.
[38] The Joanna Briggs Institute:Levels of evidence and grade of recommendation working party.supporting ducument for the joanna briggs institute levels of evidence and grade of recommendation.The joanna briggs institute.2014[EB/OL][2017-05-20].http://joanna briggs.org/jbi-approach.htmlhttp://joannabriggs.org/jbi-approach.html#tabbed-nav=Levelsof-Evidencehttp://joannabriggs.org/jbi-approach.html#tabbed-nav=Grades-of-Recommendation.
[39]王春青,胡雁.JBI证据预分级及证据推荐级别系统[J].护士进修杂志,2015,30(11):964-967.
[40] Balshem H,Helf M,Schunemann,H J,et al.GRADE:Guidelines:3.Rating the quality of evidence of evidence[J].J Clin Epidemiol,2011,64(4):401-406.
[41]王云云,靳英辉,陈耀龙,等.循证临床实践指南推荐意见形成的方法分析[J].中国循证医学杂志,2017,17(9):1-8.
[42] Alonso-Coello P,Schünemann H J,Moberg J,et al.GRADE Evidence to decision frameworks:A systematic and transparent approach to making well informed healthcare choices.1:Introduction[J].BMJ,2016,353:i2016.
[43] Alonso-Coello P,Oxman A D,Moberg J,et al.GRADE Evidence to decision frameworks:A systematic and transparent approach to making well informed healthcare choices.2:Clinical practice guidelines[J].BMJ,2016,353:i2089.
[44] Moberg J,Alonso-Coello P,Oxman AD.GRADE Evidence to decision frameworks guidance.version 1.1[EB/OL][2017-05-18].The GRADE working group,2015.https://ietd.epistemonikos.org/#/help/guidance.
[45]陈耀龙.GRADE在系统评价和实践指南中的应用[M].兰州:兰州大学出版社,2017:167-180.
[2]钟勤,罗海燕.我国护理评估研究现状[J].全科护理,2009(21):1968-1969.
[3]何长英,魏丽君,钟杏,等.基于德尔菲法构建住院老年患者跌倒风险评估量表的研究[J].护士进修杂志,2017,32(9):771-774.
[4]周君桂,李亚洁,范建中.Morse跌倒评估量表中文版在我国住院老年患者中的信度及效度研究[J].中国康复医学杂志,2012,27(3):244-248.
[5]杜燕平,但冬玉.防跌倒评估量表在产科护理中的应用[J].实用临床护理学电子杂志,2017,2(17):139-142.
[6]严广斌.NRS疼痛数字评价量表numerical rating scale[J].中华关节外科杂志:电子版,2014(3):410-410.
[7]徐波.肿瘤护理学[M].北京:人民卫生出版社,2008:99.
[8]吴燕萍,覃惠英,范育英,等.中国人癌症疼痛评估工具效度与信度的分析[J].护士进修杂志,2001,16(10):737-738.
[9] Wang G L,Hsu S H,Feng A C,et al.The hads and the dt for screening psychosocial distress of cancer patients in taiwan[J].Psychooncology,2011,20(6):639-646.
[10] Krespi Boothby M R,Hill J,Holcombe C,et al.The accuracy of HADS and GHQ-12in detecting psychiatric morbidity in breast cancer patients[J].Turk PsikiyatriDerg,2010,21(1):49-59.
[11] Alexander S,Palmer C,Stone P C.Evaluation of screening instruments for depression and anxiety in breast cancer survivors[J].Breast Cancer Res Treat,2010,122(2):573-578.
[12] Maclean E N,Stone I S,Ceelen F,et al.Reporting standards in cardiac MRI,CT,and SPECT diagnostic accuracy studies:Analysis of the impact of STARD criteria[J].Eur Heart J Cardiovasc Imaging,2014,15(6):691-700.
[13] Bossuyt P M,Reitsma J B,Bruns D E,et al.Towards complete and accurate reporting of studies of diagnostic accuracy:The STARD initiative[J].Ann Intern Med,2003,138(1):40-44.
[14] Bossuyt P M,Reitsma J B,Bruns D E,et al.Stard 2015:An updated list of essential items for reporting diagnostic accuracy studies[J].Clin Chem,2015,61(12):1446-1452.
[15]朱一丹,李会娟,武阳丰.诊断准确性研究报告规范(STARD)2015介绍与解读[J].中国循证医学杂志,2016,16(6):730-735.
[16] McCarthy H,McNulty H,Dixon M,et al.Screening for nutrition risk in children:The validation of a new tool[J].J Hum Nutr Diet,2008,21(4):395-396.
[17]McCarthy H,Dixon M,Crabtree I,et al.The development and evaluation of the screening tool for the assessment of malnutrition in paediatrics for use by health care staff[J].J Hum Nutr Diet,2012,25(4):311.
[18] Sermet Gaudelus I,Poisson Salomon A S,Colomb V,et al.Simple pediatric nutritional risk score to identify children at risk of malnutrition[J].Am J Clin Nutr,2000,72(1):64-70.
[19] Secker D J,Jeejeebhoy K N.Subjective global nutritional assessment for children[J].Am J Clin Nutr,2007,85(4):1083-1089.
[20] Whiting P,Rutjes A W,Reitsma J B,et al.The development of QUADAS:A tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews[J].BMCMed Res Methodol,2003,3:25.
[21] Whiting P,Rutjes A W,Dinnes J,et al.Development and validation of methods for assessing the quality of diagnostic accuracy studies[J].Health Technol Assess,2004,8(25):1-234.
[22] Higgins J P T,Green S.Cochrane handbook for systematic reviews of interventions version 5.1.0[EB/OL][2017-03-11].The cochrane collaboration,2011.http://www.cochranehandbook.org.
[23] Deeks J J,Bossuyt P M,Gatsonis C.Cochrane handbook for systematic reviews of diagnostic test accuracy version 1.0.0.the cochrane collaboration,2009[EB/OL][2017-05-12].http://srdta.cochrane.org.
[24] Critical appraisal skills programme.CASP(insert name of checklist i.e.diagnostic test study)checklist[EB/OL][2018-01-15]:http://www.casp-uk.net/wp-content/uploads/2018/01/CASP_Diagnostic_Appraisal_Checklist_2018.pdf.
[25] Whiting P F,Rutjes A W,Westwood ME,et al.QUADAS-2:A revised tool for the quality assessment of diagnostic accuracy studies[J].Ann Intern Med,2011,155(8):529-536.
[26]田金徽,陈杰峰.诊断试验系统评价/Meta分析指导手册[M].北京:中国医药科技出版社,2015:98.
[27]邬兰,张永,曾宪涛.QUADAS-2在诊断准确性研究的质量评价工具中的应用[J].湖北医药学院学报,2013,32(3):201-208.
[28] First M B.Diagnostic and statistical manual of mental disorders and clinical utility[J].J NervMent Dis,2013,201(9):727-729.
[29] Ely E W,Siegel M D,Inouye S K.Delirium in the intensive care unit:An under-recognized syndrome of organ dysfunction[J].Semin Respir Crit Care Med,2001,22(2):115-126.
[30] Moeeni V,Walls T,Day A S.Nutritional status and nutrition risk screening in hospitalized children in New Zealand[J].Acta Paediatr,2013,102(9):419-423.
[31] Goldenberg G,Kiselev P,Bharathan T,et al.Predicting postoperative delirium in elderly patient undergoing surgery for hip fracture[J].Psychogeriatrics,2006,6(2):43-48.
[32] Vochteloo A J,Moerman S,van der Burg B L,et al.Delirium risk screening and haloperidol prophylaxis program in hip fracture patients is a helpful tool in identifying high-risk patients,but does not reduce the incidence of delirium[J].BMC Geriatrics,2011,11:39.
[33]徐强.老年髋部骨折患者围手术期谵妄的危险分层及病因分析[D].重庆:重庆医科大学,2012:7-25.
[34]张慧文,顾莺,杨玉霞,等.STAMP量表筛检住院儿童营养不良风险的系统评价[J].护理学杂志,2016,31(7):85-90.
[35] Freter S,Dunbar M,Koller K,et al.Risk of pre-and post-operative delirium and delirium elderly at risk tool in hip fracture patients[J].Can Geriatr J,2015,18(4):212-6.
[36]陈耀龙,李幼平,杜亮,等.医学研究中证据分级和推荐强度的演进[J].中国循证医学杂志,2008,8(2):127-133.
[37]李幼平.循证医学[M].3版.北京:高等教育出版社,2013.
[38] The Joanna Briggs Institute:Levels of evidence and grade of recommendation working party.supporting ducument for the joanna briggs institute levels of evidence and grade of recommendation.The joanna briggs institute.2014[EB/OL][2017-05-20].http://joanna briggs.org/jbi-approach.htmlhttp://joannabriggs.org/jbi-approach.html#tabbed-nav=Levelsof-Evidencehttp://joannabriggs.org/jbi-approach.html#tabbed-nav=Grades-of-Recommendation.
[39]王春青,胡雁.JBI证据预分级及证据推荐级别系统[J].护士进修杂志,2015,30(11):964-967.
[40] Balshem H,Helf M,Schunemann,H J,et al.GRADE:Guidelines:3.Rating the quality of evidence of evidence[J].J Clin Epidemiol,2011,64(4):401-406.
[41]王云云,靳英辉,陈耀龙,等.循证临床实践指南推荐意见形成的方法分析[J].中国循证医学杂志,2017,17(9):1-8.
[42] Alonso-Coello P,Schünemann H J,Moberg J,et al.GRADE Evidence to decision frameworks:A systematic and transparent approach to making well informed healthcare choices.1:Introduction[J].BMJ,2016,353:i2016.
[43] Alonso-Coello P,Oxman A D,Moberg J,et al.GRADE Evidence to decision frameworks:A systematic and transparent approach to making well informed healthcare choices.2:Clinical practice guidelines[J].BMJ,2016,353:i2089.
[44] Moberg J,Alonso-Coello P,Oxman AD.GRADE Evidence to decision frameworks guidance.version 1.1[EB/OL][2017-05-18].The GRADE working group,2015.https://ietd.epistemonikos.org/#/help/guidance.
[45]陈耀龙.GRADE在系统评价和实践指南中的应用[M].兰州:兰州大学出版社,2017:167-180.