期刊文献+

基于评判视角研读随机对照试验研究文献 被引量:1

Critical analysis in randomized controlled trials
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摘要 目前护理随机对照试验(RCT)研究文献发表数量逐年上升,其研究结果对护士和护生的临床知识、护理行为以及开展科研均会产生潜在影响,采取评判的态度和系统的方法正确阐释RCT研究结果,是将研究结果转化为临床实践的关键一步。因此本文基于此理念,从以下3个方面来评价一项RCT研究的结果及临床意义:1可信度:学会判断RCT研究结果的信度和效度;2结果的阐释:学会从样本量和精度看临床统计结果 ;3适用性:学会研读外在效度和干预措施的副作用,判断新方法的适用对象。从而促进研究成果的临床转化,提升我国护理质量。 Given the rising amount of nursing literatures of randomized controlled trials(RCTs), which may be a potential impact on nurses and nursing students' clinical knowledge, nursing practice and nursing research. When translating the results of RCTs into clinical practice, it is important to assess the results with critical thinking and in systematic way, thus we provided a method that involves three main points: credibility: to judge the reliability and validity of the findings; results: to address the clinical and statistical significance of results by the sample size and precision of the effect; applicability: to raise the issue of external validity and the report of adverse effects to determine which patients may best benefit from the new intervention. To help nurses translate the results of RCTs into clinical practice, and improve the quality of clinical care in China.
出处 《中国护理管理》 CSCD 2014年第11期1220-1224,共5页 Chinese Nursing Management
关键词 偏倚 随机 随机对照试验 研究 bias randomization randomized controlled trail research
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参考文献20

  • 1Friedman LM’Furberg CD’DeMets DL.Fundamental of Clinical Trial.3rd ed.Springer Science,1998:1-12.
  • 2Mann BJ,Gosens T,LymMi S .Quantifying clinicallysignificant change.Am J Sports Med,2012,40(10):2385-2393.
  • 3Estellat C,Torgerson DJ,Ravaud P,et al.How toperform a critical analysis of a randomized controlledtrial.Best Pract Res Clin Rheumatol,2009(23):291-303.
  • 4Du Prel JB,Ri3irig B,Blettner M.Critical appraisal ofscientific articles.Dtsch Arztebl Int,2009(106):100-105.
  • 5Guyatt GH,Sackett DL,Cook DJ.Are the resultsof the study valid?. J Am Med Assoc,1993(270):2598-2601.
  • 6Guyatt GH,Sackett DL,Cook DJ.What were theresults and will they help me in caring for my patients?.J Am Med Assoc,1994(271):59-63.
  • 7陈耀龙,李晓,梅又文,蔡羽嘉,谭培勇,黄程,王梦书,王紫薇,杜亮,李幼平.循证医学术语介绍V[J].中国循证医学杂志,2009,9(7):734-739. 被引量:7
  • 8Greenhalgh T.Assessing the methodologicalquality of published papers.BMJ,1997(315):305-308.
  • 9Kunz R,Vist G,Oxman AD.Randomisation toprotect against selection bias in healthcare trials.Cochrane Database Syst Rev,2007(2):12.
  • 10Wood L,Egger M,Gluud LL,et al.Empiricalevidence of bias in treatment effect estimates incontrolled trials with different interventions andoutcomes:meta-epideimologicaistudy.BMJ,2008(336):601-605.

二级参考文献25

  • 1梁万年.临床研究中常见的偏倚及其控制[J].临床眼科杂志,1996,4(1):56-57. 被引量:1
  • 2Porta M,ed.A dictionary of epidemiology,5th edn.New York:Oxford University Press,2008.
  • 3Miettinen OS,Cook EF.Confounding essence and detection.Amer J Epid,1981,114:593-603.
  • 4Sackett DL.Bias in analytic research.J Chron Dis,1979,32:51-63.
  • 5Feinstein AR,Walter SD,Horwitz RI.An analysis of Berkson's bias in case control studies.J Chron Dis,1986,39:495-504.
  • 6姚才良.中国公共卫生,1990,6(6):279-282.
  • 7Steineck G,Ahlbom A.A definition of bias founded on the concept of the study base.Epidemiology,1992,3:477-482.
  • 8范维琥.新药与临床,1992,11(2):114-114.
  • 9Choi BCK.Bias,overview.In:Gail MH,Benichou J,eds.Encyclopedia of epidemiologic methods.Chichester:Wiley,2000,74-82.
  • 10Maclure M,Schneeweiss S.Causation of bias:the episcope.Epidemiology,2001,12:114-122.

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