中医临床证据的转化策略——决策辅助工具的研制

Strategy for Clinical Evidence Transformation of Traditional Chinese Medicine:Development of a Patients' Decision Aid

目的:介绍决策辅助工具的研制方法与步骤。方法:首先,成立课题组,制订计划书;第2步,采用调查研究的方法评价患者的决策需求;第3步,确定理论框架及目标用户;第4步,针对临床问题组织内容版块,应用文献调研及系统评价的方法形成背景信息与干预措施风险效益比,同时匹配患者价值观及测试知情决策程度。第5步,修订工具。结果:研制出冠心病心绞痛患者用药决策辅助工具。结论:知识转化是桥接研究证据产出与循证临床实践的关键环节。决策工具的研制为科学有效地转化与利用中医临床研究数据提供思路。

Objective：To introduce the methods and steps for developing a patients＇ decision aid. Methods：l ） Form a research team and draft a project plan ; 2 ） Survey the decision needs of the target patients ; 3 ） Establish a theoretical framework ; 4） An- swer the specific clinical question, using literature research and systematic review to generate background information and the risk- benefit ratio of interventions. Matching patients＇ values with their decisions and test if they are informed and conflict-free after u- sing the aid. 5 ） Revise the patients＇ decision aid. Results：A drug administration decision aid for angina patients facing dilemma was developed. Conclusion： Knowledge transformation fills in the gap between research evidence generation and evidence-based clinical practice. Patients＇ decision aids provide a strategy for the scientific transformation and utilization of resources from clinical studies of traditional Chinese medicine.