《中国康复理论与实践》

中国康复理论与实践 >

2020 , Vol. 26 >Issue 2: 136 - 143

DOI: https://doi.org/10.3969/j.issn.1006-9771.2020.02.002

专题 康复指南研究:理论架构、方法体系、发展状况与质量评价

康复临床实践指南:发展现状研究

  • 袁涛 ,
  • 李浩冉 ,
  • 魏莉莉 ,
  • 王子君 ,
  • 周奇 ,
  • 黄嘉骏 ,
  • 谢朝晖 ,
  • 石秀娥 ,
  • 陈耀龙 ,
  • 杨克虎
展开
  • 1.兰州大学第一医院疼痛科,甘肃兰州市 730000
    2.兰州大学基础医学院循证医学中心,甘肃兰州市 730000
    3.甘肃省循证医学与临床转化重点实验室,甘肃兰州市 730000
    4.世界卫生组织国际分类家族中国合作中心,北京市 100068
    5.中国ICF研究院/潍坊医学院,山东潍坊市 261053
    6.世界卫生组织指南实施与知识转化合作中心,甘肃兰州市 730000
    7.GRADE中国中心,甘肃兰州市 730000
    8.兰州大学第一临床医学院,甘肃兰州市 730000
    9.甘肃省康复中心医院,甘肃兰州市 730000
    10.甘肃省循证康复医学研究中心,甘肃兰州市 730000
袁涛(1992-),女,汉族,甘肃清水县人,硕士,医师,主要研究方向:循证医学及慢性疼痛。|李浩冉(1993-),男,汉族,陕西汉中市人,主要研究方向:公共卫生健康大数据和ICF。

收稿日期: 2019-10-14

  修回日期: 2020-02-10

  网络出版日期: 2020-03-19

基金资助

1.国家社科基金重大项目(19ZDA142);2.甘肃省循证医学与临床转化重点实验室创新基金项目(CXJJ2019002)

收起

Clinical Practice Guidelines of Rehabilitation: Development Status

  • Tao YUAN ,
  • Hao-ran LI ,
  • Li-li WEI ,
  • Zi-jun WANG ,
  • Qi ZHOU ,
  • Jia-jun HUANG ,
  • Zhao-hui XIE ,
  • Xiu-e SHI ,
  • Yao-long CHEN ,
  • Ke-hu YANG
Expand
  • 1. Department of Pain Medicine, the First Hospital of Lanzhou University, Lanzhou, Gansu 730000, China
    2. Evidence-based Medicine Center of Lanzhou University, Lanzhou, Gansu 730000, China
    3. Gansu Key Laboratory of Evidence-based Medicine and Clinical Transformation, Lanzhou Gansu 730000, China
    4. WHO-FIC Collaborating Center in China, Beijing 100068, China
    5. China Academy of ICF/Weifang Medical University, Weifang, Shandong 261053, China
    6. WHO Collaborating Centre for Guideline Implementation and Knowledge Translation, Lanzhou, Gansu 730000, China
    7. Chinese GRADE Center, Lanzhou, Gansu 730000, China
    8. the First School of Clinical Medicine, Lanzhou University, Lanzhou, Gansu 730000, China
    9. Rehabilitation Center Hospital of Gansu, Lanzhou, Gansu 730000, China
    10. Gansu Evidence-based Rehabilitation Medical Research Center, Lanzhou, Gansu 730000, China

Received date: 2019-10-14

  Revised date: 2020-02-10

  Online published: 2020-03-19

Supported by

Major Project of the National Social Science Fund(19ZDA142);Gansu Key Laboratory of Evidence-based Medicine and Clinical Translation Innovation Fund(CXJJ2019002)

Fold

摘要

目的 分析康复临床实践指南的发展现状和存在的问题,为制订康复临床实践指南提供参考和借鉴。方法 检索PubMed、EMBASE、中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方数据库、医脉通、英国国家卫生与临床优化研究所(NICE)、美国国立指南文库(NGC)、苏格兰校际指南协作网(SIGN)、世界卫生组织(WHO)、国际指南协作网(GIN)等数据库和指南相关网站,搜索国内外已发布的康复临床实践指南,检索时限均从建库至2020年1月11日。根据纳入和排除标准筛选文献,提取纳入指南的发表年代、国家、期刊、发布机构、涉及的健康问题和制订方法等数据,并做描述性统计分析。结果 共纳入康复临床实践指南84篇,其中中文17篇,英文67篇。康复临床实践指南发表量位于前4位的国家是美国(19篇)、中国(17篇)、英国(12篇)和加拿大(11篇),制订指南的机构主要是各医学专业学会和协会(49篇)。康复临床实践指南发表量位于前5位的疾病为脑卒中(12篇)、心血管疾病(9篇)、肩关节损伤(5篇)、肺部疾病(5篇)和脊髓损伤(5篇)。35篇(42%)指南的推荐意见有证据分级和推荐强度;22篇(26%)指南指出会定期更新推荐意见。结论 康复临床实践指南数量较少,纳入指南聚焦的健康问题主要为神经、肌肉骨骼系统疾病,以及心肺功能障碍康复。多数指南的推荐意见以文献综述或专家意见为主,少数指南基于循证方法系统制订,康复指南的制订需要进一步规范化。

关键词： 康复医学; 临床实践指南; 现状分析

本文引用格式

袁涛 , 李浩冉 , 魏莉莉 , 王子君 , 周奇 , 黄嘉骏 , 谢朝晖 , 石秀娥 , 陈耀龙 , 杨克虎 . 康复临床实践指南:发展现状研究[J]. 中国康复理论与实践, 2020 , 26(2) : 136 -143 . DOI: 10.3969/j.issn.1006-9771.2020.02.002

Abstract

Objective To analyze the development trends and issues of clinical practice guidelines of rehabilitation.Methods Clinical practice guidelines of rehabilitation were retrieved from PubMed, EMBASE, China Biology Medicine disc, CNKI, Wangfang database, Medlive, National Institute for Health and Care Excellence, National Guideline Clearinghouse, Scottish Intercollegiate Guidelines Network, World Health Organization and Guidelines International Network from establishiment to January 11, 2020. The number, publication date, distribution of countries, journals, institutions, subject areas and methods for developing guidelines of included literatures were analyzed. Results A total of 84 clinical practice guidelines of rehabilitation were included, in which there were 17 published in Chinese and 67 in English. The top four countries that published rehabilitation guidelines were the United States (19 articles), China (17 articles), the United Kingdom (12 articles) and Canada (11 articles). The guidelines were developed mainly by the health professional societies and associations (49 articles). The main health conditions involved stroke (12 articles), cardiovascular disease (9 articles), shoulder joint injury (5 articles), pulmonary disease (5 articles) and spinal cord injury (5 articles). There were 35 guidelines expressiong evidence classification and recommendation intensity (42%), and 22 guidelines (26%) would update regularly.Conclusion Clinical practice guidelines of rehabilitation focuse on neurological and musculoskeletal system diseases and cardiopulmonary dysfunction. There are relatively few published clinical practice guidelines for rehabilitation. Most guidelines are based on literature review or expert opinions, while a few are evidence-based. It is proposed to implement standardized approaches to develop clinical practice guidelines of rehabilitation.

Key words： rehabilitation; clinical practice guidelines; situation analysis

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