康复临床实践指南:发展现状研究

doi:10.3969/j.issn.1006-9771.2020.02.002

Abstract

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

CLC Number:

YUAN Tao,LI Hao-ran,WEI Li-li,WANG Zi-jun,ZHOU Qi,HUANG Jia-jun,XIE Zhao-hui,SHI Xiu-e,CHEN Yao-long,YANG Ke-hu. Clinical Practice Guidelines of Rehabilitation: Development Status[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(2): 136-143.

Figures/Tables 7

References 79

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中外文期刊/网站	发表指南数量	影响因子
National Institute for Health and Care Excellence	4	-
Physical Therapy	4	3.043
Thorax	2	9.655
Netherlands Heart Journal	2	1.476
British Journal of Sports Medicine	2	7.867
Scottish Intercollegiate Guidelines Network	2	-
American Academy of Ophthalmology	2	-
Spinal Cord	2	1.936
Heart	2	6.059
International Journal of Stroke	2	4.466
中国康复理论与实践	3	1.195
中国康复医学杂志	2	1.849

英文指南针对健康问题	指南数量	英文指南针对健康问题	指南数量
神经系统疾病		肿瘤
脑卒中	12	头颈癌术后言语和吞咽	2
脑瘫	1	前列腺癌术后性功能	1
循环系统		乳腺癌术后上肢康复	1
心脏康复	9	精神、行为或神经发育障碍
呼吸系统		认知功能障碍	3
肺康复	5	眼和附器疾病
肌肉骨骼系统和结缔组织疾病		视力损害	2
肩关节病变	5	耳或乳突疾病
脊柱侧凸或其他脊柱畸形	3	前庭康复	2
关节炎/膝痛	3	消化系统
前交叉韧带损伤	1	牙科和口腔	1
腰痛	1	皮肤疾病
颈痛	1	成人特应性皮炎	1
骨质疏松	1	无特殊分类
损伤、中毒或外因的某些其他后果		慢性非恶性疼痛综合征	1
脊髓损伤	5	危重病	1
脑损伤	2	社区康复	1
运动损伤	2

Clinical Practice Guidelines of Rehabilitation: Development Status

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中文指南针对健康问题	指南数量
神经系统疾病
脑卒中	5
脑血管病	1
肌肉骨骼系统
脊柱脊髓损伤	2
骨质疏松	2
肌肉减少	1
肌痉挛	1
损伤、中毒或外因的某些其他后果
烧伤	1
地震伤员	1
耳或乳突疾病
听力障碍	1
精神、行为或神经发育障碍
儿童孤独症	1
消化系统疾病
肝病	1

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