利用Medline查询EBM.PPT

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 檢索範例三 加護病房使用呼吸器之病人使用音樂治療是否可減輕焦慮程度? * Clinical Question Clinical Scenario Medline Strategy Patient or problem 加護病房使用呼吸器之病人 ICU, Respirator Intervention 音樂治療 Music Therapy Comparison Outcome 減輕焦慮 Reduce Anxiety 檢索範例四 導尿管病人使用優點溶液消毒是否可以降低感染率? * Clinical Question Clinical Scenario Medline Strategy Patient or problem 導尿管病人 Urinary catheter Intervention 使用優碘溶液消毒 Iodine Comparison Outcome 改降低感染率 Reduce Infection Rate 檢索範例五 懷孕時之飲食建議來預防妊娠糖尿病 Article: Dietary advice in pregnancy for preventing gestational diabetes mellitus Keyword: (1)gestational diabetes mellitus；(2) Dietary advice * 問題與討論 * 在實證醫學的五步驟，大家都很熟悉。今天我們所要講的就是，當現在的醫護人員利用PICO的方式來形成一個可以回答的臨床問題後，要如何運用PICO來搜尋資料。 * * Diarrhea AND Tube feeding AND Probiotics AND diarrhea * * * * * * * * 在實證醫學的五步驟，大家都很熟悉。今天我們所要講的就是，當現在的醫護人員利用PICO的方式來形成一個可以回答的臨床問題後，要如何運用PICO來搜尋資料。 * * * 學員可以只先記紅色字 all-or- none 全有或全無: all patients died before the drug became available, but some now survive on it; or when some patients died before the drug became available, but none now die on it. 無論使用何種研究方法，但其研究結果為完全正面、完全負面或完全無效果 Outcomes research is a broad umbrella term without a consistent definition. However it tends to describe research that is concerned with the effectiveness of public-health interventions and health services; that is, the outcomes of these services. Attention is frequently focused on the affected individual ? with measures such as quality of life and preferences ? but outcomes research may also refer to effectiveness of health-care delivery, with measures such as cost-effectiveness, health status and disease burden. The present review details the historical background of outcomes research to reveal the origins of its diversity. The value and relevance of outcomes research, commonly employed research techniques and examples of recent publications in the area are also discussed. (Intern Med J 2003; 33: 110?118) ??WHAT IS OUTCOMES RESEARCH?O