中医耳鼻咽喉科常见病诊疗指南临床的应用评价的研究お.docVIP

中医耳鼻咽喉科常见病诊疗指南临床的应用评价的研究お 　　[摘要] ?Α吨幸蕉?鼻咽喉科常见病诊疗指南》进行临床应用评价，为《指南》修订提供依据。评价分为适用性评价和应用性评价两部分，前者采用调查问卷方法，由中医师独立填写《中医临床诊疗指南适用性调查问卷》；后者采用前瞻性病例调查分析方法，由主管医生填写《中医临床诊疗指南应用评价病例调查表》。采用描述性统计分析方法。完成适用性评价调查问卷151份，应用性评价观察了1 016例患者。结果显示：88.74%熟悉《指南》，45.70%使用过《指南》；《指南》的质量、应用相关项目在适用性和应用性评价中比较一致，除“调摄预防”外，其他项目好评度均超过85.00%。提示《中医耳鼻咽喉科常见病诊疗指南》质量较高，并且能够较好指导和应用于临床。未来《指南》修订过程中，应改进“调摄预防”部分内容，并纳入循证医学证据，以最终提高临床使用率。 　　[关键词] 中医诊疗指南； 适用性评价； 应用性评价； 耳鼻咽喉科 　　Clinical application evaluation of Guidelines for Diagnosis and Treatment of 　　Common Diseases of Otolaryngology in Traditional Chinese Medicine 　　LIU Yuqi1， LIU Mengyu1， LI Chun2， SHI Nannan1， WANG Yuexi1， WANG Liying1， 　　ZHAO Xueyao1， KOU Shuang1， HAN Xuejie1*， WANG Yanping1* 　　（1. Institute of Basic Research in Clinical Medicine， China Academy of Chinese Medical Sciences， Beijing 100700， China； 　　2. China Academy of Chinese Medical Sciences， Beijing 100700， China） 　　[Abstract] This study is to assess the Guidelines for Diagnosis and Treatment of Common Diseases of Otolaryngology in Traditional Chinese Medicine in clinical application and provide evidence for further guideline revision. The assessment was divided into applicability assessment and practicability assessment. The applicability assessment based on questionnaire survey and the traditional Chinese medicine （TCM） practitioners were asked to independently fill the Questionnaire for Applicability Assessment on the Guidelines for Diagnosis and Treatment in Traditional Chinese Medicine. The practicability assessment was based on prospective case investigation and analysis method and the TCM practitionersincharge filled the Case Investigation Questionnaire for Practicability Assessment on the Guidelines for Diagnosis and Treatment in Traditional Chinese Medicine. The data were analyzed in descriptive statistics. 151 questionnaires were investigated for applicability assessment and 1 016 patients were included for practicability assessment. The results showed that 88.74% of them w