中国临床实践指南制订者对患者指南认知度的调查  

Survey on knowledge regarding patient version of guidelines among clinical practice guideline developers in China

作　　者：王小琴[1,2,3,4] 肖玉洁 马艳芳 刘练[5] 王子君 杜雅丽 童雅婧 王浩 姚亮 陈耀龙 杨克虎[1,2,3,4] WANG Xiaoqin;XIAO Yujie;MA Yanfang;LIU Lian;WANG Zijun;DU Yali;TONG Yajing;WANG Hao;YAO Liang;CHEN Yaolong;YANG Kehu(Evidence-Based Medicine Center,School of Basic Medical Sciences,Lanzhou University,Lanzhou,730000,P.R.China;Chinese GRADE Center,Lanzhou University,Lanzhou,730000,P.R.China;Key Laboratory of Evidence-Based Medicine and Knowledge Translation of Gansu Province,Lanzhou,730000,P.R.China;WHO Collaborating Centre for Guideline Implementation and Knowledge Translation,Lanzhou,730000,P.R.China;The Second Medical School of Lanzhou University,Lanzhou,730000,P.R.China;School of Public Health of Lanzhou University,Lanzhou,730000,P.R.China;Gansu Provincial Hospital Clinical Evidence Based Medical Research Institute,Lanzhou,730000,P.R.China)

机构地区：[1]兰州大学基础医学院循证医学研究所,兰州730000 [2]GRADE中国中心,兰州730000 [3]甘肃省循证医学与临床转化重点实验室,兰州730000 [4]世界卫生组织指南实施与知识转化合作中心,兰州730000 [5]兰州大学第二临床医学院,兰州730000 [6]兰州大学公共卫生学院,兰州730000 [7]甘肃省人民医院临床循证医学研究所,兰州730000

出　　处：《中国循证医学杂志》2019年第1期12-17,共6页Chinese Journal of Evidence-based Medicine

基　　金：国家自然科学基金项目(编号:81673825)

摘　　要：目的了解我国指南制订相关领域的专家及研究人员对患者指南(patient version of guidelines,PVG)的认知度。方法在"2017中国医师协会循证医学专业年会暨甘肃省医师协会/甘肃省医学会循证医学专业年会"会议期间,对指南制订专场的参会人员发放纸质版问卷调查;同时跟随国家卫生计生委医管中心标准处的指南调研团队进一步调查深圳、广州、西安、北京等地的指南制订者对PVG的认知度。问卷设计了10个问题以了解被调查者对PVG的知晓度及对PVG制订过程的看法与意见。排除无效问卷后采用Excel 2013软件进行数据录入,采用SPSS 19.0软件进行数据分析。结果共发放调查问卷150份,回收问卷107份(71.3%),其中有效问卷90份(60.0%)。关于PVG的知晓度:30.0%的被调查者停留在"仅听说过"的层面,34.4%的被调查者表示"未听说过";且知晓度与学历、部门、专业、地区间均无显著相关性(P>0.05)。关于对PVG本身及其制订过程的看法与意见:86.7%的被调查者认为需要制订PVG;90%的被调查者认为需要参照一定的规范来呈现和报告PVG;45.6%的被调查者认为制订PVG最大的障碍在于认知不足。结论 PVG制订目前在中国正处于起步阶段,国内指南相关专家对其认知度较低,PVG的制订方法也有待进一步探索。未来应积极开展相关研究促进并推广PVG在国内的发展与应用,从而促进临床实践的优化。Objectives To investigate the awareness and knowledge of Chinese guideline developers on the patient version of guidelines(PVG). Methods A questionnaire was developed and distributed to participants of the guideline development workshop on the "2017 Chinese Medical Doctor Association Annual Conference on Evidence-Based Medicine & Gansu Medical Doctor Association/Gansu Medical Association Annual Conference on Evidence-Based Medicine", and guideline developers in Shenzhen, Guangzhou, Xi’an, Beijing and other places were investigated through field surveys. The questionnaire included ten questions centred on respondents’ awareness and their views on the development of PVG. After the invalid questionnaire was excluded, Excel 2013 software was used for data entry,and SPSS 19.0 software was used for data analysis. Results 150 questionnaires were distributed and 107(71.3%) were collected, from which 90(60.0%) questionnaires with complete response were analyzed. For the awareness of PVG:30.0% of respondents chose "just know it without more knowledge", 34.4% chose "never heard of". The awareness was not associated with educational or departmental background, majors and regions(P>0.05). For opinions on PVG and its development process: 86.7% of the respondents thought PVG is necessary, 90% thought the presentation of PVG needs to follow reporting standards, and 45.6% thought the primary barrier of the development of PVG is lack of cognition.Conclusions Research work on PVGs is at an initial stage in China. The awareness among Chinese guideline developers and relevant researchers is lacking and the development methodology requires further exploration. Carrying out research relevant to PVG can promote its development and application in China, so as to improve the clinical practice.

关 键 词：患者指南 指南制订者 认知度 调查 

分 类 号：R4[医药卫生—临床医学]