难治性癫痫患儿生酮饮食指南及专家共识的质量和报告规范评价  

Quality and reporting standards appraisal of guidelines and consensuses on ketogenic diet therapy in children with refractory epilepsy

作　　者：杨钧涵 方嘉欣 李晶晶 李潇 国丽群 龙芷雨 陈雯晴 张大华 Yang Junhan;Fang Jiaxin;Li Jingjing;Li Xiao;Guo Liqun;Long Zhiyu;Chen Wenqing;Zhang Dahua(School of Nursing,Beijing University of Chinese Medicine,Beijing 102488,China;College of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 102488,China;Nursing Department,Hematology Hospital,Chinese Academy of Medical Sciences,Tianjin 300020,China;Nursing Department,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100005,China;Nursing Department,the Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学护理学院,北京102488 [2]北京中医药大学中医学院,北京102488 [3]中国医学科学院血液病医院护理部,天津300020 [4]中国医学科学院北京协和医院护理部,北京100005 [5]北京中医药大学第三附属医院护理部,北京100029

出　　处：《中华现代护理杂志》2023年第21期2839-2846,共8页Chinese Journal of Modern Nursing

摘　　要：目的对国内外难治性癫痫患儿生酮饮食指南及专家共识的质量及报告规范进行评价。方法以中英文关键词系统检索国际指南协作网、美国国立指南网、苏格兰院际指南协作网、英国国家卫生与照护优化研究所、澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健研究中心、DynaMed循证医学数据库、美国神经病学会、美国癫痫学会、国际抗癫痫联盟、美国儿童神经病学学会、欧洲儿科神经病学学会、国际生酮饮食研究组、Cochrane Library、PubMed、中国知网、万方数据库、维普网、中国生物医学文献数据库等,筛选相关指南及专家共识,检索时限均为建库至2021年8月13日。采用临床指南研究与评价系统Ⅱ评价指南的质量,采用国际实践指南报告规范评价指南的报告规范;采用JBI循证卫生保健中心质量评价工具评价专家共识的质量,采用美国国立卫生研究院报告规范评价专家共识的报告规范。结果初步检索出1864篇文献,根据纳入排除标准并阅读文献内容后,筛选得到13篇文献,经手工检索,补充1篇文献,共得到14篇文献,包括7篇指南、7篇专家共识。质量评价结果显示,2篇指南为A级、2篇指南为B级,3篇指南为C级;7篇专家共识中有5篇在质量评价的6个条目均评为"是"。报告规范评价结果显示,7篇专家共识的报告质量较差;指南的方法学质量评价等级越高,其报告质量越好。结论纳入的14篇指南及专家共识总体质量较高,在应用性及参与人员方面需要注意研究质量;报告规范均需要进一步提高,今后研究者可更关注指南及专家共识制订过程中的报告规范,实现更为严谨的研究过程,使证据更好地应用于临床实践。Objective To evaluate the quality and reporting standards of the ketogenic diet guidelines and consensuses in children with refractory epilepsy at home and abroad.Methods A systematic search was conducted using the English and Chinese keywords for screening relevant guidelines and expert consensus on the Guidelines International Network,National Guideline Clearinghouse,Scottish Intercollegiate Guidelines Network,National Institute for Health and Clinical Excellence,the Joanna Briggs Institute(JBI)Center for Evidence-Based Health Care in Australia,DynaMed Evidence-Based Medicine Database,American Academy of Neurology,American Epilepsy Society,International League Against Epilepsy,Child Neurology Society,European Paediatric Neurology Society,International Ketogenic Diet Research Group,Cochrane Library,PubMed,CNKI,Wanfang Database,VIP,China Biology Medicine disc,etc.The search period was from establishment of databases to August 13,2021.The quality of the guidelines was evaluated using the The Appraisal of Guidelines for Research and EvaluationⅡ,and the Reporting Items for Practice Guidelines in healthcare was used to evaluate the reporting standards of guidelines.The JBI Center for Evidence-based Health Care Quality Evaluation tool was used to evaluate the quality of expert consensuses,and the National Institutes of Health Reporting Standards was used to evaluate the reporting standards of expert consensuses.Results A total of 1864 literatures were searched initially.According to the inclusion and exclusion criteria and reading the literature content,13 literatures were selected,and after manual search,1 literature was supplemented.Finally,a total of 14 literatures were obtained,including 7 guidelines and 7 expert consensuses.The quality evaluation results showed that 2 guidelines were grade A,2 guidelines were grade B and 3 guidelines were grade C.5 expert consensuses were rated"Yes"in the six items of quality evaluation.The results of the evaluation of reporting norms showed that the seven expert consensus repo

关 键 词：癫痫 生酮饮食 儿童 质量评价 报告规范 

分 类 号：R473.74[医药卫生—护理学]