少数民族医药循证能力现状及发展需求调查  

Survey on Status and Development Needs of Evidence-Based Medicine Capability in Ethnic Minority Medicine

作　　者：喻瑞芳 陈耿杭 陈雪吟 赖佳琪 黄仟 杨丽虹[2] 刘玉玮 郭新峰[2] 刘少南[2] YU Ruifang;CHEN Genghang;CHEN Xueyin;LAI Jiaqi;HUANG Qian;YANG Lihong;LIU Yuwei;GUO Xinfeng;LIU Shaonan(The Second Clinical College of Guangzhou University of Chinese Medicine,Guangzhou,510405;The Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Provincial Hospital of Chinese Medicine;China Medical Association of Minorities)

机构地区：[1]广州中医药大学第二临床医学院,广东省广州市510405 [2]广州中医药大学第二附属医院/广东省中医院 [3]中国民族医药学会

出　　处：《中医杂志》2024年第15期1559-1564,共6页Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划(2022YFC3501001)。

摘　　要：目的 调查少数民族医药循证能力现状及发展需求,探讨提升少数民族医药循证能力的有效策略。方法 在少数民族医药医疗单位及研究机构进行问卷调查。问卷内容包括3个维度:对循证医学的认知和态度、少数民族医药发展的优势及推进循证医学面临的困难、少数民族医药循证能力提升的需求及建议。结果 共回收有效问卷501份,其中针对参与数量不足的少数民族医药地区补发问卷回收103份。问卷中少数民族医药从业者354份(70.66%),包括藏医、蒙医、维吾尔医、壮医、朝鲜医等少数民族医药。146例(29.14%)表示了解循证医学,70.86%(355例)的被调查者对循证医学“一般了解”或“不太了解,没听说过”,93.61%(469例)的被调查者认为引入循证医学能推动少数民族医药的发展。少数民族医药领域内推进循证医学面临的最大困难是缺乏循证医学专业人才,不知道如何运用循证医学推动临床实践(442例,88.22%)。关于循证能力提升的9分制重要性评分中,临床实践指南的规范制订得分(7.50±1.90)和常见临床研究的样本量估算方法得分(7.45±1.90)较高。临床科研素养提升的需求方面,选择最多的是专家学术讲座与经验分享(404例,80.64%)和相关循证方法学专著(401例,80.04%)。结论 少数民族医药从业者对引入循证医学持积极态度,循证医学的教育与普及尚有较大发展空间。循证能力的提升主要可从培养或引进循证医学人才、建设临床研究循证支持平台、定期开展学术讲座及交流、加强少数民族医药理论和评价体系建设等措施具体落实,走符合少数民族医药特色的循证之路。Objective To investigate the current status and development needs of evidence-based medicine(EBM)capability in ethnic minority medicine,and explore effective strategies to enhance EBM capability in this field.Methods The questionnaire survey was conducted in various ethnic minority medical institutions and research organisations.The questionnaire covered three dimensions,firstly,perceptions and attitudes towards evidence-based medicine;secondly,advantages and challenges in the development of ethnic minority medicine;thirdly,demands and recommendations for enhancing evidence-based medicine capability in ethnic minority medicine.Results A total of 501 valid questionnaires were collected,of which 103 questionnaires were collected by re-sending to minority medicine regions with insufficient participation.The questionnaires included 354 responses(70.66%)from practitioners of minority medicine,including Tibetan medicine,Mongolian medicine,Uyghur medicine,Zhuang medicine,and Korean medicine.Among the 501 questionnaires,146 respondents(29.14%)indicated that they knew about EBM,355 respondents(70.86%)had either a"general understanding"or had"not heard about"EBM before,and 469 respondents(93.61%)believed that introducing ECM could promote the development of ethnic minority medicine.The primary challenge in promoting EBM in the field of ethnic minority medicine is the lack of professionals in EBM and a lack of understanding of how to apply it into clinical practice(442 respondents,88.22%).In the 9-point importance rating for enhancing evidence-based abilities,high scores were achieved in standardization of clinical practice guidelines(7.50±1.90)and methods for sample sizes in clinical research(7.45±1.90).Regarding the demand for improving clinical research literacy,expert academic lectures,and experience sharing(404 respondents,80.64%)and evidence-based methodology monographs on ethnic minority medicine(401 respondents,80.04%)were emphasized.Conclusions Practitioners in ethnic minority medicine hold a positive attitude to

关 键 词：民族医药 循证医学 循证能力 问卷调查 

分 类 号：R29[医药卫生—民族医学]