Clinical Practice Guideline on Acupuncture and Moxibustion:Adult Major Depressive Disorder(Mild-Moderate Degree):Determination of clinical questions  

《针灸临床实践指南:成人轻中度抑郁症》:临床问题的确定

作　　者：Han TANG Qi FAN Li-hua GUO Yu-qing ZHANG Yi-xuan FENG Yu-qing XU Hong-jun KUANG Yun-hong YANG Yi GOU Hong ZHAO 汤翰;范琦;郭丽花;张誉清;丰逸轩;徐玉芹;匡泓俊;杨云虹;缑漪;赵宏(上海中医药大学深圳医院,深圳518004;上海中医药大学,上海201203;青岛大学附属泰安市中心医院,泰安271000;麦克马斯特大学,加拿大汉密尔顿L8S4L8;北京社会管理职业学院,北京102600;广州中医药大学,广州510006)

机构地区：[1]Shenzhen Hospital of Shanghai University of Traditional Chinese Medicine,Shenzhen 518004,China [2]Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China [3]Tai'an City Central Hospital Affiliated to Qingdao University,Taian 271000,China [4]McMaster University,Hamilton L8S4L8,Canada [5]Beijing College of Social Administration,Bejing 102600,China [6]Guangzhou University of Chinese Medicine,Guangzhou 510006,China

出　　处：《World Journal of Acupuncture-Moxibustion》2024年第3期246-251,共6页世界针灸杂志（英文版）

基　　金：Supported by National Key Research and Development Program:2017YFC1703606;Shenzhen Science and Technology Program:JCYJ20210324120804012;2021 Luohu Soft Science Research Program Project:LX20210102;2022 Luohu Soft Science Research Program Project:LX202202128。

摘　　要：Determining clinical questions is fundamental to the development of clinical practice guidelines(CPGs),which bridges the initial phases and the final recommendations.It is essential for evidence retrieval and the formulation of recommendations.The scientific rigor and precision in determination of clinical questions directly influence the future implementation and applicability of guidelines.In 2020,the World Federation of Acupuncture-Moxibustion Societies initiated the project of clinical practice guideline on acupuncture and moxibustion for adult major depressive disorder(mild-moderate degree)to address clinical and medical decision-making issues in acupuncture treatment for adult mild to moderate major depressive disorder.This CPG provides systematic recommendations based on clinical evidence,patient values,and other factors,aiding decision-makers,clinicians,and patients in selecting appropriate interventions.This paper discusses and analyzes the determination process of clinical questions,and the related issues during the development of this guideline,aiming to provide a reference for determining clinical questions and developing CPGs in the field of acupuncture and exploring more scientific tools and methods for determining clinical questions in future CPGs.确定临床问题是临床实践指南形成的基础,在指南制定过程中起着承上启下的作用,是进行证据检索并形成推荐意见的关键环节。指南中临床问题确定方法的科学性和严谨性决定了指南实施和应用的前景。2020年世界针灸学会联合会对《针灸临床实践指南:成人轻中度抑郁症》进行立项,以期根据针灸治疗成人轻中度抑郁症所关注的临床及医疗决策中的实际问题,基于现有临床证据及患者价值观等多方因素,最终形成帮助决策者、临床医生、患者三方选择干预方案的系统指南意见。本文就该指南形成过程中临床问题的确定及其他相关环节进行讨论与分析,为针灸临床实践指南中临床问题的确定提供参考,并探索未来用于指南临床问题确定更具有科学性的工具及方法。

关 键 词：Major depressive disorder Acupuncture and moxibustion GUIDELINE Clinical questions PICO 

分 类 号：R246.6[医药卫生—针灸推拿学]