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[针灸临床实践指南的质量评价:一项基于AGREE的研究]

[Quality assessment on guidelines of clinical practice in acupuncture and moxibustion: a study based on AGREE].

作者信息

Fang Yi-Gong, Bai Yan, Liu Bao-Yan, Wang Fei, Wu Xue

出版信息

Zhongguo Zhen Jiu. 2014 Jun;34(6):599-601.

Abstract

The quality of guidelines of clinical practice in acupuncture and moxibustion was evaluated with AGREE II tool. After retrieval of officially-issued guidelines of clinical practice in acupuncture and moxibustion from 2004 to 2013, totally 5 types of evidence-based guidelines of clinical practice in acupuncture and moxibustion were acquired, including depression, herpes zoster, pseudobulbar palsy after stroke, migraine and Bell's palsy. With AGREE II tool, independent score in six areas, including guideline's scope and purpose, participants and personnel, preciseness, clarity and readability, applicability and editorial independence were analyzed to perform a comprehensive evaluation in the end. The assessment results indicated that the score of editorial independence in evidence-based guidelines of clinical practice in acupuncture and moxibustion was the highest, averagely 97.9%, which was followed by clarity and readability (83.3%), participants and personnel (78.1%), preciseness (75.6%), the scope and purpose (68.1%) and the applicability (62.5%). The total evaluation score was all 6 points in the five guidelines with recommended as comprehensive evaluation advice. This study results indicate that although the guideline of clinical practice in acupuncture and moxibustion is low in number, the total quality is considerable.

摘要

采用AGREE II工具对针灸临床实践指南的质量进行评价。检索2004年至2013年正式发布的针灸临床实践指南后,共获得5种针灸临床实践循证指南,包括抑郁症、带状疱疹、中风后假性球麻痹、偏头痛和贝尔麻痹。运用AGREE II工具,对指南的范围与目的、参与人员、精确性、清晰性与可读性、适用性以及编辑独立性6个领域进行独立评分,最终进行综合评价。评估结果显示,针灸临床实践循证指南的编辑独立性得分最高,平均为97.9%,其次是清晰性与可读性(83.3%)、参与人员(78.1%)、精确性(75.6%)、范围与目的(68.1%)以及适用性(62.5%)。5项指南的综合评价总分均为6分,推荐作为综合评价建议。本研究结果表明,针灸临床实践指南数量虽少,但总体质量可观。

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