新生儿围产期医学护理评估：与加拿大妇产科学会联合发布的立场文件
Evaluation of care in neonatal-perinatal medicine: A joint position paper with the Society of Obstetricians and Gynaecologists of Canada.
出版信息
Paediatr Child Health. 1997 Jul;2(4):262-266. doi: 10.1093/pch/2.4.262.
OBJECTIVE
To assist providers of neonatal-perinatal care in the evaluation of present and future practices to optimize benefits for patients.
METHODS
Members of the Canadian Paediatric Society Fetus and Newborn Committee and the Society of Obstetricians and Gynaecologists of Canada Maternal-Fetal Medicine Committee reviewed published information on principles of evaluation of care. Selections of published clinical trials in neonatal-perinatal care were used to illustrate specific items.
RESULTS
After determining the clinical importance of the area to be considered, appropriate methods should be used to evaluate the quality of evidence and the strength of recommendations. The ability to generalize information to guide care of specific patients must be determined. Consideration of costs may use recognized criteria that consider effectiveness, side effects, financial implications and quality of life.
CONCLUSION
Introduction of new treatments to daily practice should be based on demonstrated clinical benefits of treatment, relative freedom from unwanted side effects and cost effectiveness. Application of these principles for neonatal-perinatal care (and other areas) is essential for the modern clinician.
目的
协助新生儿围产期护理提供者评估当前及未来的实践，以优化患者受益。
方法
加拿大儿科学会胎儿与新生儿委员会以及加拿大妇产科学会母胎医学委员会的成员审查了已发表的关于护理评估原则的信息。选取新生儿围产期护理方面已发表的临床试验来说明具体项目。
结果
在确定待考虑领域的临床重要性后，应采用适当方法评估证据质量和推荐强度。必须确定将信息推广以指导特定患者护理的能力。成本考量可采用考虑有效性、副作用、财务影响和生活质量的公认标准。
结论
将新疗法引入日常实践应基于已证实的治疗临床益处、相对无不良副作用以及成本效益。对现代临床医生而言，将这些原则应用于新生儿围产期护理（及其他领域）至关重要。
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