Oderkirk W
J Holist Nurs. 1994 Dec;12(4):414-24. doi: 10.1177/089801019401200410.
Nursing journals have not reflected the abundant literature criticizing the National Cholesterol Education Program's goal to screen every adult American's cholesterol levels. Because this goal affects every nurse in professional, economic, and personal ways, it behooves nurses to consider the intensive debate that frames the benefits claimed for cholesterol screening. Issues raised by the debate may give nurses reason to question the program's goals. Once acquainted with inherent epidemiologic, methodologic, cost, and public policy issues, nurses may conclude there is insufficient scientific evidence to warrant cholesterol screening for the entire adult population. Rather, cholesterol screening may best be reserved for the relatively few Americans most likely to benefit from both screening and subsequent treatment.
护理期刊尚未反映出大量批评美国国家胆固醇教育计划(National Cholesterol Education Program)对每个美国成年人进行胆固醇水平筛查这一目标的文献。由于这一目标在职业、经济和个人方面影响着每一位护士,护士们理应考虑围绕胆固醇筛查所宣称的益处展开的激烈辩论。该辩论提出的问题可能会让护士们有理由质疑该计划的目标。一旦了解了内在的流行病学、方法学、成本和公共政策问题,护士们可能会得出结论,即没有足够的科学证据来支持对全体成年人口进行胆固醇筛查。相反,胆固醇筛查或许最好仅保留给相对少数最有可能从筛查及后续治疗中受益的美国人。