摘要
目的构建以临床问题解决效果为核心的骨科循证研究质量评价指标体系。方法应用结构-过程-结果理论,通过文献分析法、半结构访谈法和两轮德尔菲专家函询法,结合层次分析法构建以临床问题解决效果为核心的骨科循证研究质量评价指标体系,确定指标权重并进行初步验证。结果15名专家完成两轮德尔菲专家咨询,结果显示专家权威性评分高、意见协调性好。最终构建4个一级指标、14个二级指标、2个三级指标、5个四级指标。层次分析法结果显示随机一致性指标(random index,RI)为0.882,一致性比率(consistent ratio,CR)为0.006。初步验证结果显示量表信度一致性较好、区分度较高。结论以临床问题解决效果为核心的骨科循证研究质量评价指标体系能够快速、客观地评价骨科循证研究,发现并解决骨科临床问题,从而为提升骨科循证研究质量奠定基础。
Objective To construct an index system for evaluating the quality of orthopaedic evidence-based research centered on the effectiveness of clinical problem solving.Methods Applying the structure-process-outcome theory,the quality evaluation index system of orthopaedic evidence-based research centered on the effectiveness of clinical problem solving was constructed,the weights of the indexes were determined,and the preliminary validation was carried out through the method of literature analysis,the semi-structured interview method,and two rounds of the Delphi method,in combination with the hierarchical analysis method.Results Fifteen experts completed two rounds of the Delphi expert consultation,which showed high ratings of expert authority and good coordination of opinions.4 first-level indicators,14 second-level indicators,2 third-level indicators and 5 fourth-level indicators were eventually constructed.The results of the analytic hierarchy process showed an random index(RI)value of 0.882 and a consistend ratio(CR)of 0.006.Preliminary validation showed that the consistency of the reliability was plausible,and the scale design had a high degree of differentiation.Conclusion The orthopaedic evidence-based research quality evaluation index system centered on the effectiveness of clinical problem solving can quickly and objectively evaluate orthopaedic evidence-based research,identify and solve orthopaedic clinical problems,and lay the foundation for improving the quality of orthopaedic evidence-based research.
作者
黄国鑫
曹启龙
陶华
赵嘉国
黄桥
刘盈
艾金伟
汪登如
裴斌
Guo-Xin HUANG;Qi-Long CAO;Hua TAO;Jia-Guo ZHAO;Qiao HUANG;Ying LIU;Jin-Wei AI;Deng-Ru Wang;Bin PEI(Department of Evidence-Based Medicine,Xiangyang No.1 People’s Hospital Affiliated to Hubei University of Medicine,Xiangyang 441000,Hubei Province,China;Qingdao Haier Biotech Co.,Ltd.,Qingdao 266000,Shandong Province,China;Department of Pharmacy,Zhengzhou Second Hospital,Zhengzhou 450015,China;Department of foot and ankle surgery,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Center for Evidence-Based and Translational Medicine,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Department of Nursing,Xiangyang No.1 People’s Hospital Affiliated to Hubei University of Medicine,Xiangyang 441000,Hubei Province,China;Yunnan Yanling Biological Technology Co.,Ltd,Kunming 650224,China)
出处
《数理医药学杂志》
CAS
2023年第9期680-688,共9页
Journal of Mathematical Medicine
关键词
评价体系
德尔菲法
骨科循证
Evaluation system
Delphi method
Evidence-based orthopaedics
