基于评判视角研读随机对照试验研究文献-中国护理管理.pdfVIP

综 述 Review 基于评判视角研读随机对照试验研究文献 张欣 李时雨 韩慧君 刘华平 [ 摘 要 ] 目前护理随机对照试验（RCT）研究文献发表数量逐年上升，其研究结果对护士和护生的临床知识、护理行为 以及开展科研均会产生潜在影响，采取评判的态度和系统的方法正确阐释 RCT 研究结果，是将研究结果转化为临床实践的关 键一步。因此本文基于此理念，从以下3 个方面来评价一项 RCT 研究的结果及临床意义：①可信度：学会判断 RCT 研究结果 的信度和效度；②结果的阐释：学会从样本量和精度看临床统计结果；③适用性：学会研读外在效度和干预措施的副作用，判 断新方法的适用对象。从而促进研究成果的临床转化，提升我国护理质量。 [ 关键词 ] 偏倚；随机；随机对照试验；研究 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2014.11.032 Critical analysis in randomized controlled trials / ZHANG Xin, LI Shiyu, HAN Huijun, et al. // School of Nursing, Chinese Academy of Medical Sciences Peking Union Medical College, Beijing, 100730 China /// Chinese Nursing Management- 2014,14(11): 1120-1124 [Abstract] Given the rising amount of nursing literatures of randomized controlled trials (RCTs), which may be a potential impact on nurses and nursing students’ clinical knowledge, nursing practice and nursing research. When translating the results of RCTs into clinical practice, it is important to assess the results with critical thinking and in systematic way, thus we provided a method that involves three main points: credibility: to judge the reliability and validity of the findings; results: to address the clinical and statistical significance of results by the sample size and precision of the effect; applicability: to raise the issue of external validity and the report of adverse effects to determine which patients may best benefit from the new intervention. To help nurses translate the results of RCTs into clinical practice, and improve the quality of clinical care in China. [ ] Key words bias; randomization; randomized controlled trail; research 随 机 对 照 试 验（Randomized 了区分统计学意义及临床意义，多数 及临床意义：①可信度：学会判断RCT Controlled Trail，RCT) 研究归属于 人只关注统计学意义上的P 值，认为 研究结果的信度和效度；②结果的阐释： 临 床 试 验（Clinical Trial) 研 究， 是