以质量求发展，以服务铸品牌

护理学报 ›› 2025, Vol. 32 ›› Issue (4): 34-40.doi: 10.16460/j.issn1008-9969.2025.04.034

• 循证护理 • 上一篇    下一篇

成人癌痛评估与管理指南的方法学质量评价

蔡莹莹1a, 凌晨2, 刘绵珠1b, 周杰3, 张俊峰4, 陈连华1c, 田潇飞5, 罗斌1d, 陈梦云1c   

  1. 1.揭阳市人民医院 a.胸心外科二科;b.肾脏病内科;c.护理部;d.重症医学科,广东 揭阳 522000;
    2.广州市花都区人民医院肾病学科,广东 广州 510800;
    3.深圳市前海蛇口自贸区医院 急诊科,广东 深圳 518067;
    4.东莞市松山湖中心医院 护理部,广东 东莞 523325;
    5.中山大学附属第七医院 护理部,广东 深圳 518017
  • 收稿日期:2024-09-06 出版日期:2025-02-25 发布日期:2025-03-06
  • 作者简介:蔡莹莹（1992-）,女,广东揭阳人,硕士,主管护师,澳大利亚JBI循证卫生保健中心证据转化培训师,南方医院JBI循证护理合作中心临床循证护理师。E-mail：871385306@qq.com
  • 基金资助:
    2024年广东省医学科学技术研究基金项目（A2024760）; 2023年广东省中医药局中医药科研项目（20231364）; 2022年揭阳市科技计划项目（2022wsyl024）

Methodological quality assessment of guidelines for assessment and management of adult cancer pain

CAI Ying-ying1a, LING Chen2, LIU Mian-zhu1b, ZHOU Jie3, ZHANG Jun-feng4, CHEN Lian-hua1c, TIAN Xiao-fei5, LUO Bin1d, CHEN Meng-yun1c   

  1. 1a. Dept. of Cardiothoracic Surgery II; 1b. Dept. of Nephrology; 1c. Dept. of Nursing Administration; 1d. Intensive Care Unit, Jieyang People's Hospital, Jieyang 522000, China;
    2. Dept. of Nephrology, Huadu District People's Hospital of Guangzhou, Guangzhou 510800, China;
    3. Dept. of Emergency, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen 518067, China;
    4. Dept. of Nursing Administration, Dongguan Songshan Lake Central Hospital, Dongguan 523325, China;
    5. Dept. of Nursing Administration, the Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen 518017, China
  • Received:2024-09-06 Online:2025-02-25 Published:2025-03-06

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摘要： 目的 系统评价成人癌痛评估与管理指南的方法学质量。方法 检索国内外指南网、专业网站和原始研究数据库,检索成人癌痛评估与管理相关指南,检索时限为建库至2024年12月15日。由7名研究者采用2017版临床指南研究与评价工具Ⅱ（appraisal of guidelines for research & evaluation Ⅱ,AGREEⅡ）对指南进行方法学质量评价。结果 最终纳入15部指南,其中,国内指南1部,国外指南14部。15部指南6个领域的平均标准化得分分别为：范围和目的（87.88%）、参与人员（54.50%）、严谨性（58.40%）、清晰性（82.17%）、应用性（41.67%）、独立性（75.00%）,整体得分中等偏上。结论 目前成人癌痛评估与管理的指南主要来源于国外且方法学质量有待提高。未来应制定适合我国国情的高质量本土化指南,为临床实践提供科学指引。

关键词: 成人, 癌性疼痛, 指南, 质量评价, AGREEⅡ

Abstract: Objective To evaluate the quality of guidelines for the assessment and management of adult cancer pain. Methods We searched guideline websites, professional websites and original research databases home and abroad for evidence-based guidelines related to the assessment and management of adult cancer pain. The search period spanned from the inception to 15 December 2024. AGREE II was used by 7 researchers to assess the quality of the guidelines. Results A total of 15 guidelines were collected, including 1 domestic guideline and 14 foreign guidelines. The average standardized scores of six areas of the 15 guidelines were: scope and purpose (87.88%), participants (54.50%), rigor (58.40%), clarity (82.17%), applicability (41.67%), and independence (75.00%); the overall score was above the average. Conclusion Current guidelines for the assessment and management of adult cancer pain mainly come from foreign countries and their methodological quality needs to be improved. In the future, high-quality localized guidelines should be formulated to provide scientific guidance for clinical practice in China.

Key words: adult, cancer pain, guideline, quality assessment, AGREEⅡ

中图分类号: 

  • R473.73
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