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儿童药物治疗满意度研究的系统评价

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目的 系统评价儿童药物治疗满意度(TS-M)测评研究.方法 计算机检索PubMed、Embase、Cochrane Library、CBM、WanFang Data、VIP和CNKI数据库及医学量表网站,搜集有关儿童TS-M测评的研究,检索时限均为建库至2022年11月.由2名研究者独立筛选文献、提取资料.采用描述性分析全面梳理研究所选用的TS-M测评工具,采用健康测量工具遴选标准(COSMIN)评估现有儿童TS-M量表的开发质量和测量性能.结果 共纳入157个研究,包括TS-M测评工具的儿童应用研究150项和儿童TS-M量表的开发及验证研究7项,涉及儿童TS-M特异性量表7种.使用自制TS-M问卷或访谈测评儿童TS-M的儿童应用研究占67.3%,使用成人TS-M量表的占24.7%,使用2种儿童TS-M特异性量表仅占6.0%.量表的开发质量及测量性能评价结果显示,现有儿童TS-M量表的开发质量为"有问题"或"不合格",具有"足够"的内部一致性但"不确定"的结构效度;尚缺乏量表的内容效度、重测信度和建构效度研究.结论 当前儿童研究选用的TS-M测评工具存在不合理:超90%儿童研究使用自制问卷或成人量表测评儿童TS-M;现有儿童TS-M量表应用范围较窄、开发质量存在问题、缺乏测量性能研究;尚缺乏应用范围广的儿童TS-M量表.
Pediatric treatment satisfaction of medication measurement research:a systematic review
Objective To systematically review the research on pediatric treatment satisfaction of medication(TS-M).Methods The PubMed,Embase,Cochrane Library,CBM,WanFang Data,VIP,CNKI databases and medical scale websites were electronically searched to collect studies on pediatric TS-M from inception to November 2022.Two reviewers independently screened literature,and extracted data.Using descriptive analysis,we comprehensively reviewed the TS-M assessment tool selected for the studies of children.We evaluated the methodological quality and measurement properties of existing TS-M scales for children using the Consensus-based Standards for the selection of health Measurement Instruments(COSMIN)assessment criteria.Results A total of 157 studies were included,including 150 pediatric studies using TS-M evaluation tools and 7 studies on the development and validation of TS-M scales for children,covering 7 specific TS-M scales for children.Our review revealed that 67.3% of the pediatric studies used unvalidated self-administered TS-M questionnaires or interviews,24.7% used adult TS-M scales,and only 6.0%used two pediatric-specific TS-M scales.The results of the quality assessment indicated that the development quality of existing TS-M pediatric scales was considered"doubtful"or"inadequate",and the internal consistency was"sufficient"but the structural validity was probably"uncertain".High-quality research on the content validity,test-retest reliability and construct validity of the pediatric TS-M scale was still lacking.Conclusion Currently,the use of TS-M evaluation tools in pediatric studies has irrationalities:over 90% of pediatric studies use self-made questionnaires or adult scales to evaluate children's TS-M;and the existing pediatric TS-M scales globally have narrow applications,questionable development quality,and lack some measurement performance studies.Pediatric TS-M scales with a wide range of applications are lacking.

Treatment satisfaction with medicationPediatricScaleSystematic reviewCOSMINMeasurement properties

杨梦婷、姬小芮、颜唯祎、张书雅、邹锟、万朝敏、贾知军、成果、曾力楠、张伶俐

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四川大学华西第二医院药学部(成都 610041)

四川大学华西第二医院循证药学中心(成都 610041)

国家药品监督管理局药物制剂体内外相关性技术研究重点实验室(成都 610041)

出生缺陷与相关妇儿疾病教育部重点实验室(成都 610041)

四川大学华西临床医学院(成都 610041)

四川大学华西药学院(成都 610041)

四川大学华西第二医院儿科(成都 610041)

四川大学转化医学中心分子转化医学实验室(成都 610041)

四川大学华西医院中国循证医学中心(成都 610041)

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药物治疗满意度 儿童 量表 系统评价 健康测量工具遴选标准 测量性能

四川省科技计划重点研发项目

2020YFS0035

2024

中国循证医学杂志
四川大学

中国循证医学杂志

CSTPCD北大核心
影响因子:1.761
ISSN:1672-2531
年,卷(期):2024.24(2)
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