首页|基于概念操作化的以证统病干预性临床研究方法学框架的构建

基于概念操作化的以证统病干预性临床研究方法学框架的构建

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目的 借鉴社会学领域的概念操作化方法,建立中医以证统病干预性临床研究方法学框架.方法 对以证统病临床研究模式进行操作化定义,明确方法学框架构建的范围和方向.开展概况性评价总结以证统病临床研究的设计特征,归纳方法学框架的基本结构与内容,并通过深度访谈获取中医专家的观点及建议,完善充实方法学框架.开展问卷调查初步评价方法学框架的合理性.结果 共纳入74项以证统病临床研究进行分析,访谈了 12位中医临床及科研领域专家,综合文献及访谈研究的结果形成了初步方法学框架;共32位专家参与问卷调查,大多数专家对方法学框架的合理性持积极评价,根据专家意见修订确立的最终方法学框架为四级结构,共25个细目.结论 本研究遵循国际通用的方法学框架开发步骤,建立了合理、可行的以证统病干预性临床研究方法学框架,为未来同类研究提供了设计、实施和评价的技术参考.
Development of a methodological framework for clinical researches in Chinese medicine under the mode of syndrome dominating disease using the operationalization of concept method
Objective With reference to the method of operationalization of concept in the field of sociology,this study developed a methodological framework for intervention trials of Chinese medicine(CM)under the mode of syndrome dominating disease.Methods First,an operational definition of the syndrome dominating disease research model was clarified to provide the scope and direction of the methodological framework construction.Then a scoping review was conducted to identify the design features of clinical researches under the model to summarize the basic structure and content of the framework;furthermore,in-depth interviews were carried out to collect the views and suggestions of CM experts on this type of study,which added details to the framework.Finally,a survey was conducted to evaluate the rationality and feasibility of the methodological framework.Results A total of 74 studies were included and 12 CM experts were interviewed,and the results of the literature and interview study were synthesized to form a preliminary methodological framework.Thirty-two experts participated in the survey and most of them held a positive assessment of the rationality of the framework,then according to the experts'suggestions,the final methodological framework which was a four-level structure with 25 items was established.Conclusion Following the internationally recognized methods and steps,this study develops a rational and feasible methodological framework for CM trials under the mode of syndrome dominating disease,which can provide references for future studies'design,implementation and evaluation.

Treating different diseases with the same treatmentSyndrome dominating diseaseClinical researchOperationalization of conceptMethodological framework

黄仟、禤美玲、郭晓慧、曹文聪、刘冰清、邱幸莹、周莉、温泽淮

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广州中医药大学第二附属医院/广东省中医院(广州 510120)

广州中医药大学第二临床医学院(广州 510405)

异病同治 以证统病 临床研究 概念操作化 方法学框架

国家重点研发计划课题资助项目

2018YFC1707407

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(10)