急危重症患者临床疼痛治疗核心指标集的构建OACSTPCD
Construction of a core set of clinical pain treatment outcome indicators for acute and critical patients
目的 急危重症患者临床疼痛效果评估指标多样,其中治疗疼痛结局指标没有全面、统一的规范,严重限制对临床效果的科学判断.针对上述问题,本研究构建急危重症患者临床疼痛疗效评价核心结局指标集,力求反映疼痛治疗效果,达到客观、多角度的效果.方法 运用系统评价、德尔菲问卷调查、半结构化访谈、运筹学理论法、专家共识会议等多种研究方法,形成临床核心结局指标集.结果 构建了急危重症患者疼痛治疗核心结局指标集,主要类别包括疼痛因素、疼痛程度评价、实验室指标、生活睡眠质量、危重程度、终点指标、安全指标、用药情况.结论 构建急危重症患者临床疼痛治疗核心结局指标集,有助于为临床急危重症患者疼痛治疗结局指标的选择和循证医学证据的产生提供参考.
Objective There are diverse assessment indicators for evaluating the effectiveness of clinical pain treatment in acute and critical patients,but there is no comprehensive and standardized set of outcome indicators for pain treatment,which severely limits the scientific judgment of clinical outcomes.To address this issue,this study aimed to construct a core set of outcome indicators for evaluating the effectiveness of clinical pain treat-ment in acute and critical patients,with the goal of reflecting the effects of pain treatment from an objective and multi-dimensional perspective.Meth-ods Various research methods,including systematic review,Delphi questionnaire survey,semi-structured interviews,operations research theory,and expert consensus meetings,were employed to form the core set of clinical outcome indicators.Results A core set of outcome indicators for pain treatment in acute and critical patients was constructed,including categories such as pain factors,pain severity assessment,laboratory indicators,quality of life and sleep,severity of illness,endpoint indicators,safety indicators,and medication usage.Conclusion The construction of a core set of outcome indicators for clinical pain treatment in acute and critical patients contributes to the selection of outcome indicators and the generation of evi-dence-based medicine for pain treatment in clinical practice.
叶权生;李仕芳;蔡俊伟
广东省珠海市第五人民医院,广东 珠海 519055广东省珠海市第五人民医院,广东 珠海 519055广东省珠海市第五人民医院,广东 珠海 519055
临床医学
急危重症患者疼痛治疗临床研究疗效评价临床核心指标集
Acute and critical patientsPain treatmentClinical researchEffectiveness evaluationCore set of clinical indicators
《保健医学研究与实践》 2023 (z2)
44-47,4
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