中国改编指南的现状分析

王玲; 任亚轩; 罗旭飞; 朱迪; 李哲玮; 王晔; 王冰怡; 张化语; 杨书; 陈耀龙

doi:10.12290/xhyxzz.2023-0545

摘要:

目的分析中国改编指南的制订现状及其方法学质量和报告质量, 为我国改编指南的制订和发展提供参考。

方法系统检索中国知网、万方数据知识服务平台、中国生物医学文献数据库、PubMed数据库, 纳入2015—2023年由中国研究者或机构牵头制订的改编指南, 提取改编指南的基本信息, 采用AGREE Ⅱ和RIGHT-Ad@pt工具评价改编指南的方法学质量和报告质量。

结果共纳入14部改编指南, 主要集中于护理领域(42.9%, 6/14), 最常采用的改编方法是ADAPTE方法(71.4%, 10/14), 参照的原指南主要来自美国、英国和国际组织。AGREEⅡ工具的评估结果显示, 改编指南的方法学质量平均得分为36.6%, 表达明晰性和制订严谨性领域得分相对较高(44.4%和54.9%), 应用性领域得分最低(15.3%)；RIGHT-Ad@pt工具的评估结果显示, 改编指南的报告质量相对较好, 报告率最高为91.2%, 最低为35.3%, 其中7部报告率均高于70%。

结论中国改编指南仍处于起步阶段, 数量少且主要集中于护理领域, 最常采用的改编方法是ADAPTE方法；改编指南的方法学质量和报告质量有待进一步提升, 未来应针对改编指南制订的具体条件和时机开展更多相关研究。

Abstract:

Objective To analyze the current status of the development of adaptation guidelines in China, as well as their methodological quality and the reporting quality, in order to provide reference for the development of adaptation guidelines.

Methods We searched and collected adaptation guidelines led by Chinese researchers or institutions from 2015 to 2023 from four electronic databases, China National Knowledge Infrastructure, WanFang Data Knowledge Service Platform, SinoMed and PubMed, extracted the basic information of the adapted guidelines, and assessed their methodological quality and reporting quality using the Appraisal of Guidelines for REsearch and Evaluation (AGREE) Ⅱ and RIGHT-Ad@pt tools.

Results A total of 14 adaptation guidelines were included, mainly focusing on nursing (42.9%, 6/14), with the most frequently used adaptation method of ADAPTE (71.4%, 10/14), and with reference to pre-existing guidelines mainly from the United States, the United Kingdom, and international organizations. Assessment by the AGREE Ⅱ tool showed that the average methodological quality score of the adapted guidelines was 36.6%. The scores were relatively high in the domains of clarity of expression and rigor of formulation (44.4% and 54.9%), and lowest in the domain of applicability (15.3%). The results of the RIGHT-Ad@pt tool showed that the reporting quality of the adaptation guidelines was relatively good, with the highest reporting rate of 91.2% and the lowest of 35.3%, and the reporting rates of seven articles were higher than 70%.

Conclusions Adaptation guidelines in China are still in their infancy, with a relatively small number and mainly focusing on the nursing field. The most commonly used adaptation method is the ADAPTE method. The methodological quality and reporting quality of adaptation guidelines need to be further improved, and more research should be conducted on the specific conditions and timing of adaptation guidelines development.

中国改编指南的现状分析

Analysis of the Current Status of China's Adaptation Guidelines