1.广州中医药大学第二临床医学院,广东省广州市白云区机场路12号,510405
2.广州中医药大学第二附属医院/广东省中医院
3.中国民族医药学会
郭新峰 guoxinfeng@gzucm.edu.cn;
刘少南 shaonanliu819@gzucm.edu.cn
收稿:2024-01-18,
修回:2024-04-22,
纸质出版:2024-08-02
移动端阅览
喻瑞芳,陈耿杭,陈雪吟等.少数民族医药循证能力现状及发展需求调查[J].中医杂志,2024,65(15):1559-1564.
YU Ruifang,CHEN Genghang,CHEN Xueyin,et al.Survey on Status and Development Needs of Evidence-Based Medicine Capability in Ethnic Minority Medicine[J].Journal of Traditional Chinese Medicine,2024,65(15):1559-1564.
喻瑞芳,陈耿杭,陈雪吟等.少数民族医药循证能力现状及发展需求调查[J].中医杂志,2024,65(15):1559-1564. DOI: 10.13288/j.11-2166/r.2024.15.007.
YU Ruifang,CHEN Genghang,CHEN Xueyin,et al.Survey on Status and Development Needs of Evidence-Based Medicine Capability in Ethnic Minority Medicine[J].Journal of Traditional Chinese Medicine,2024,65(15):1559-1564. DOI: 10.13288/j.11-2166/r.2024.15.007.
目的
2
调查少数民族医药循证能力现状及发展需求,探讨提升少数民族医药循证能力的有效策略。
方法
2
在少数民族医药医疗单位及研究机构进行问卷调查。问卷内容包括3个维度:对循证医学的认知和态度、少数民族医药发展的优势及推进循证医学面临的困难、少数民族医药循证能力提升的需求及建议。
结果
2
共回收有效问卷501份,其中针对参与数量不足的少数民族医药地区补发问卷回收103份。问卷中少数民族医药从业者354份(70.66%),包括藏医、蒙医、维吾尔医、壮医、朝鲜医等少数民族医药。146例(29.14%)表示了解循证医学,70.86%(355例)的被调查者对循证医学“一般了解”或“不太了解,没听说过”,93.61%(469例)的被调查者认为引入循证医学能推动少数民族医药的发展。少数民族医药领域内推进循证医学面临的最大困难是缺乏循证医学专业人才,不知道如何运用循证医学推动临床实践(442例,88.22%)。关于循证能力提升的9分制重要性评分中,临床实践指南的规范制订得分(7.50±1.90)和常见临床研究的样本量估算方法得分(7.45±1.90)较高。临床科研素养提升的需求方面,选择最多的是专家学术讲座与经验分享(404例,80.64%)和相关循证方法学专著(401例,80.04%)。
结论
2
少数民族医药从业者对引入循证医学持积极态度,循证医学的教育与普及尚有较大发展空间。循证能力的提升主要可从培养或引进循证医学人才、建设临床研究循证支持平台、定期开展学术讲座及交流、加强少数民族医药理论和评价体系建设等措施具体落实,走符合少数民族医药特色的循证之路。
Objective
2
To investigate the current status and development needs of evidence-based medicine (EBM) capability in ethnic minority medicine, and explore effective strategies to enhance EBM capability in this field.
Methods
2
The questionnaire survey was conducted in various ethnic minority medical institutions and research organisations. The questionnaire covered three dimensions, firstly, perceptions and attitudes towards evidence-based medicine; secondly, advantages and challenges in the development of ethnic minority medicine; thirdly, demands and recommendations for enhancing evidence-based medicine capability in ethnic minority medicine.
Results
2
A total of 501 valid questionnaires were collected, of which 103 questionnaires were collected by re-sending to minority medicine regions with insufficient participation. The questionnaires included 354 responses (70.66%) from practitioners of minority medicine, including Tibetan medicine, Mongolian medicine, Uyghur medicine, Zhuang medicine, and Korean medicine. Among the 501 questionnaires, 146 respondents (29.14%) indicated that they knew about EBM, 355 respondents (70.86%) had either a "general understanding" or had "not heard about" EBM before, and 469 respondents (93.61%) believed that introducing ECM could promote the development of ethnic minority medicine. The primary challenge in promoting EBM in the field of ethnic minority medicine is the lack of professionals in EBM and a lack of understanding of how to apply it into clinical practice (442 respondents, 88.22%). In the 9-point importance rating for enhancing evidence-based abilities, high scores were achieved in standardization of clinical practice guidelines (7.50±1.90) and methods for sample sizes in clinical research (7.45±1.90). Regarding the demand for improving clinical research literacy, expert academic lectures, and experience sharing (404 respondents, 80.64%) and evidence-based methodology monographs on ethnic minority medicine (401 respondents, 80.04%) were emphasized.
Conclusions
2
Practitioners in ethnic minority medicine hold a positive attitude towards integrating EBM. However, there remains substantial room for the education and dissemination of EBM. Enhancing evidence-based capabilities can be achieved through specific measures such as cultivating or recruiting talents in EBM, establishing evidence-based support platforms for clinical research, organizing regular academic lectures and exchanges, and strengthening the construction of theoretical frameworks and evaluation systems tailored to ethnic minority medicine, thereby following a path of evidence-based practices aligned with the unique characteristics of ethnic minority medicine.
金丹凤 . 少数民族医药的发展前景分析 [J]. 药品评价 , 2006 , 3 ( 2 ): 96 - 98 .
国家中医药管理局 . 关于加强新时代少数民族医药工作的若干意见(国中医药医政发 〔2018〕15号)[EB/OL]. ( 2018-07-12 )[ 2024-01-16 ]. https://www.gov.cn/zhengce/zhengceku/2018-12/31/content_5429167.htm https://www.gov.cn/zhengce/zhengceku/2018-12/31/content_5429167.htm .
国务院办公厅 . 国务院办公厅关于印发“十四五”中医药发展规划的通知(国办发 〔2022〕5号)[EB/OL]. ( 2022-03-29 )[ 2024-01-16 ]. https://www.gov.cn/zhengce/content/2022-03/29/content_5682255.htm https://www.gov.cn/zhengce/content/2022-03/29/content_5682255.htm .
邹璟琳 , 桑吉康卓 , 泽翁拥忠 , 等 . 民族医药特色疗法治疗银屑病的研究概况 [J]. 中国民族民间医药 , 2023 , 32 ( 19 ): 51 - 55 .
罗辉 , 王茜 , 仲格嘉 . 症状指标在藏医疗效评价中的应用:基于国内藏医随机对照试验的现状分析 [J]. 中医杂志 , 2016 , 57 ( 18 ): 1565 - 1569 .
买鹏宇 , 蒋越 , 林泽森 , 等 . 基于CNKI数据库的民族医药研究相关文献计量学分析 [J]. 西部中医药 , 2021 , 34 ( 1 ): 70 - 73 .
杨浏熹 . 民族医药文化与民族地区乡村社会的发展:以湘黔边区为例 [J]. 宁夏社会科学 , 2023 , 240 ( 4 ): 164 - 172 .
傅文第 . 鄂伦春族古代民间医药文化特色与保护研究 [J]. 西部中医药 , 2023 , 36 ( 9 ): 69 - 72 .
谭红专 . 现代流行病学 [M]. 3版 . 北京 : 人民卫生出版社 , 2018 : 148 - 152 .
朱红兵 . 问卷调查及统计分析方法:基于SPSS [M]. 北京 : 电子工业出版社 , 2019 : 4 - 14 .
林鹏妹 , 赵艳 . 中医药非物质文化遗产保护现状及问题分析 [J]. 中医杂志 , 2023 , 64 ( 17 ): 1740 - 1744,1749 .
邱瑞瑾 , 陈诗琪 , 韩松洁 , 等 . 基于COMET数据库的核心指标集研究现状及进展 [J]. 中国循证医学杂志 , 2019 , 19 ( 5 ): 622 - 629 .
SUBBIAH V . The next generation of evidence-based medicine [J]. Nat Med , 2023 , 29 ( 1 ): 49 - 58 .
董竞成 , 高振 . 中国传统医学科研方法概论 [M]. 北京 : 人民卫生出版社 , 2021 .
陈耀龙 , 罗旭飞 . 临床实践指南的制订方法与步骤 [J]. 中华传染病杂志 , 2019 , 37 ( 9 ): 523 - 526 .
陈耀龙 , 刘萧 , 王燕平 , 等 . 西医指南与中医药指南:在相互学习中共同提高 [J]. 协和医学杂志 , 2020 , 11 ( 5 ): 615 - 620 .
罗辉 , 仲格嘉 , 刘建平 . 藏医药临床研究指南制定的方法探讨 [J]. 中国中西医结合杂志 , 2018 , 38 ( 7 ): 870 - 872 .
曹继忠 , 陈菊 , 温川飙 . 民族医药数据库亟待解决的问题与发展方向 [J]. 医学争鸣 , 2019 , 10 ( 2 ): 6 - 9,13 .
李雪 , 冯岭 . 民族医药古籍保护性研究意义及现状 [J]. 世界中医药 , 2015 , 10 ( 4 ): 606 - 608,612 .
李小平 , 沈洋 , 张川骎 , 等 . 西南地区少数民族古籍医药文献数字化建设初探 [J]. 中国中医药图书情报杂志 , 2017 , 41 ( 3 ): 39 - 42 .
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