| 循证医学培训在提高研究生诊断试验类毕业论文方法学质量中的应用 |
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| 引用本文： | 刘雅莉,徐志伟,王雪梅,张怡侬,刘广芝. 循证医学培训在提高研究生诊断试验类毕业论文方法学质量中的应用[J]. 中华全科医学, 2019, 17(9): 1592-1595. DOI: 10.16766/j.cnki.issn.1674-4152.001005 |
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| 作者姓名： | 刘雅莉 徐志伟 王雪梅 张怡侬 刘广芝 |
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| 作者单位： | 1. 河南省医学情报研究所, 河南 郑州 450046; |
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| 基金项目： | 2018年河南省科技基础条件建设专项(豫财科〔2018〕6号) |
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| 摘 要： | 目的 了解医学硕士研究生诊断试验类毕业论文的质量，并通过临床流行病与循证医学知识的系统培训，寻找提高研究生毕业论文质量的方法。 方法 以郑州某高校医学院2014—2017届全体硕士研究生为调查对象，采用诊断试验STARD(2003)报告规范，分别评价临床流行病与循证医学知识系统培训前后，研究生诊断试验类论文STARD(2003)报告25个条目符合情况，并通过培训前后的条目符合率，判断临床流行病与循证医学方法培训对于提高研究生诊断试验类论文质量的效果。 结果 研究共收集符合纳入排除标准的研究生诊断试验类论文77篇，其中未接受临床流行病学方法系统培训的有23篇，接受临床流行病学方法系统培训的有54篇，接受临床流行病与循证医学相关知识系统培训后，研究生诊断试验类论文STARD报告条目符合率显著提高，条目平均符合数由9.36±2.25上升至18.64±2.46，差异具有统计学意义(t=15.527，P<0.001)，且各条目的符合率均高于培训前的研究，80%的条目符合率差异具有统计学意义(P<0.05)。其中第15条目的符合率提高了72.70%。 结论 临床流行病与循证医学知识的系统培训能够显著提高研究生毕业论文的质量。
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| 关 键 词： | 临床流行病学 循证医学 诊断试验 方法学质量 |
| 收稿时间： | 2019-04-09 |
Application of evidence-based medicine training in improving the quality of graduate school diagnostics methodology |
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| Affiliation: | Henan Institute of Medical Information， Zhengzhou, Henan 450046, China |
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| Abstract: | Objective To Understand the quality of graduation thesis of medical graduate students, and find ways to improve the quality of graduate thesis through systematic training of clinical epidemiology and evidence-based medical knowledge. Methods Taking the graduate students of a medical school in Zhengzhou from 2014 to 2017 as the survey object, using the STARD (2003) report specification of the diagnostic test to evaluate the clinical epidemiological and evidence-based medical knowledge system before and after training, the graduate diagnostic test paper STARD (2003) reported 25 items in line with the situation, and judged the effect of clinical epidemiology. Results A total of 77 postgraduate diagnostic test papers that met the inclusion criteria, of which 23 were not trained in clinical epidemiological methods, 54 were trained in clinical epidemiological methods, and received clinical epidemiology and follow-up. After the training of the relevant knowledge system of the medical science, the coincidence rate of the STARD report items of the graduate diagnostic test papers was significantly improved, and the average number of entries increased from 9.36±2.25 to 18.64±2.46. The difference was statistically significant (t=15.527, P<0.001), and the entries rate was higher than the pre-training study, and the 80% entry rate difference was statistically significant (P<0.05). The compliance rate of the 15th item increased by 72.7%. Conclusion Systematic training of clinical epidemiology and evidence-based medical knowledge can significantly improve the quality of graduate thesis and is worthy of further application and promotion. |
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