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儿童药物治疗满意度研究的系统评价

Pediatric treatment satisfaction of medication measurement research: a systematic review

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【作者】 杨梦婷姬小芮颜唯祎张书雅邹锟万朝敏贾知军成果曾力楠张伶俐

【Author】 YANG Mengting;JI Xiaorui;YAN Weiyi;ZHANG Shuya;ZOU Kun;WAN Chaomin;JIA Zhijun;CHENG Guo;ZENG Linan;ZHANG Lingli;Department of Pharmacy,West China Second University Hospital,Sichuan University;Evidence-Based Pharmacy Center,West China Second University Hospital,Sichuan University;NMPA Key Laboratory for Technical Research on Drug Products in vitro and in vivo Correlation;Key Laboratory of Birth Defects and Related Diseases of Women and Children,Sichuan University,Ministry of Education;West China School of Medicine,Sichuan University;West China School of Pharmacy,Sichuan University;Department of Pediatrics,West China Second University Hospital,Sichuan University;Laboratory of Molecular Translational Medicine,Center for Translational Medicine,Sichuan University;Chinese Evidence-based Medicine Center,West China Hospital,Sichuan University;

【通讯作者】 曾力楠;张伶俐;

【机构】 四川大学华西第二医院药学部四川大学华西第二医院循证药学中心国家药品监督管理局药物制剂体内外相关性技术研究重点实验室出生缺陷与相关妇儿疾病教育部重点实验室四川大学华西临床医学院四川大学华西药学院四川大学华西第二医院儿科四川大学转化医学中心分子转化医学实验室四川大学华西医院中国循证医学中心

【摘要】 目的 系统评价儿童药物治疗满意度(TS-M)测评研究。方法 计算机检索PubMed、Embase、Cochrane Library、CBM、WanFang Data、VIP和CNKI数据库及医学量表网站,搜集有关儿童TS-M测评的研究,检索时限均为建库至2022年11月。由2名研究者独立筛选文献、提取资料。采用描述性分析全面梳理研究所选用的TS-M测评工具,采用健康测量工具遴选标准(COSMIN)评估现有儿童TS-M量表的开发质量和测量性能。结果 共纳入157个研究,包括TS-M测评工具的儿童应用研究150项和儿童TS-M量表的开发及验证研究7项,涉及儿童TS-M特异性量表7种。使用自制TS-M问卷或访谈测评儿童TS-M的儿童应用研究占67.3%,使用成人TS-M量表的占24.7%,使用2种儿童TS-M特异性量表仅占6.0%。量表的开发质量及测量性能评价结果显示,现有儿童TS-M量表的开发质量为“有问题”或“不合格”,具有“足够”的内部一致性但“不确定”的结构效度;尚缺乏量表的内容效度、重测信度和建构效度研究。结论 当前儿童研究选用的TS-M测评工具存在不合理:超90%儿童研究使用自制问卷或成人量表测评儿童TS-M;现有儿童TS-M量表应用范围较窄、开发质量存在问题、缺乏测量性能研究;尚缺乏应用范围广的儿童TS-M量表。

【Abstract】 Objective To systematically review the research on pediatric treatment satisfaction of medication(TS-M). Methods The PubMed, Embase, Cochrane Library, CBM, WanFang Data, VIP, CNKI databases and medical scale websites were electronically searched to collect studies on pediatric TS-M from inception to November 2022. Two reviewers independently screened literature, and extracted data. Using descriptive analysis, we comprehensively reviewed the TS-M assessment tool selected for the studies of children. We evaluated the methodological quality and measurement properties of existing TS-M scales for children using the Consensus-based Standards for the selection of health Measurement Instruments(COSMIN) assessment criteria. Results A total of 157 studies were included, including 150pediatric studies using TS-M evaluation tools and 7 studies on the development and validation of TS-M scales for children,covering 7 specific TS-M scales for children. Our review revealed that 67.3% of the pediatric studies used unvalidated selfadministered TS-M questionnaires or interviews, 24.7% used adult TS-M scales, and only 6.0% used two pediatric-specific TS-M scales. The results of the quality assessment indicated that the development quality of existing TS-M pediatric scales was considered "doubtful" or "inadequate", and the internal consistency was "sufficient" but the structural validity was probably "uncertain". High-quality research on the content validity, test-retest reliability and construct validity of the pediatric TS-M scale was still lacking. Conclusion Currently, the use of TS-M evaluation tools in pediatric studies has irrationalities: over 90% of pediatric studies use self-made questionnaires or adult scales to evaluate children’s TS-M; and the existing pediatric TS-M scales globally have narrow applications, questionable development quality, and lack some measurement performance studies. Pediatric TS-M scales with a wide range of applications are lacking.

【基金】 四川省科技计划重点研发项目(编号:2020YFS0035)
  • 【文献出处】 中国循证医学杂志 ,Chinese Journal of Evidence-Based Medicine , 编辑部邮箱 ,2024年02期
  • 【分类号】R95
  • 【下载频次】97
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