隨機(jī)對(duì)照試驗(yàn)英語論文的評(píng)價(jià)實(shí)例.ppt

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隨機(jī)對(duì)照試驗(yàn)英語論文的評(píng)價(jià)實(shí)例 2011級(jí)護(hù)理系研究生喻春紅 論文簡介 1 題目 Canabriefpsychologicalinterventionpreventanxietyordepressivedisordersincanerpatients Arandomisedcontrolledtrial2 來源 AnnalsofOncology2009 20 928 9343 性質(zhì) Originalarticle arandomisedcontrolledtrial4 總體評(píng)價(jià) 全文結(jié)構(gòu)完整 嚴(yán)謹(jǐn) 闡述詳細(xì) 合理 對(duì)研究問題的評(píng)價(jià) 1 是否提出了研究問題 Thearticletitleisthestudyproblemalso 2 研究問題的來源 Whilemostcancerpatientsreportdistresswithinthefirstyearofdiagnosis 25 40 developanxietyordepressivedisorderswhichimpairqualityoflifeforpatientsandtheirfamilies 3 研究問題是否可行 Psychologicalinterventionshavebeendevelopedtoreducesymptomsofanxietyanddepressionbyimprovingcoping 4 研究問題的重要性 Thedesignofthetrialwasinfluencedbythefactthatrelativelyfewpsychiatristsandpsychologistswordinthecancerfield soasuccessfulinterventioncarriedoutbysuchspecialistswouldstandlittlechanceofbecomingpartofroutinecare 5 研究問題的創(chuàng)新性 Nopreviousstudyhasattemptedtoprevent ratherthantreat anxietyordepressivedisordersinabroadrangeofnewlydiagnosedcancerpatients thoughsuchpreventiveinterventionhasbeenrecommended 對(duì)研究目標(biāo)的評(píng)價(jià) 1 研究者是否描述了研究目標(biāo) participantswerepatientsrecruitedconsecutivelyfromclinicsataregionalcentretorthetreatmentofcancerinManchester includedbothhigh andlow riskpatients 2 目標(biāo)是否具體 between18and70yearsofage newlydiagnosedwithafirstepisodeofcancer judgedtohavealifeexpectancyofatleast2yearsandconsentedtothetrial 3 澄清了研究的宗旨和目的 Theyhypothesisthatabriefintervention deliveredbynonspecialists wouldbesuperiortousualcareinpreventingthedevelopmentofnewanxietyordepresssivedisordersduringtheyearafterstartingtreatmentforcancer 4 目標(biāo)是否確定了研究的變量和總體 twooutcomemeasures TheStructuredClinicalInterviewforDSMIIIRandThehospitalAnxietyandDepressionScale 對(duì)文獻(xiàn)回顧的評(píng)價(jià) 1 前人的相關(guān)研究是否被找到并描述出來 Evidencefromthenoncancerfieldsuggeststhatpreventionismostlikelytobesuccessfulifa high risk groupistargetedfortreatment thestrongestevidencerelatestocognitivebehaviouralinterventionsusedtopreventanxietyordepressivedisorders 2 相關(guān)理論是否被找到并描述出來 Thereissomeevidencethatsuchtreatmentmightcarryaslightriskofworseningdepressioninsomepatients Inaddition itisnotknownwhetherapsychologicalinterventioncouldbenefit orevenhinderadjustment incancerpatientsconsideredtobeatlowriskofdevelopinganxietyordepressivedisorders 3 是否全面描述了文獻(xiàn)中的空白之處 同問題的創(chuàng)新 4 文獻(xiàn)回顧是否全面 referencesincluded32papers 5 文獻(xiàn)是否是最近期的 1980 2008 對(duì)研究的理論 概念 框架的評(píng)價(jià) Noreffer 對(duì)科研設(shè)計(jì)的評(píng)價(jià) 1 研究的設(shè)計(jì)類型 是否有干預(yù) 有否對(duì)照組 有2 是否做了預(yù)試驗(yàn) 無3 如果設(shè)計(jì)中有干預(yù) 干預(yù)是否被祥細(xì)地被描述 Table1 Summaryofthekeypointsoftheintervention4 如果設(shè)立了對(duì)照組 該對(duì)照方法是否合適 randomisedcontrolled 對(duì)測(cè)量工具的評(píng)價(jià) 1 本研究中測(cè)評(píng)工具是否有較好的信度和效度 成熟量表的使用2 如果設(shè)計(jì)了新的量表 新量表是否做過預(yù)試驗(yàn) 并根據(jù)預(yù)試驗(yàn)結(jié)果做了相應(yīng)修改 無新量表的使用 對(duì)統(tǒng)計(jì)分析的評(píng)價(jià) 1 統(tǒng)計(jì)分析的目的是什么 Separateanalysesa differedbetweenimmediateanddelayedinterventiongroups b differedbetweenthehigh andlowriskpatients c Associatedwithage gender previouspsychiatrichistory concernsscoresordiseasesite 2 是否采用了參數(shù)統(tǒng)計(jì)方法 usinganalysisofcovariancetoadjustforage sex pasthistory baselineconcernsandbaselinetotalHADSscores 7 是否使用表格來總結(jié)大量的統(tǒng)計(jì)資料 表格制件是否簡明合理 4tablesand2figures 對(duì)結(jié)果與討論的評(píng)價(jià) 1 對(duì)結(jié)果的討論是否針對(duì)第一個(gè)研究目的 問題或假設(shè) Ourdesigniscongruentwithamodelofserviceprovisionthatdeliversabriefpsychologicalinterventiontoallhigh riskpatientswithspecialistreferralonlywhennecessary Inthelightofcurrentknowledge itdoesnotseentobeappropriatetorecommendourinterventionforlow riskpatients 2 是否指出研究中存在的偏倚 Ourtherapistsweretrainedandregularlysupervised butitisalimitationofthetrialthatnoindependentassessmentoftheirfidelitytothemodelorcompetenceindeliveringtheinterventionwasmade Thankyou