台灣地區1996－2002年內外科護理研究論文之實證程度分析

Evidence Levels of Medical and Surgical Nursing Research From 1996 to 2002 in Taiwan

本研究目的在瞭解台灣近六年內外科護理研究的方向、實證程度及其實證品質。從國家圖書館全球資訊網之期刊論文索引影像系統，搜尋年月間種國內醫護期刊，有關護理研究篇。由三位護理專家分類篩選出內外科護理論文篇後，以蘇格蘭國家健康服務部發展之實證四等級量表評估實證等級，並以上述機構發展之評估指引判定實證品質。結果顯示：一研究方向：以探討「病人問題」的相關因素篇最多，測試護理措施之有效性篇；二實證程度分類：以描述性或觀察性的第三、四級研究最多，第一、二級實驗性設計最少；三實證品質：評估篇臨床試驗性論文，內在效度與整體評估兩項中得分最高項目為研究主題明確、研究開始時與研究期間實驗組與對照組之治療相同、有效個案率及個案統計完整等項。得分最低項目為個案資料保密、研究措施分組保密、不同場所研究結果相似等項。研究結果可提供護理專業臨床應用及未來研究發展的參考。

This study was used to evaluate the level, direction and quality of nursing researches.The Taiwan National Library Index was used to identify 1814 papers from 1996 to2002. Three nursing experts identified 130(7.2%) medical and surgical nursing papers,using the SIGN hierarchy evidence evaluating system to assess the evidence. Eightynine(68.5%) of the 130 studies explored specific problems of patients; only 17(13.7%) studies focused on the effectiveness of nursing practices and could be labeled aslevel 1 or 2 evidences. The highest score of the quality indicators was based onwhether the study objectives were clear, whether the treatment was similar betweentwo groups, and whether the subjects were randomly allocated. The lowest scorewas based on whether adequate concealment methods were used, whether treatmentallocation was kept 'blind', and whether the study results are comparable for all sites.The information will be beneficial for future evidence-based nursing researches.