适应ADAPTE框架的传统中医临床实践指南:一项方法论研究
Xiuli Xie1,2,3, Yangyang Wang1, Heba Hussein4
1Research Group of Standardization of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, 510120, China.
Chinese medicine
|January 20, 2026
概括
一个新的框架,ADAPTE-TCM,是为了适应传统中医 (TCM) 临床实践指南而开发的. 这种调整确保了TCM的方法严格,尊重其独特的原则.
科学领域:
- 综合医学是一个整体的医学.
- 基于证据的实践.
- 医疗适应方法 医疗适应方法
背景情况:
- 标准化医疗保健需要调整临床实践指南 (CPG).
- 现有的适应框架,如 ADAPTE,由于医疗原则的根本差异,不适合中国传统医学 (TCM).
- 这种不兼容性阻碍了标准化的TCM护理的发展.
研究的目的:
- 修改 ADAPTE 流程以满足中国传统医学 (TCM) 的特定需求.
- 制定一个严格且文化敏感的框架,以适应TCM临床实践指南 (TCM CPG).
- 弥合TCM CPG适应现有方法的差距.
主要方法:
- 一个双层工作组 (核心团队和专家小组) 模拟了TCM CPGs的原始ADAPTE流程.
- 确定了与TCM诊断框架和整体治疗范式相关的挑战.
- 在专家评估和共识的基础上修订了ADAPTE流程,从而形成了ADAPTE-TCM框架,其中包含20个修改后的步骤和TCM特定的标准.
主要成果:
- 最初的ADAPTE-TCM框架是通过模拟测试和专家反开发出来的.
- 在评估初始ADAPTE-TCM版本的21名专家中达成了高度共识.
- 对20个步骤进行了重大修改,并纳入了TCM特定的评估标准和工具.
结论:
- ADAPTE-TCM框架为适应TCM CPG提供了一种方法严格的方法.
- 这种适应增强了TCM护理的标准化,同时尊重其独特的医学传统.
- 开发的框架作为发展基于证据的方法论的模型,以适应多样化的医疗系统.
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