制定临床实践指南的建议

P. Wachholz, A. Stein, D. Melo, R. B. D. Mello, I. Flórez
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引用次数: 0

摘要

临床实践指南是包括旨在优化患者护理的建议的声明,是通过对证据的系统审查和对替代护理方案的利弊评估得出的,并确保使用现有的最佳临床知识来提供有效和高质量的护理。它们可以减少临床实践中的不适当护理和可变性,并可以支持将新的研究知识转化为临床实践。临床实践指南的建议可以通过以下方式为卫生专业人员提供支持:促进决策过程,使他们能够做出更明智的卫生保健选择,根据有利的权衡,明确哪些干预措施应该是优先考虑的,并劝阻使用那些已被证明无效、危险或浪费的干预措施。本综述旨在总结高质量和值得信赖的指南的关键组成部分。文章从各种图书馆、数据库和搜索引擎中检索,使用适用于不同数据库的自由文本术语搜索,并根据作者的判断进行选择。老年医学临床实践指南可对疾病和病症的预防、诊断、治疗、康复、卫生保健和管理产生重大影响,但只有在采用高质量、严格和公正的方法并考虑老年人的优先事项并提供有效建议的情况下,才能实施这些指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recommendations for the development of Clinical Practice Guidelines
Clinical practice guidelines are statements that include recommendations intended to optimize patient care, are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options, and ensure that the best available clinical knowledge is used to provide effective and quality care. They can reduce inappropriate care and variability in clinical practice and can support the translation of new research knowledge into clinical practice. Recommendations from clinical practice guidelines can support health professionals by facilitating the decision-making process, empowering them to make more informed health care choices, clarifying which interventions should be priorities based on a favorable trade-off, and discouraging the use of those that have proven ineffective, dangerous, or wasteful. This review aims to summarize the key components of high-quality and trustworthy guidelines. Articles were retrieved from various libraries, databases, and search engines using free-text term searches adapted for different databases, and selected according to author discretion. Clinical practice guidelines in geriatrics can have a major impact on prevention, diagnosis, treatment, rehabilitation, health care, and the management of diseases and conditions, but they should only be implemented when they have high-quality, rigorous, and unbiased methodologies that consider older adult priorities and provide valid recommendations.
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