随机对照试验英语论文的评价实例.ppt

随机对照试验英语论文的评价实例 2011级护理系研究生喻春红 论文简介 1 题目 Canabriefpsychologicalinterventionpreventanxietyordepressivedisordersincanerpatients Arandomisedcontrolledtrial2 来源 AnnalsofOncology2009 20 928 9343 性质 Originalarticle arandomisedcontrolledtrial4 总体评价 全文结构完整 严谨 阐述详细 合理 对研究问题的评价 1 是否提出了研究问题 Thearticletitleisthestudyproblemalso 2 研究问题的来源 Whilemostcancerpatientsreportdistresswithinthefirstyearofdiagnosis 25 40 developanxietyordepressivedisorderswhichimpairqualityoflifeforpatientsandtheirfamilies 3 研究问题是否可行 Psychologicalinterventionshavebeendevelopedtoreducesymptomsofanxietyanddepressionbyimprovingcoping 4 研究问题的重要性 Thedesignofthetrialwasinfluencedbythefactthatrelativelyfewpsychiatristsandpsychologistswordinthecancerfield soasuccessfulinterventioncarriedoutbysuchspecialistswouldstandlittlechanceofbecomingpartofroutinecare 5 研究问题的创新性 Nopreviousstudyhasattemptedtoprevent ratherthantreat anxietyordepressivedisordersinabroadrangeofnewlydiagnosedcancerpatients thoughsuchpreventiveinterventionhasbeenrecommended 对研究目标的评价 1 研究者是否描述了研究目标 participantswerepatientsrecruitedconsecutivelyfromclinicsataregionalcentretorthetreatmentofcancerinManchester includedbothhigh andlow riskpatients 2 目标是否具体 between18and70yearsofage newlydiagnosedwithafirstepisodeofcancer judgedtohavealifeexpectancyofatleast2yearsandconsentedtothetrial 3 澄清了研究的宗旨和目的 Theyhypothesisthatabriefintervention deliveredbynonspecialists wouldbesuperiortousualcareinpreventingthedevelopmentofnewanxietyordepresssivedisordersduringtheyearafterstartingtreatmentforcancer 4 目标是否确定了研究的变量和总体 twooutcomemeasures TheStructuredClinicalInterviewforDSMIIIRandThehospitalAnxietyandDepressionScale 对文献回顾的评价 1 前人的相关研究是否被找到并描述出来 Evidencefromthenoncancerfieldsuggeststhatpreventionismostlikelytobesuccessfulifa high risk groupistargetedfortreatment thestrongestevidencerelatestocognitivebehaviouralinterventionsusedtopreventanxietyordepressivedisorders 2 相关理论是否被找到并描述出来 Thereissomeevidencethatsuchtreatmentmightcarryaslightriskofworseningdepressioninsomepatients Inaddition itisnotknownwhetherapsychologicalinterventioncouldbenefit orevenhinderadjustment incancerpatientsconsideredtobeatlowriskofdevelopinganxietyordepressivedisorders 3 是否全面描述了文献中的空白之处 同问题的创新 4 文献回顾是否全面 referencesincluded32papers 5 文献是否是最近期的 1980 2008 对研究的理论 概念 框架的评价 Noreffer 对科研设计的评价 1 研究的设计类型 是否有干预 有否对照组 有2 是否做了预试验 无3 如果设计中有干预 干预是否被祥细地被描述 Table1 Summaryofthekeypointsoftheintervention4 如果设立了对照组 该对照方法是否合适 randomisedcontrolled 对测量工具的评价 1 本研究中测评工具是否有较好的信度和效度 成熟量表的使用2 如果设计了新的量表 新量表是否做过预试验 并根据预试验结果做了相应修改 无新量表的使用 对统计分析的评价 1 统计分析的目的是什么 Separateanalysesa differedbetweenimmediateanddelayedinterventiongroups b differedbetweenthehigh andlowriskpatients c Associatedwithage gender previouspsychiatrichistory concernsscoresordiseasesite 2 是否采用了参数统计方法 usinganalysisofcovariancetoadjustforage sex pasthistory baselineconcernsandbaselinetotalHADSscores 7 是否使用表格来总结大量的统计资料 表格制件是否简明合理 4tablesand2figures 对结果与讨论的评价 1 对结果的讨论是否针对第一个研究目的 问题或假设 Ourdesigniscongruentwithamodelofserviceprovisionthatdeliversabriefpsychologicalinterventiontoallhigh riskpatientswithspecialistreferralonlywhennecessary Inthelightofcurrentknowledge itdoesnotseentobeappropriatetorecommendourinterventionforlow riskpatients 2 是否指出研究中存在的偏倚 Ourtherapistsweretrainedandregularlysupervised butitisalimitationofthetrialthatnoindependentassessmentoftheirfidelitytothemodelorcompetenceindeliveringtheinterventionwasmade Thankyou