隨機對照試驗英語論文的評價實例 2011級護理系研究生喻春紅 論文簡介 1 題目 Canabriefpsychologicalinterventionpreventanxietyordepressivedisordersincanerpatients Arandomisedcontrolledtrial2 來源 AnnalsofOncology2009 20 928 9343 性質(zhì) Originalarticle arandomisedcontrolledtrial4 總體評價 全文結構完整 嚴謹 闡述詳細 合理 對研究問題的評價 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 對研究目標的評價 1 研究者是否描述了研究目標 participantswerepatientsrecruitedconsecutivelyfromclinicsataregionalcentretorthetreatmentofcancerinManchester includedbothhigh andlow riskpatients 2 目標是否具體 between18and70yearsofage newlydiagnosedwithafirstepisodeofcancer judgedtohavealifeexpectancyofatleast2yearsandconsentedtothetrial 3 澄清了研究的宗旨和目的 Theyhypothesisthatabriefintervention deliveredbynonspecialists wouldbesuperiortousualcareinpreventingthedevelopmentofnewanxietyordepresssivedisordersduringtheyearafterstartingtreatmentforcancer 4 目標是否確定了研究的變量和總體 twooutcomemeasures TheStructuredClinicalInterviewforDSMIIIRandThehospitalAnxietyandDepressionScale 對文獻回顧的評價 1 前人的相關研究是否被找到并描述出來 Evidencefromthenoncancerfieldsuggeststhatpreventionismostlikelytobesuccessfulifa high risk groupistargetedfortreatment thestrongestevidencerelatestocognitivebehaviouralinterventionsusedtopreventanxietyordepressivedisorders 2 相關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中的空白之處 同問題的創(chuàng)新 4 文獻回顧是否全面 referencesincluded32papers 5 文獻是否是最近期的 1980 2008 對研究的理論 概念 框架的評價 Noreffer 對科研設計的評價 1 研究的設計類型 是否有干預 有否對照組 有2 是否做了預試驗 無3 如果設計中有干預 干預是否被祥細地被描述 Table1 Summaryofthekeypointsoftheintervention4 如果設立了對照組 該對照方法是否合適 randomisedcontrolled 對測量工具的評價 1 本研究中測評工具是否有較好的信度和效度 成熟量表的使用2 如果設計了新的量表 新量表是否做過預試驗 并根據(jù)預試驗結果做了相應修改 無新量表的使用 對統(tǒng)計分析的評價 1 統(tǒng)計分析的目的是什么 Separateanalysesa differedbetweenimmediateanddelayedinterventiongroups b differedbetweenthehigh andlowriskpatients c Associatedwithage gender previouspsychiatrichistory concernsscoresordiseasesite 2 是否采用了參數(shù)統(tǒng)計方法 usinganalysisofcovariancetoadjustforage sex pasthistory baselineconcernsandbaselinetotalHADSscores 7 是否使用表格來總結大量的統(tǒng)計資料 表格制件是否簡明合理 4tablesand2figures 對結果與討論的評價 1 對結果的討論是否針對第一個研究目的 問題或假設 Ourdesigniscongruentwithamodelofserviceprovisionthatdeliversabriefpsychologicalinterventiontoallhigh riskpatientswithspecialistreferralonlywhennecessary Inthelightofcurrentknowledge itdoesnotseentobeappropriatetorecommendourinterventionforlow riskpatients 2 是否指出研究中存在的偏倚 Ourtherapistsweretrainedandregularlysupervised butitisalimitationofthetrialthatnoindependentassessmentoftheirfidelitytothemodelorcompetenceindeliveringtheinterventionwasmade Thankyou