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《韩国成人失眠症诊断与治疗临床实践指南》

Korean Clinical Practice Guideline for the Diagnosis and Treatment of Insomnia in Adults.

作者信息

Choi Hayun, Youn Soyoung, Um Yoo Hyun, Kim Tae Won, Ju Gawon, Lee Hyuk Joo, Lee Chungsuk, Lee Sang Don, Bae Kyungyeol, Kim Seong Jae, Lee Ji Hyun, Kim Tae, Chung Seockhoon

机构信息

Department of Psychiatry, Veteran Health Service Medical Center, Seoul, Republic of Korea.

Clearspring Psychiatric Clinic, Seoul, Republic of Korea.

出版信息

Psychiatry Investig. 2020 Nov;17(11):1048-1059. doi: 10.30773/pi.2020.0146. Epub 2020 Nov 18.

Abstract

OBJECTIVE

We aim to present a clinical guideline for the diagnosis and treatment of insomnia in adults by reviewing and integrating existing clinical guidelines. The purpose of this guideline is to assist clinicians who perform evidence-based insomnia treatment.

METHODS

We selected literature that may be appropriate for use in guideline development from evidence-based practice guidelines that have been issued by an academic or governmental institution within the last five years. The core question of this guideline was made in sentence form including Patient/Problem, Intervention, Comparison, Outcome (PICO) elements. After searching PubMed, EMBASE, and medical guideline issuing agencies, three guidelines were judged to be the most appropriately reviewed, up-to-date, and from trusted sources.

RESULTS

The Appraisal of Guidelines for Research and Evaluation (AGREE) II tool was used to evaluate the quality of the three clinical guidelines. The final outcome of the guideline development process is a total of 15 recommendations that report the strength of the recommendation, the quality of evidence, a summary of content, and considerations in applying the recommendation.

CONCLUSION

It is vital for clinical guidelines for insomnia to be developed and continually updated in order to provide more accurate evidence-based treatments to patients.

摘要

目的

通过回顾和整合现有临床指南,我们旨在提出一份针对成人失眠诊断与治疗的临床指南。本指南的目的是帮助临床医生进行基于证据的失眠治疗。

方法

我们从过去五年内学术或政府机构发布的基于证据的实践指南中挑选可能适用于指南制定的文献。本指南的核心问题以句子形式呈现,包括患者/问题、干预措施、对照、结果(PICO)要素。在检索了PubMed、EMBASE和医学指南发布机构后,有三项指南被判定为最适合进行审查、最新且来源可靠。

结果

使用《研究与评价指南评估》(AGREE)II工具来评估这三项临床指南的质量。指南制定过程的最终结果是总共15条建议,这些建议报告了建议的强度、证据质量、内容摘要以及应用该建议时的注意事项。

结论

制定并持续更新失眠临床指南对于为患者提供更准确的基于证据的治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0e1/7711116/0501ef379798/pi-2020-0146f1.jpg

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