中华系列期刊发表定性研究的文献计量分析和质量评价

    Bibliometric Analysis and Quality Evaluation of Qualitative Research Published in Chinese Medical Association Journals

    • 摘要: 目的 评价中华医学会系列期刊中定性研究的现况和质量。 方法 计算机检索中国生物医学文献数据库内中华系列杂志发表的定性研究,并利用严格评价项目(CASP)评价量表评价其质量。 结果 共检索到1 212篇研究,通过筛选最终纳入309篇定性研究。自2001年起,定性研究数量逐年递增;研究主题方面: 护理87篇(28.16%)、内科61篇(19.74%)、医学教育45篇(14.56%)、肿瘤31篇(10.03%)等; 研究对象方面: 以患者为研究对象118篇(38.19%)、以护理工作者为研究对象72篇(23.30%)、以家属为研究对象30篇(9.71%)、以学生为研究对象38篇(12.30%);研究方法较为单一,89%为深度访谈。通过质量评价发现: 225篇(72.8%)的研究设计存在缺陷;240篇(77.7%)无研究者反思;35篇(11.3%)的研究对象招募策略不恰当;45篇(14.5%)不符合伦理学标准;48篇(15.5%)资料分析过程有缺陷。综上,纳入研究的质量在研究设计和研究者反思上最薄弱,在抽样、资料收集、资料分析和伦理学方面需加强。 结论 中华医学会系列期刊定性研究发表数量逐年递增,研究主题多样,但存在研究对象局限,研究方法单一等问题。定性研究的质量仍待加强,以便日后对基于定性研究的决策提供最佳证据。

       

      Abstract: Objective To investigate the epidemiology and quality of qualitative research published in Chinese medical association journals. Methods Electronic search was conducted in CBM for the qualitative research published in Chinese medical association journals. Quality assessment was based on CASP checklist. Results 1 212 items were identified initially. After selecting and including, 309 articles met the criteria finally. The number of qualitative research is increasing yearly since 2001; study themes are distributed in nursery (28.16%), internal medicine (19.74%), medical education (14.56%), oncology (10.03%) and other fields. 118 studies targeted patients as their participants, which owned the biggest proportion (38.19%). The remaining studies targeted nursing workers, caregivers and medical students respectively. 89% of the included studies’ methods are in-depth interview, which is humdrum. After quality assessment, 225 articles had defects in research design, 240 articles had no reflexivity, and other problems were found in sampling, data collection, ethics and data analysis. The qualities of included articles are extremely weak in study design and reflection. In addition, data collection, data analysis and ethics should be strengthened as well. Conclusion The number of domestic qualitative research has increased yearly. However, there are still problems in the limited participants and humdrum methods. The quality of qualitative research should be strengthened, so as to scientifically carry out the evidence-based decisions based on qualitative research.

       

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