醫(yī)院圖書(shū)館嵌入循證醫(yī)學(xué)為醫(yī)護(hù)人員服務(wù)

張燕

[摘要] 簡(jiǎn)述了醫(yī)院圖書(shū)館運(yùn)用循證醫(yī)學(xué)實(shí)踐的概念及特點(diǎn)，在掌握扎實(shí)的專業(yè)知識(shí)的基礎(chǔ)上還必須具有一定的醫(yī)學(xué)知識(shí)和文獻(xiàn)檢索技能，在循證醫(yī)學(xué)實(shí)踐中開(kāi)展檢索能力培訓(xùn)，促進(jìn)護(hù)理學(xué)科發(fā)展及為市民免費(fèi)開(kāi)展各種健康知識(shí)講座都發(fā)揮了積極的作用，確保臨床醫(yī)師結(jié)合臨床經(jīng)驗(yàn)和最新、最好的證據(jù)妥善解決問(wèn)題。并以優(yōu)質(zhì)的服務(wù)資源在學(xué)習(xí)型醫(yī)院幫助臨床醫(yī)護(hù)人員全面、快速、準(zhǔn)確地找到臨床所需的最好證據(jù)提供服務(wù)。

[關(guān)鍵詞] 循證醫(yī)學(xué)；醫(yī)院圖書(shū)館；醫(yī)護(hù)人員；市民

[中圖分類(lèi)號(hào)] R19 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2018）01（c）-0192-02

Library in the Hospital Applying Evidence-based Medicine to Serve the Medical Staff

ZHANG Yan

Library， Qingdao Municipal Hospital， Qingdao， Shandong Province， 266011 China

[Abstract] The paper introduces the concept and features of library in the hospital applying the evidence-based medicine practice， and it must be equipped with the medical knowledge and literature retrieve skills on the basis of solidly mastering the professional knowledge， and it should develop the training of retrieve ability in the evidence-based medical practice， promotes the development of nursing discipline and freely develop various health knowledge lectures for citizens， thus ensuring the clinicians to properly solve the problems according to the clinical experience and the recent and best evidence， and helping the clinical medical staff in the learning-type hospitals to comprehensively， rapidly and accurately find out the best evidence need by the clinic through the excellent service resources.

[Key words] Evidence-based medicine； Library in the hospital； Medical staff； Citizen

循證醫(yī)學(xué)意為“遵循證據(jù)的醫(yī)學(xué)”（evidence—based medicine，EBM）。著名臨床流行病學(xué)家David Sackett教授將EBM定義為“慎重、準(zhǔn)確和明智地應(yīng)用所能獲得的最好研究依據(jù)來(lái)確定患者的治療措施”[1]。在循證醫(yī)學(xué)時(shí)代要求臨床醫(yī)生快速獲得支持決策的最佳證據(jù)，那些能用最小努力獲得的患者關(guān)心及強(qiáng)有力證據(jù)支持的研究結(jié)果，并以其指導(dǎo)臨床醫(yī)生采用最適宜的診斷方法、最精確的預(yù)后估計(jì)、最安全有效的治療方法、最精確的預(yù)后估計(jì)、最安全有效的治療方法來(lái)診治患者，這正是循證臨床實(shí)踐的實(shí)質(zhì)所在。在追蹤醫(yī)學(xué)前沿、掌握最佳證據(jù)的過(guò)程中，領(lǐng)會(huì)循證臨床實(shí)踐的原則，實(shí)現(xiàn)對(duì)每一位患者的具體病情，正確選擇并精確的應(yīng)用適當(dāng)?shù)闹委煼椒ǎ宰钚』尼t(yī)源性損害、最低化的醫(yī)療資源耗費(fèi)去獲得最大化的病患的效益。所以，循證醫(yī)學(xué)是有意識(shí)地、明確地、審慎地利用現(xiàn)有最好的研究證據(jù)制定關(guān)于個(gè)體患者的診治方案，實(shí)施循證醫(yī)學(xué)意味著醫(yī)生要參照最好的研究證據(jù)、臨床和患者的意見(jiàn)進(jìn)行臨床決策。……