| 标题： | 成人支气管哮喘康复指南 |
| title： | Rehabilitation Guidelines for asthma in adults |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 标准指南 |
| classification： | Standard guideline |
| 领域： | 预后 |
| field： | Prognosis |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 临床医生、科研人员、患者 |
| Guide users： | Clinicians, researchers, patients |
| 证据分级方法： | 1.GRADE 证据质量等级： 高：非常有信心观察值接近真实值，进一步的研究不太可能改变观察值的可信度。 中：真实值可能与观测值接近，但两者之间仍有可能存在差异，进一步的研究可能会改变观察的可信度，并可能改变结果的观察。 低：对观察的置信度有限：真实值可能与观察有很大差异，进一步的研究很可能改变观察的可信度，很可能改变观察的结果。 极低：对观测值几乎没有信心：真实值很可能与观测值不同，真实值可能与观测值相差很大，观测值的结果非常不确定。 2.推荐意见：通过前期研究，根据临床实际情况，通过证据检索、核心小组、专家讨论等方式筛选出本指南，确定最终的临床问题。根据证据、组合成本、患者偏好和价值观形成相应的推荐，并根据证据质量和推荐强度对所有推荐进行分级。采用德尔菲法进行两轮专家共识，并根据专家建议进行修改。经过临床前调查、专家讨论、证据检索与筛选、专家共识等环节，最终形成推荐意见。 |
| Evidence grading method： | 1.GRADE evidence quality rating: high-very confident that the observations are close to the true values, and further research is unlikely to change the credibility of the observations. Medium-medium confidence in the observed value: the true value may be close to the observed value, but there is still the possibility that there is a difference between the two, and further research may change the credibility of the observation and may change the results of the observation. Low-the degree of confidence in the observation is limited: the real value may be very different from the observation, and further research is very likely to change the credibility of the observation, and is likely to change the results of the observation. Very low-there is little confidence in the observed value: the real value is likely to be different from the observed value, the true value may be very different from the observed value, and the results of the observed value are very uncertain. 2.Recommendation: through preliminary research, this guide is screened according to the actual clinical situation according to evidence retrieval, core group and expert discussion to determine the final clinical problems. The corresponding recommendations are formed based on evidence, combination cost, patient preferences and values, and all recommendations are graded according to evidence quality and recommendation intensity. Delphi method is used for two rounds of expert consensus and revised according to expert suggestions. The recommendation is finally formed after many steps, such as pre-clinical investigation, expert discussion, evidence retrieval and screening, expert consensus and so on. |
| 制定单位： | 河南中医药大学第一附属医院 |
| Formulating unit： | The First Affiliated Hospital of Henan University of Chinese Medicine |
| 注册时间： | 2023-03-28 |
| Registration time： | |
| 注册编号： | PREPARE-2023CN198 |
| Registration number： | |
| 指南制订的目的： | 系统梳理呼吸训练、运动训练，中医传统功法以及特色疗法对成人哮喘患者的作用，对成人哮喘患者的康复技术进行规范指导。 尊敬的审核组专家: 我们注册了《成人支气管哮喘康复指南》与《成人支气管哮喘中西医结合康复指南》，之所以这样注册是因为：经过我们的初步检索，当前有关成人支气管哮喘患者康复的证据较少，尤其是中医方面，可能会出现证据不足的情况，所以《成人支气管哮喘康复指南》突出的是循证为主的西医康复措施，而《成人支气管哮喘中西医结合康复指南》突出的是中西医结合，中医部分可能会采取专家共识的方式给出推荐意见，着重讨论如何实现中西医结合以及中西医结合的优势。如果实在不允许这样注册 ，请您驳回我们的《成人支气管哮喘中西医结合康复指南》，审核通过《成人支气管哮喘康复指南》，感谢您的帮助与支持。 |
| Purpose of the guideline： | Systematically sort out the effects of respiratory training, exercise training, traditional Chinese medicine and characteristic therapy on adult asthma patients, and standardize the rehabilitation techniques of adult asthma patients. |
