{"id":19912,"date":"2023-09-03T21:00:10","date_gmt":"2023-09-03T12:00:10","guid":{"rendered":"http:\/\/www.seimei-in.com\/wp02\/?p=19912"},"modified":"2023-09-01T17:27:40","modified_gmt":"2023-09-01T08:27:40","slug":"ebm-7","status":"publish","type":"post","link":"https:\/\/www.seimei-in.com\/wp02\/ebm-7\/","title":{"rendered":"EBM\u306e\u5b9f\u8df5\u2461"},"content":{"rendered":"

 <\/p>\n

\u6e05\u660e\u9662\u3067\u306f\u73fe\u5728\u3001\u6c42\u4eba\u52df\u96c6\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/strong><\/span><\/p>\n

\u52df\u96c6\u5185\u5bb9\u306e\u8a73\u7d30\u306f\u3053\u3061\u3089<\/a>\u3002<\/strong><\/span><\/p>\n

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**********************************************************************************************
\n\"\"<\/a>\u00a0 \u00a0 \u00a0\u00a0\"\u306b\u307b\u3093\u30d6\u30ed\u30b0\u6751<\/a><\/p>\n

 <\/p>\n

\u3000\u3000\u2191\u2191\u2191\u3000\u3000\u3000 \u3000\u3000\u3000\u3000\u2191\u2191\u2191
\n\u3053\u3061\u3089\u3092\u30011\u65e51\u56de\u30af\u30ea\u30c3\u30af\u306b\u662f\u975e\u3054\u5354\u529b\u4e0b\u3055\u3044\uff01<m(__)m><\/p>\n

\u30af\u30ea\u30c3\u30af\u3057\u3066\u3044\u305f\u3060\u304f\u3068\u3001\u30e9\u30f3\u30ad\u30f3\u30b0\u30dd\u30a4\u30f3\u30c8\u304c\u4e0a\u304c\u308a\u307e\u3059\uff01\uff01
\n**********************************************************************************************<\/p>\n

 <\/p>\n

 <\/p>\n

\u3053\u3093\u3070\u3093\u306f\u3000\u8b1d\u6577\u3067\u3059\uff3e\uff3e<\/p>\n

 <\/p>\n

\u524d\u56de\u306fEB\uff2d\u3092\u5b9f\u8df5\u3059\u308b\u3046\u3048\u3067\u91cd\u8981\u3068\u306a\u308b3\u3064\u306e\u8981\u7d20\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f\u3002<\/p>\n

 <\/p>\n

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\u4eca\u56de\u306f\u3001\u5177\u4f53\u7684\u306b\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u81e8\u5e8a\u73fe\u5834\u3067\u6d3b\u7528\u3059\u308b\u65b9\u6cd5\u3068\u3057\u3066<\/p>\n

5\u3064\u306e\u30b9\u30c6\u30c3\u30d7\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u306e\u3067\u3001\u305d\u3061\u3089\u3092\u3054\u7d39\u4ecb\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\uff01<\/p>\n

 <\/p>\n

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Step 1\uff1a\u7591\u554f\u306e\u5b9a\u5f0f\u5316<\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

\u81e8\u5e8a\u73fe\u5834\u3067\u306f\u3001\u7591\u554f\u304c\u3044\u3063\u3071\u3044\u6e67\u3044\u3066\u304d\u307e\u3059\u3002<\/p>\n

 <\/p>\n

\u3053\u306e\u60a3\u8005\u306e\u75c5\u614b\u306f\u4f55\u304b\u3001\u3069\u306e\u3088\u3046\u306a\u6cbb\u7642\u304c\u3042\u308b\u304b\u3001<\/p>\n

\u6700\u5584\u306a\u6cbb\u7642\u306f\uff1f\u526f\u4f5c\u7528\u306f\uff1f\u8cbb\u7528\u306f\uff1f\u4e88\u5f8c\u306f\uff1f<\/p>\n

 <\/p>\n

\u3053\u308c\u3089\u591a\u7a2e\u591a\u69d8\u306a\u7591\u554f\u306f\u3001\u6f20\u7136\u3068\u3057\u305f\u307e\u307e\u3067\u306f\u53d6\u308a\u639b\u304b\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

\u305d\u3053\u3067\u3001\u30e1\u30a4\u30f3\u306e\u7591\u554f\u70b9\u306b\u7d5e\u308a\u3001<\/p>\n

 <\/p>\n

 <\/p>\n

\u300c\u3069\u3093\u306a\u60a3\u8005\u3055\u3093\uff08Patient\uff09\u306b\u3001<\/p>\n

\u3069\u306e\u3088\u3046\u306a\u6cbb\u7642\uff08Intervention\uff09\u3084\u539f\u56e0\uff08Exposure\uff09\u304c\u3042\u308a\u3001<\/p>\n

\u305d\u306e\u6cbb\u7642\u3092\u5b9f\u65bd\u3057\u305f\u6642\u3084\u539f\u56e0\u304c\u306a\u3044\u5834\u5408\u3068\u6bd4\u8f03\u3057\u3066\uff08Comparison\uff09<\/p>\n

\u3069\u306e\u3088\u3046\u306a\u7d50\u679c\u306b\u306a\u308b\u304b\uff08Outcome\uff09\u3001<\/p>\n

 <\/p>\n

 <\/p>\n

\u3068\u3044\u3063\u305f\u3001\u8981\u7d20\uff08PICO\u3084PECO\u3068\u8a00\u3044\u307e\u3059\uff09\u306b\u5206\u3051\u3066\u6574\u7406\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u305d\u306e\u5f8c\u3001<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

Step 2\uff1a\u60c5\u5831\u53ce\u96c6\u3000\u3000<\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

\u3068\u3057\u3066\u3001PubMed\u3068\u3044\u3063\u305f\u533b\u5b66\u6587\u732e\u306e\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u306a\u3069\u3092\u6d3b\u7528\u3057\u3066\u3001\u691c\u7d22\u3057\u3001\u60c5\u5831\u3092\u53ce\u96c6\u3057\u307e\u3059\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

\u81a8\u5927\u306a\u6587\u732e\u304b\u3089\u6709\u7528\u306a\u59a5\u5f53\u6027\u306e\u9ad8\u3044\u60c5\u5831\u3092\u52b9\u7387\u7684\u306b\u5f97\u308b\u305f\u3081\u3001<\/p>\n

Cochrane Library \u3084UpToDate\u3068\u3044\u3063\u305f\u4e8c\u6b21\u7684\u306a\u60c5\u5831\u6e90\u3082\u6574\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n

\uff08\u8a73\u7d30\u306f\u937c\u7078\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u7d39\u4ecb\u306e\u969b\u306b\u8aac\u660e\u81f4\u3057\u307e\u3059\u3002\uff09<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

Step 3\uff1a\u6279\u5224\u7684\u541f\u5473<\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u8ad6\u6587\u5185\u5bb9\u3092\u5b89\u6613\u306b\u6d3b\u7528\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001<\/p>\n

\u60c5\u5831\u306e\u4fe1\u983c\u5ea6\u3084\u3001\u7d50\u679c\u306e\u89e3\u91c8\u306b\u3064\u3044\u3066\u3001\u691c\u8a0e\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n

\u3053\u306e\u7814\u7a76\u306f\u9069\u5207\u3060\u3063\u305f\u304b\u3001\u7d50\u679c\u306e\u89e3\u91c8\u306f\u59a5\u5f53\u304b\u7b49\u3005\u2026\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u305d\u306e\u3046\u3048\u3067\u3001<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

Step 4\uff1a\u60a3\u8005\u3078\u9069\u7528<\/strong>\u3000\u3000\u3068\u3057\u3066\u3001<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u4eca\u3001\u81ea\u5206\u304c\u62c5\u5f53\u3059\u308b\u60a3\u8005\u306b\u6709\u7528\u306a\u306e\u304b\u3001\u52b9\u679c\u306e\u307f\u3067\u306f\u306a\u304f\u3001<\/p>\n

\u5b89\u5168\u6027\u3084\u8cbb\u7528\u8ca0\u62c5\u306a\u3069\u3082\u4f75\u305b\u3066\u691c\u8a0e\u3057\u3001\u8a3a\u65ad\u3084\u6cbb\u7642\u3092\u9078\u629e\u3001\u9069\u7528\u3057\u307e\u3059\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u305d\u3057\u3066\u6700\u5f8c\u306b\u3001\u5b9f\u969b\u306e\u6cbb\u7642\u7d4c\u904e\u3092\u3068\u304a\u3057\u3066<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

Step 5\uff1a\u5404\u30b9\u30c6\u30c3\u30d7\u306e\u8a55\u4fa1\u3000\u3000<\/strong>\u3092\u90fd\u5ea6\u3001\u7e70\u308a\u8fd4\u3057\u307e\u3059\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u8ad6\u6587\u3067\u306f\u3001EBM\u306f\u201d\u751f\u6daf\u306b\u308f\u305f\u308b\u81ea\u4e3b\u7684\u306a\u5b66\u7fd2\u30d7\u30ed\u30bb\u30b9\u201c\u3068\u8a18\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

EBM\u3068\u53e3\u306b\u3059\u308b\u306e\u306f\u7c21\u5358\u3067\u3059\u304c\u3001<\/p>\n

\u3053\u306e5\u3064\u306e\u30b9\u30c6\u30c3\u30d7\u3092\u52b9\u7387\u7684\u304b\u3064\u78ba\u5b9f\u306b\u5b9f\u65bd\u3057\u3066\u3044\u304f\u306b\u306f\u591a\u69d8\u306a\u80fd\u529b\u304c\u6c42\u3081\u3089\u308c\u308b\u306e\u3067\u3059\u306d\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

\u4eca\u9031\u3082\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3057\u305f\uff01<\/p>\n

 <\/p>\n

 <\/p>\n

\uff1c\u53c2\u8003\u6587\u732e\uff1e<\/p>\n

\u30fbSackett DL. Evidence-based medicine. Semin Perinatol. 1997;21(1):3-5.<\/p>\n

\u30fb\u6a4b\u672c\u6df3. EBM\u306e\u5b9f\u8df5\u3068EBH. J. Natl. Inst. Public Health. 2000; 49 (4): 320-328.<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u8aad\u8005\u306e\u7686\u69d8\u30011\u65e51\u56de\u3001\u3053\u3061\u3089\u3092\u305d\u308c\u305e\u308c\uff11\u30af\u30ea\u30c3\u30af\u304a\u9858\u3044\u3057\u307e\u3059\uff01\uff01<\/p>\n

 <\/p>\n

 <\/p>\n

\"\"<\/a>\u00a0\u00a0\u00a0\"\u306b\u307b\u3093\u30d6\u30ed\u30b0\u6751<\/a><\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

\u300c\u30a8\u30ad\u30c6\u30f3\u300d\u6e05\u660e\u9662\u30b5\u30a4\u30c8<\/a><\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

\u6e05\u660e\u9662\u30aa\u30d5\u30a3\u30b7\u30e3\u30eb\u30db\u30fc\u30e0\u30da\u30fc\u30b8\uff08PC\uff09<\/a><\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

\u6e05\u660e\u9662\u9662\u9577\u306e\u30d6\u30ed\u30b0\u3000\u300c\u6700\u9ad8\u306e\u937c\u7078\u306e\u8ffd\u6c42\u300d<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

32\u6b73\u306eEBM\uff08\uff15\u3064\u306e\u30b9\u30c6\u30c3\u30d7\uff09<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"32\u6b73\u306eEBM\uff08\uff15\u3064\u306e\u30b9\u30c6\u30c3\u30d7\uff09","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[6138,288],"tags":[268,97],"class_list":["post-19912","post","type-post","status-publish","format-standard","hentry","category-6138","category-288","tag-ebm","tag-97"],"acf":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/posts\/19912","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/comments?post=19912"}],"version-history":[{"count":2,"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/posts\/19912\/revisions"}],"predecessor-version":[{"id":19914,"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/posts\/19912\/revisions\/19914"}],"wp:attachment":[{"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/media?parent=19912"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/categories?post=19912"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.seimei-in.com\/wp02\/wp-json\/wp\/v2\/tags?post=19912"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}