Page 21 - journal-9-2-Full
P. 21

98   «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“߇≈◊Õ°                                 ªï∑’Ë 9©∫—∫∑’Ë 2°—𬓬π-∏—𫓧¡ 2554



             μ“√“ß∑’Ë 3 º≈°“√ª√–‡¡‘πÀ≈—°∞“π∑’ˇ°’ˬ«°—∫°√–‡®’ͬ∫·¥ß  °“√„™â®“°Õ“®“√¬å·æ∑¬å·ºπ‰∑¬∑’ˇ™’ˬ«™“≠·≈–‰¥â√—∫°“√
                                                                                   3
                                                                μ√«® Õ∫™”√–„Àâ∂Ÿ°μâÕß ‡™àπ §—¡¿’√å·æ∑¬»“ μ√å ß‡§√“–Àå
                                         √–¥—∫¢Õß
                ¢âÕ∫àß„™â                                       ´÷Ë߇ªìπ§—¡¿’√å∑’ˉ¥â√—∫°“√μ√«® Õ∫™”√–®“°À¡Ÿà·æ∑¬åÀ≈«ß„π
                                  À≈—°∞“π Ÿß ÿ¥∑’ËÀ“‰¥â  §”·π–π”
                                                                            17
                                                                 ¡—¬√—™°“≈∑’Ë 5  ¥—ßπ—Èπ ≥ ¢≥–π’Èμ“¡Õߧåª√–°Õ∫¢Õ߇«™
             ≈¥§«“¡¥—π‚≈À‘μ             1-             D
                                                                »“ μ√凙‘ߪ√–®—°…å  °“√√—°…“¥â«¬»“ μ√å°“√·æ∑¬å·ºπ‰∑¬
             ≈¥‰¢¡—π„π‡≈◊Õ¥ ( à«π       2              B
               ¢Õß°≈’∫‡≈’Ȭ߇∑à“π—Èπ)                           πà“®–¢“¥‡æ’¬ß°“√∫—π∑÷°¢âÕ¡Ÿ≈Õ¬à“߇ªìπ√–∫∫‡∑à“π—Èπ ¥—ßπ—Èπ
             ¢—∫ªí  “«–                 5              D        ∂â“·æ∑¬å·ºπ‰∑¬™à«¬°—πæ—≤π“À≈—°∞“π∑’Ëπà“‡™◊ËÕ∂◊Õ¡“ π—∫

                                                                 πÿπ°“√√—°…“ ∫ÿ§≈“°√∑“ß°“√·æ∑¬å·ºπªí®®ÿ∫—π∑’Ë∑”ß“π

             ‡∑à“π—Èπ∑’ËÕ“®≈¥‰¢¡—π„π‡≈◊Õ¥‰¥â ‚¥¬À≈—°∞“π√–¥—∫ Ÿß ÿ¥∑’Ë  √à«¡°—π°Á®–‡°‘¥§«“¡‡¢â“„®·≈–¡—Ëπ„® ´÷Ëß®– à߇ √‘¡„Àâ°“√
              π—∫ πÿπƒ∑∏‘Ï≈¥‰¢¡—π„π‡≈◊Õ¥¢Õߥհ°√–‡®’ͬ∫ §◊Õ√–¥—∫ ç2é  ·æ∑¬å·ºπ‰∑¬Õ¬Ÿà„π√–∫∫ ÿ¢¿“æ ‡æ◊ËÕ¥Ÿ·≈ºŸâªÉ«¬‡§’¬ß§Ÿà‰ª
                    o  à«πƒ∑∏‘Ï„π°“√¢—∫ªí  “«– ¡’ß“π«‘®—¬„π —μ«å  °—∫°“√·æ∑¬å·ºπªí®®ÿ∫—π´÷Ë߇ªìπ°“√·æ∑¬å°√–· À≈—°‰¥â
                                                  16
             ∑¥≈Õß∑’Ë· ¥ß«à“°√–‡®’ͬ∫‡æ‘Ë¡°“√¢—∫ªí  “«–‰¥â  ®÷ß √ÿª«à“
                                                                ‡Õ° “√Õâ“ßÕ‘ß
             ‡ªìπ‡æ’¬ßÀ≈—°∞“π√–¥—∫ ç5é
                                                                  1. Haynes RB, Devereaux PJ, Guyatt GH. Clinical expertise in the era of
                  √ÿª √–¥—∫¢ÕßÀ≈—°∞“π·≈–√–¥—∫¢Õߧ”·π–π”¢Õß
                                                                    evidence based medicine and patient choice. EBM 2002;7:36-8.
             °√–‡®’ͬ∫·¥ß· ¥ß„πμ“√“ß∑’Ë 3                         2. Davies HTO, Nutley SM, Smith PC. Introducing evidence-based policy
                                                                    and practice in public services. Davies HTO, Nutley SM, Smith PC,
                 ¢—ÈπμÕπ∑’Ë 4 æ‘®“√≥“¢âÕ¡Ÿ≈√à«¡°—∫§«“¡™”π“≠¢Õß
                                                                    editors. Bristol: The Policy Press; 2000.
             ·æ∑¬å·ºπ‰∑¬·≈–§«“¡§“¥À«—ߢÕߺŸâªÉ«¬                  3. Rycroft-Malone J, Seers K, Titchen A, Harvey G, Kitson A, McCormack
                                                                    B. What counts as evidence in evidence-based practice? J Adv Nurs
                 ®“°°“√ª√–‡¡‘πÀ≈—°∞“π¢Õß°√–‡®’ͬ∫·¥ß Õ“® √ÿª‰¥â«à“
                                                                    2004;47:81-90.
             °“√π”¥Õ°°√–‡®’ͬ∫¡“„™â„π°“√≈¥§«“¡¥—π‚≈À‘μ·≈–¢—∫
                                                                  4. Õ—§√‘π∑√å π‘¡¡“ππ‘μ¬å. ‡«™»“ μ√凙‘ߪ√–®—°…å°—∫°“√æ—≤π“
             ªí  “«–§«√¡’°“√»÷°…“‡æ‘Ë¡‡μ‘¡μàÕ‰ª ‡æ√“–¬—߉¡à “¡“√∂   ß“π°“√·æ∑¬å·ºπ‰∑¬. „π: ∑«’ ‡≈“Àæ—π∏å, ‡Õ◊ÈÕæß»å ®μÿ√∏”√ß, ∏“π’
                                                                    ‡∑æ«—≈¬å, ∫√√≥“∏‘°“√. °“√·æ∑¬å·ºπ‰∑¬ª√–¬ÿ°μå°—∫°“√
              √ÿª‰¥â«à“¡’ª√– ‘∑∏‘º≈¥â«¬À≈—°∞“π∑’Ë¡’Õ¬Ÿà„πªí®®ÿ∫—π ·μàπà“
                                                                    æ—≤π“°“√·æ∑¬å·ºπ‰∑¬„À⬗Ë߬◊π 2554. °√ÿ߇∑æœ:  ∂“π°“√
             ®–¡’ª√–‚¬™πå„π°“√π”¡“„™â≈¥‰¢¡—π„π‡≈◊Õ¥ ¥—ßπ—Èπ „π°√≥’  ·æ∑¬å·ºπ‰∑¬ª√–¬ÿ°μå §≥–·æ∑¬»“ μ√廑√‘√“™æ¬“∫“≈
                                                                    ¡À“«‘∑¬“≈—¬¡À‘¥≈; 2554. Àπâ“ 11-5.
             ∑’˺ŸâªÉ«¬μâÕß°“√√—°…“¿“«–¥—ß°≈à“«¥â«¬»“ μ√å°“√·æ∑¬å
                                                                  5. Phillips B, Ball C, Sackett D, Badenoch D, Straus S, Haynes B, et al.
             ·ºπ‰∑¬ §«√¡’°“√æ‘®“√≥“∂÷ß¿“«–¢ÕߺŸâªÉ«¬·≈– ¡ÿØ∞“π      Oxford Centre for Evidence-based Medicine Levels of Evidence (March
                                                                    2009). Centre for Evidence-based Medicine; 2009 [cited 2010 Jun 8];
             ¢Õß‚√§μ“¡∑ƒ…Æ’°“√·æ∑¬å·ºπ‰∑¬«à“¡’§«“¡‡À¡“– ¡„π
                                                                    Available from: http://www.cebm.net/index.aspx?o=1025.
             °“√„™âÀ√◊Õ‰¡à                                        6. Ebell MH, Siwek J, Weiss BD, Woolf SH, Susman J, Ewigman B, et
                                                                    al. Simplifying the language of evidence to improve patient care:
                 ®“°μ—«Õ¬à“ß∑’ˬ°¡“π—Èπ ™’È„Àâ‡ÀÁπ«à“ °“√√—°…“¥â«¬
                                                                    strength of recommendation taxonomy (SORT): a patient-centered
             »“ μ√å°“√·æ∑¬å·ºπ‰∑¬ ·∑â®√‘ß·≈â«°Á„™âÀ≈—°‡«™»“ μ√凙‘ß  approach to grading evidence in medical literature. J Fam Pract
                                                                    2004;53:11-20.
             ª√–®—°…剥⇙àπ°—π ‡π◊ËÕß®“°¡’∑ƒ…Æ’∑’ËÕ∏‘∫“¬‰¥âÕ¬à“߇ªìπ‡Àμÿ
                                                                  7. Howick J, Chalmers I, Glasziou P, Greenhalgh T, Heneghan C, Liberati
             ‡ªìπº≈ ·≈–‡ªìπ°“√ªØ‘∫—μ‘μ“¡·À≈àßÕâ“ßÕ‘ß∑’Ë·æ∑¬å·ºπ‰∑¬  A, et al. Explanation of the 2011 Oxford Centre for Evidence-Based
                                                                    Medicine (OCEBM) Levels of Evidence (Background Document). Oxford
             ‡™◊ËÕ∂◊Õ π—Ëπ§◊Õ §—¡¿’√å·≈–®“√÷°μà“ßÊ ´÷Ëß∂÷ß·¡âμ“¡À≈—°‡°≥±å
                                                                    Centre for Evidence-Based Medicine; [cited 2011 Aug 1]; Available
              “°≈ ª√– ∫°“√≥宓°ºŸâ‡™’ˬ«™“≠ („π∑’Ëπ’È §◊Õ §—¡¿’√å·≈–
                                                                    from: http://www.cebm.net/index.aspx?o=5653.
             ®“√÷°μà“ß Ê) ®–¡’√–¥—∫§«“¡πà“‡™◊ËÕ∂◊Õ‡∑à“°—∫ 5 ‡∑à“π—Èπ ·μà  8. OCEBM Levels of Evidence Working Group. The Oxford 2011 Levels
                                                                    of Evidence. Oxford Centre for Evidence-Based Medicine; [cited 2011
             ‡π◊ËÕß®“°ª√– ∫°“√≥å„π°“√„™â¢Õß·æ∑¬å·ºπ‰∑¬π—Èπ∫“ß
                                                                    July 31]; Available from: http://www.cebm.net/index.aspx?o=5653.
             §√—Èß¡’°“√„™âÕ¬à“ßμàÕ‡π◊ËÕß¡“¬“«π“π¡“°°«à“√âÕ¬ªï ·≈–À“°  9. ‡ ß’ˬ¡ æß…å√Õ¥. ‰¡â‡∑»‡¡◊Õ߉∑¬. °√ÿ߇∑æœ: ‚√ßæ‘¡æå°√ÿß∏π; 2522.
                                                                 10.  ÿ¿“¿√≥å ªîμ‘æ√, º°“°√Õß ¢«—≠¢â“«.  ¡ÿπ‰æ√‡æ◊ËÕ™’«‘μ æ‘™‘μ‚√§¿—¬
             æ‘®“√≥“¥Ÿ®–æ∫«à“§—¡¿’√å∫“߇≈à¡π—Èπ “¡“√∂‡ªìπÀ≈—°∞“π
                                                                    ç ÿ¢¿“æ«‘∂’‰∑¬Õ¿—¬¿Ÿ‡∫»√åé ‡æ◊ËÕ°“√æ÷Ëßμπ‡Õß. °√ÿ߇∑æœ: ª√¡—μ∂å
             Õâ“ßÕ‘ß∑’ˇ™◊ËÕ∂◊Õ‰¥â ‡π◊ËÕß®“°‡ªìπ°“√√«∫√«¡ª√– ∫°“√≥å„π  °“√æ‘¡æå; 2551.
   16   17   18   19   20   21   22   23   24   25   26