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医学领域新研究不断涌现，在海量数据中找到优质证据是循证实践的一大挑战。证据金字塔通过可视化的分级方法，帮助临床人员识别预先评估的证据，简化寻找和应用证据的过程。随着医学研究领域对循证证据理解的不断深入，证据金字塔也在持续演变和更新。本文介绍了2016年更新的证据“5S”金字塔模型，由原始研究、系统评价、循证指南推荐、综合性证据总结和决策支持系统5个层级构成。每个层级都系统性地从下层构建，使不同层级间的关系更清晰。证据“5S”金字塔模型从“自下而上”整合证据到“自上而下”应用证据的整合-应用双向模式，可为促进证据的高效检索和科学应用提供方法学基础，以及为循证护理提供系统化、分层级的证据资源框架，以支持临床决策和实践优化。
Abstract：With the continuous emergence of new research in the healthcare field, identifying high-quality evidence amidst vast data has become a significant challenge for evidence-based practice. The evidence pyramid, through a hierarchical and visual approach, assists health professionals in recognizing pre-appraised evidence, thereby simplifying the process of evidence retrieval and application.As the understanding of evidence-based research in the medical field deepens, the evidence pyramid has undergone continuous evolution and refinement. This paper introduced the "5S" evidence pyramid model updated in 2016, which consisted of 5 levels: Original studies, systematic reviews, evidence-based guideline recommendation, comprehensive evidence summary and decision support system. Each level was systematically built from the lower level, making the relationship between the different levels clearer. The "5S" evidence-based pyramid model adopt an intergrated-application bidireational approach, combining "bottom-up" integration of evidence and "top-down" application of evidence could provide a methodological basis for promoting efficient retrieval and scientific application of evidence, as well as a systematic and hierarchical framework of evidence resources for evidence-based care to support clinical decision-making and practice optimization.
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基本信息:
DOI：10.16821/j.cnki.hsjx.2025.13.001
中图分类号:R47;R-03
引用信息:
[1]邢唯杰,周英凤,朱政等.证据金字塔的发展：从“6S”模型到“5S”模型[J].护士进修杂志,2025,40(13):1345-1348.DOI:10.16821/j.cnki.hsjx.2025.13.001.
基金信息:
复旦大学上海医学院高水平地方高校建设学科交叉融合创新项目(编号：FNDGJ202418)