本文關(guān)鍵詞：基于深度訪談法初步研究中醫(yī)臨床實(shí)施方案優(yōu)化，，由筆耕文化傳播整理發(fā)布。

淘豆網(wǎng)網(wǎng)友你是我的全部近日為您收集整理了關(guān)于基于深度訪談法初步研究中醫(yī)臨床實(shí)施方案優(yōu)化的文檔，希望對(duì)您的工作和學(xué)習(xí)有所幫助。以下是文檔介紹：密級(jí):分類號(hào):.I三0 5 b‘d單位代碼:84502學(xué)號(hào):845022005021256中國(guó)中醫(yī)科學(xué)院2005級(jí)碩士研究生學(xué)位論文基于深度訪談法初步研究中醫(yī)臨床實(shí)施方案優(yōu)化申請(qǐng)人:廖星專業(yè):中醫(yī)內(nèi)科研究方向:中醫(yī)臨床評(píng)價(jià)方法學(xué)導(dǎo)師:謝雁鳴研究員中國(guó)中醫(yī)科學(xué)院西苑醫(yī)院2008年5月北京關(guān)于學(xué)位論文使用授權(quán)的聲明本人完全知道中國(guó)中醫(yī)科學(xué)院有關(guān)保留使用學(xué)位論文的規(guī)定,同意學(xué)校保留或向國(guó)家有關(guān)部門機(jī)構(gòu)送交論文的復(fù)印件和電子版,容許被查閱和借閱。本人授權(quán)中國(guó)中醫(yī)科學(xué)院可以將本學(xué)位論文的全部或部分內(nèi)容編入有關(guān)數(shù)據(jù)庫(kù)進(jìn)行檢索,可以采用影印、縮印或其他復(fù)印手段保存和匯編本學(xué)位論文。(保密論文在解密后應(yīng)遵守此規(guī)定)論文作者簽名廛塾. 日期趔:』:塑l——1.6定性研究的基本方法………………………………………………………………………13 1.7定性研究的證據(jù)等級(jí)評(píng)判…………………………………………………………………14 2深度訪談法………………………。 15 2.1訪談法的來(lái)源和定義………………………………………………………………………15 2.2訪談法的類型………………………………………………………………………………15 2.3深度訪談的研究步驟………………………………………………………………………16 2.4深度訪談?wù)叩木唧w要求……………………………………………………………………18 2.5深度訪談資料的整理和分析………………………………………………………………19 2.6深度訪談的信度、效度和推廣度問題……………………………………………………。19 2.7深度訪談研究中倫理的探討………………………………………………………………21 2.8深度訪談中質(zhì)最控制………………………………………………………………………22 2.9深度訪談的評(píng)價(jià)……………………………………………………………………………23 2.10深度訪談法在中醫(yī)臨床研究領(lǐng)域中應(yīng)用的探討…………………………………………25 3扎根理論(GROUNDED THEORY,GTM)……………………………………………………………27 3.1扎根理論的來(lái)源和定義……………………………………………………………………..27 3.2扎根理論的思路……………………………………………………………………………27 3.3扎根理論操作程序…………………………………………………………………………29 3.4扎根理論中的核心技術(shù)……………………………………………………………………32 3.5備忘錄(memos)的撰寫和概念圖的編制(ptmapping)……………………………….33 3.6扎根理論方法的流程圖……………………………………………………………………34第二部分范例研究………………………………………………………………………………….39I前言…………………�！�:19 2研究設(shè)計(jì)……………………………………………………………………………………………….39基于深度訪談法初步研究中醫(yī)臨床實(shí)施方案優(yōu)化2.1研究目的………………………………………………………………………………………39 2.2研究?jī)?nèi)容…………………………………………………………………………………….40 2.3研究路線圖…………………………………………………………………………………41 2.4抽樣……………………………………………………………………………………………………………………….42 2.5訪談設(shè)計(jì)………………………………………………………………………………………………………………。43 3數(shù)據(jù)收集………………………………………………………………………………………………45 3.1進(jìn)入現(xiàn)場(chǎng)……………………………………………………………………………………45 3.2資料存檔(見附件7和附件8)…………………………………………………………..45 4數(shù)據(jù)整理和分析………。.………..49 4.1八個(gè)預(yù)備訪談的個(gè)案分析………………………………………………………………….5l4.2關(guān)丁8個(gè)預(yù)備訪談的跨個(gè)案分析………………………………………………………….57 4.3十二個(gè)正式訪談的個(gè)案分析………………………………………………………………6l4.4關(guān)于12個(gè)正式訪談的跨個(gè)案分析…………………………………………………………72 5結(jié)論…………………………………………………………………………………..……………………74 5.1結(jié)論一……………………………………………………………………………………….74 5.2結(jié)論二……………………………………………………………………………………….75 5.3結(jié)論三……………………………………………………………………………………….75 6討論……………………….……….…..。.……………………………………………………………..75 6.1關(guān)于深度訪談法……………………………………………………………………………75 6.2關(guān)于扎根理論………………………………………………………………………………76 6.3本訪談的信度和效度闖題…………………………………………………………………76 6.4本訪談的的評(píng)價(jià)…………………………………………………………………………….77 6.5有關(guān)本訪談的“內(nèi)省”問題……………………………………………………………….78 7附件……………………………..……….…….……………………………………………………..80 7.1附件1;受訪者信息表……………………………………………………………………..80 7.2附件2:訪談研究小組成員名單……………………………………………………………83 7.3附件3:預(yù)訪談?dòng)?jì)劃………………………………………………………………………。84 7.4附件4:預(yù)訪談提綱……………………………………………………………………….87 7.5附件5:正式訪談?dòng)?jì)劃…………………………………………………………………….92 7.6附件6:正式訪談提綱……………………………………………………………………。98 7.7附件7:8個(gè)預(yù)備訪談的分析過(guò)程………………………………………………………..102 7.8附件8:12個(gè)正式訪談的分析過(guò)程………………………………………………………102致謝……………………….….……...……….…….....…………………..……………………1 03個(gè)人簡(jiǎn)歷………………….Ⅱ基于深度訪談法初步研究中醫(yī)臨床實(shí)施方案優(yōu)化摘要目的:主要目的:探討定性研究深度訪談法在中醫(yī)臨床研究中的基本步驟和規(guī)范以及數(shù)據(jù)分析程序。次要目的:以深度訪談法對(duì)中醫(yī)臨床實(shí)施方案優(yōu)化的研究作為應(yīng)用范例。方法:運(yùn)用定性研究中的深度訪談法,對(duì)8個(gè)對(duì)象進(jìn)行預(yù)備訪談并在其基礎(chǔ)上,對(duì)12個(gè)對(duì)象進(jìn)行正式訪談,訪談時(shí)進(jìn)行現(xiàn)場(chǎng)錄音和現(xiàn)場(chǎng)備忘錄記錄。然后轉(zhuǎn)錄成逐字稿并進(jìn)行分類存檔。對(duì)于個(gè)案的整理和分析,采用定性研究經(jīng)典理論“扎根理論",嚴(yán)格按照規(guī)范的程序進(jìn)行三級(jí)譯碼。將受訪檔案數(shù)據(jù)先進(jìn)行開放性譯碼整理出“碼號(hào)(code)分析表”;再進(jìn)行主軸譯碼,整理并構(gòu)建出受訪者的概念類屬分析表,然后根據(jù)“譯碼典范”分析矩陣表,得出相關(guān)類屬(categories)和概念(concepts)之間的關(guān)聯(lián):最后通過(guò)選擇性譯碼萃取核心類屬(centralcategories)并構(gòu)建理論。在個(gè)案分析的基礎(chǔ)之上,進(jìn)行跨個(gè)案綜合分析,先后有預(yù)備訪談綜合分析和J下式訪談綜合分析兩部分。結(jié)果:主要研究結(jié)果:通過(guò)范例研究,對(duì)深度訪談法在中醫(yī)臨床研究領(lǐng)域應(yīng)用的規(guī)范、步驟以及數(shù)據(jù)分析程序進(jìn)行了具體的探討。次要研究結(jié)果:范例研究中,通過(guò)預(yù)備訪談使“優(yōu)選”和“優(yōu)化”兩個(gè)概念得以明確,即“優(yōu)選”是指由臨床研究者自身對(duì)治療方案的擇優(yōu)比較;“優(yōu)化”則是立項(xiàng)后啟動(dòng)前這段時(shí)間罩對(duì)研究設(shè)計(jì)的改良。對(duì)于以從事臨床實(shí)踐活動(dòng)為主的研究者來(lái)說(shuō),他們多偏向?qū)χ委煼桨浮皟?yōu)選”的探討。正式訪談在前面8個(gè)預(yù)備訪談的基礎(chǔ)上進(jìn)行了完善和規(guī)范。通過(guò)嚴(yán)格遵守一系列深度訪談步驟和規(guī)范程序,將受訪者檔案數(shù)據(jù)先進(jìn)行開放性譯碼,整理出12個(gè)碼號(hào)分析表,再于主軸譯碼階段,先后整理并構(gòu)建出12個(gè)受訪者的概念類屬分析表,然后根據(jù)“典范譯碼"分析矩陣表,得出相關(guān)類屬和概念之間的關(guān)聯(lián)關(guān)系,最后通過(guò)選擇性譯碼萃取出9個(gè)核心類屬(centralcategories)并構(gòu)建相關(guān)理論。從正式訪談的12個(gè)受訪者的訪談中得出三對(duì)關(guān)系即治療方案和設(shè)計(jì)方案、臨床實(shí)踐和科研工作、主研單位和參加單位;三種被優(yōu)化課題研究者對(duì)優(yōu)化課題的態(tài)度即抵觸型、依賴型、獨(dú)立型。從正式訪談的12個(gè)受訪檔案分析得出如下結(jié)果:三對(duì)關(guān)系:治療方案和設(shè)計(jì)方案、臨床實(shí)踐和科研工作、主研單位和參加單位;三種被優(yōu)化課題研究者對(duì)優(yōu)化課題的態(tài)度:抵觸型、依賴型、獨(dú)立型;五個(gè)關(guān)注方面即療效、研究者素質(zhì)、時(shí)間、經(jīng)費(fèi)、認(rèn)可度。此基于深度訪談法初步研究中醫(yī)臨床實(shí)旄方案優(yōu)化外,依據(jù)概念類屬之間相互關(guān)聯(lián)影響的分析,最終建構(gòu)出9個(gè)圍繞“方案優(yōu)化”的研究者反應(yīng)模式概念分析圖。此外,依據(jù)概念類屬之間相互關(guān)聯(lián)影響的分析,最終建構(gòu)出9個(gè)圍繞“方案優(yōu)化”的研究者反應(yīng)模式概念分析圖和9個(gè)相關(guān)理論。同時(shí)通過(guò)訪談可知:此次有關(guān)重大疑難疾病課題的研究,都是在以往課題研究基礎(chǔ)之上進(jìn)一步深化的研究,相關(guān)的課題研究者都有豐富的臨床研經(jīng)驗(yàn),而且都期望通過(guò)“優(yōu)化"能夠更加科學(xué)地驗(yàn)證他們研究方案中的中醫(yī)臨床療效,提升認(rèn)可度并進(jìn)行推廣。結(jié)論:本研究整個(gè)過(guò)程的執(zhí)行參照國(guó)際標(biāo)準(zhǔn)按照規(guī)范的定性研究程序進(jìn)行,通過(guò)范例研究得以實(shí)際運(yùn)用。通過(guò)研究可知定性研究是一種與以往定量研究不同的研究方法,中醫(yī)臨床研究領(lǐng)域引入定性研究不僅能彌補(bǔ)定量研究所的不足,而且對(duì)于某些特殊問題的解決有獨(dú)到之處。本研究對(duì)“十一五’’國(guó)家科技支撐計(jì)劃重大項(xiàng)目“重大疑難疾病中醫(yī)防治研究"中的部分研究者進(jìn)行了深度訪談,是定性研究在中醫(yī)臨床研究領(lǐng)域的初次規(guī)范系統(tǒng)的應(yīng)用,為將來(lái)定性研究在中醫(yī)研究領(lǐng)域進(jìn)一步深化和實(shí)際操作奠定了基礎(chǔ)。范例研究所得結(jié)果為“十一五”國(guó)家科技支撐計(jì)劃重大項(xiàng)目“重大疑難疾病中醫(yī)防治研究”“中醫(yī)臨床研究的方案優(yōu)我們結(jié)合中醫(yī)臨床根理論;方法學(xué)研究Method:We did a pilot study with eight interviewees by in—depth interview and aformal one with twelve inteviewees.We recorded in the field and made notes about allkinds of emotional expressions and movements of interviewees.And then wetranscribed all the recordings into verbal manuscript which has been catergarized intodifferent archives and labled by letter from A to T.In fact,there were two parts of thisstudy including the pilot suty and the formal one in different stages,which also inseparate analyzing process.The classical theory Grounded Theory for analyzingqualitative data has been used in this study for analyzing every interviewee’S data,which includes three kinds of coding procedures such as opening coding,axial codingand selective coding.After the opening coding procedure codes table has been made.Different categories and concepts table has showed up in the axial coding procedurewhich is followed by a matrix table showing plicated relationship betweencategories and concepts according to coding paradigm.And at last central categorieshave been selected abiding by the selective coding procedure,panying which atheory was also constructed.In order to make parative analysis we did acomprehensive analysis for the pilot study and the formal study separately.Results:There are two parts ofthe result about this study.The first and importantpart is that in-depth interview has been in仃oduced to the clinical research field ofChinese Medicine and it is the first time that the process and data analyzing procedureof in-depth interview been applied in detail in the example.The secondary restult arethe es from the example.Two concepts have been identified clearly in the pilotstudy.One is paring different clinical programme for selecting the bestone.111e other one is about optimizing research designing for refming to improve the researchquality.However,for most of the researchers whose daily work is maily concernedwith clinical practice,t11ey were apt to discuss the former one.The formal interviewhas been done on the base of the pilot study.There were nine theories with central3基于深度訪談法初步研究中醫(yī)臨床實(shí)施方案優(yōu)化categories have been constructed by following Grounded theory’S three codingprocedures.We got some important results for the research of optimizing clinicalresearch programme of Chinese Medicine嬲f(shuō)ollows:Thl'∞kinds of relationshipsincluding relationship between treating programme and designing programme,between clinical practice and research work and between main research hospitals andsupportive hospitals.Three kinds of researchers’attitudes to the research of optimizingclinical research programme of Chinese Medicine such雒being contradicted.beingdependent and being independent.Besides,we constructed nine analyzing conceptualgraphs and nine theories related with the research of optimizing clinical researchprogramme,from which much useful information Was elicited.As we knew from theformal interview,most of the researchers wish they could test their clinical curativeeffect easily for their clinical research porgrm and generizing their program in thefuture by attending the research of optimizing clinical research programme of ChineseMedicine.Conclusion:Qualitative research is SO different from quantitative research by OBrstudy that we know it Can arrive where quantitative research can’t.Applyingqualitative reseach Can explore important and useful information that quantitativeresearch Can’t get,especially for much subjective information in people’S mind.It isthe first time that researchers use in-depth interview systematically to study theresearch of optimizing clinical research programme of Chinese Medicine,particularlyin the part of the Eleventh Five Key Technologies R&D Programm.The first time ofusing in-depth interview will be a base for the application and set a good example forthe novice who wants to use qualitative methods in the research filed of ChineseMedicine.The results of the in-depthe interview example have indicated someimportant and benefical information for the Research of Optimizing Clinical ResearchProgramme of Chinese Medicine in the part of the Eleventh Five Key Technologies R&D Programm.And we formed a series of process and data analysis procedures ofin—depth interview,which are suitable for Chinese Medicine clinical research.Key words:clinical research of Chinese Medicine;in—depth interview;qualitative research;Grounded theory;methodology4

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  本文關(guān)鍵詞：基于深度訪談法初步研究中醫(yī)臨床實(shí)施方案優(yōu)化，由筆耕文化傳播整理發(fā)布。