{"id":1176,"date":"2016-11-07T10:52:46","date_gmt":"2016-11-07T01:52:46","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1176"},"modified":"2016-11-07T10:52:46","modified_gmt":"2016-11-07T01:52:46","slug":"%e3%80%90ebm%e3%81%ae%e5%ad%a6%e3%81%b3%e3%80%91%e5%90%83%e9%9f%b3","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1176","title":{"rendered":"\u3010EBM\u306e\u5b66\u3073\u3011\u5403\u97f3"},"content":{"rendered":"<p><strong>STEP1\u3000\u81e8\u5e8a\u60a3\u8005\u306b\u5373\u3057\u305fPI(E)CO<\/strong><br \/>\n\u3010\u8a55\u4fa1\u3092\u884c\u3063\u305f\u65e5\u4ed8\u3011<br \/>\n\u30002016\u5e749\u670825\u65e5<br \/>\n\u3010\u81e8\u5e8a\u72b6\u6cc1\u306e\u30b5\u30de\u30ea\u30fc\u3011<br \/>\n\u30004\u6b73\u5973\u5150\u3002\u6bcd\u89aa\u3088\u308a\u5403\u97f3\u306b\u5bfe\u3057\u3069\u306e\u3088\u3046\u306a\u5bfe\u5fdc\u3092\u3057\u305f\u3089\u3088\u3044\u306e\u304b\u3068\u76f8\u8ac7\u3092\u53d7\u3051\u305f\u3002\u5403\u97f3\u306b\u5bfe\u3059\u308b\u77e5\u8b58\u3092\u6301\u3061\u5408\u308f\u305b\u3066\u304a\u3089\u305a\u3001\u5bb6\u65cf\u306f\u3053\u308c\u307e\u3067\u901a\u308a\u306b\u63a5\u3059\u308b\u3079\u304d\u304b\u3001\u5bb6\u65cf\u3082\u5403\u97f3\u306e\u6307\u6458\u30fb\u4ecb\u5165\u3092\u3057\u3066\u3088\u3044\u306e\u304b\u5206\u304b\u3089\u306a\u304b\u3063\u305f\u3002<br \/>\n\u3000\u66f8\u7c4d\u3092\u8aad\u307f\u77e5\u8b58\u3092\u5f97\u308b\u4e2d\u3067\u3001\u81ea\u5df1\u80af\u5b9a\u611f\u3092\u80b2\u3080\u652f\u63f4\u65b9\u6cd5\u3001\u307e\u305f\u5bb6\u5ead\u74b0\u5883\u3067\u5bb6\u65cf\u304c\u60a3\u5150\u306b\u5bfe\u3057\u5403\u97f3\u306b\u5bfe\u3059\u308b\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u3092\u884c\u3044\u3001\u6642\u306b\u8a00\u8a9e\u8074\u899a\u58eb(\u4ee5\u4e0b\u3001ST)\u306b\u8a55\u4fa1\u3092\u53d7\u3051\u308b\u30ea\u30c3\u30ab\u30e0\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u5b58\u5728\u3092\u77e5\u3063\u305f\u3002<br \/>\n\u3000\u60a3\u8005\u5bb6\u65cf\u306b\u8aac\u660e\u3092\u3059\u308b\u306b\u3042\u305f\u308a\u3001\u30ea\u30c3\u30ab\u30e0\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u60c5\u5831\u63d0\u4f9b\u3092\u884c\u3046\u3079\u304d\u306a\u306e\u304b\u5224\u65ad\u3059\u308b\u305f\u3081\u306b\u6709\u7528\u6027\u3092\u8abf\u3079\u305f\u3044\u3002<\/p>\n<p>\u3000\uff1c\u30ea\u30c3\u30ab\u30e0\u30d7\u30ed\u30b0\u30e9\u30e0\uff1e<br \/>\n\u3000\u30fb\u6bce\u65e515\u5206\u9593\u8a00\u8a9e\u7684\u523a\u6fc0\u3092\u4e0e\u3048\u308b\u3002<br \/>\n\u3000\u3000\u5177\u4f53\u7684\u306b\u306f<br \/>\n\u3000\u3000\u3000\u5403\u97f3\u306e\u306a\u3044\u767a\u8a71\u306b\u5bfe\u3057\u3066<br \/>\n\u3000\u3000\u3000\u3000\u3000\u8cde\u8cdb\uff1a\u3068\u3066\u3082\u826f\u304b\u3063\u305f\u306d<br \/>\n\u3000\u3000\u3000\u3000\u3000\u81ea\u5df1\u8a55\u4fa1\u306e\u4fc3\u3057\uff1a\u4eca\u306e\u306f\u30b9\u30e0\u30fc\u30ba\u3060\u3063\u305f\uff1f<br \/>\n\u3000\u3000\u3000\u3000\u3000\u8a8d\u77e5\uff1a\u4eca\u306e\u306f\u6ed1\u3089\u304b\u3060\u3063\u305f\u306d<br \/>\n\u3000\u3000\u3000\u5403\u97f3\u306e\u3042\u308b\u767a\u8a71\u306b\u5bfe\u3057\u3066\u306f<br \/>\n\u3000\u3000\u3000\u3000\u3000\u8a8d\u77e5\uff1a\u3061\u3087\u3063\u3068\u3064\u304b\u3048\u305f\u306d<br \/>\n\u3000\u3000\u3000\u3000\u3000\u4fee\u6b63\u306e\u4fc3\u3057\uff1a\u3082\u3046\u4e00\u56de\u8a00\u3063\u3066\u307f\u308b\uff1f<br \/>\n\u3000\u3000\u4e0a\u8a18\u3092\u3001\u5403\u97f3\u306e\u306a\u3044\u767a\u8a71\u306b\u5bfe\u3059\u308b\u523a\u6fc0\u30925\u56de\u65bd\u884c\u3057\u3001\u305d\u306e\u5f8c\u306e\u5403\u97f3\u306b\u5bfe\u3057\u523a\u6fc0\u30921\u56de\u3002\u3053\u306e5\uff1a1\u306e\u983b\u5ea6\u306f\u5b88\u308b\u3002<br \/>\n\u3000\u3000\u305d\u306e\u4e0a\u3067\u90311\u56de\u8a00\u8a9e\u8074\u899a\u58eb\u306b\u8a3a\u3066\u3082\u3089\u3046\u3002<\/p>\n<p>\u3000P\uff1b\u5403\u97f3\u306e\u3042\u308b\u5c0f\u5150<br \/>\n\u3000I(E)\uff1b\u30ea\u30c3\u30ab\u30e0\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u884c\u3046<br \/>\n\u3000C\uff1b\u30ea\u30c3\u30ab\u30e0\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u884c\u308f\u306a\u3044<br \/>\n\u3000O\uff1b\u5403\u97f3\u304c\u6539\u5584\u3059\u308b\u304b<\/p>\n<p><strong>STEP2\u3000\u691c\u7d22\u3057\u3066\u898b\u3064\u3051\u305f\u6587\u732e\u306e\u540d\u524d<\/strong><br \/>\n\u3010\u898b\u3064\u3051\u305f\u8ad6\u6587\u3011<br \/>\n\u3000\u691c\u7d22\u3057\u305f\u30a8\u30f3\u30b8\u30f3\uff1bClinicalKey<br \/>\n\u3000\u898b\u3064\u3051\u305f\u8ad6\u6587\uff1b<br \/>\n\u3000\u3000Mark Jones, et.al, Randomised controlled trial of the Lidcombe programme of early stuttering intervention.<\/p>\n<p><strong>STEP3\uff1b\u8ad6\u6587\u306e\u8a55\u4fa1<\/strong><br \/>\n<strong> STEP3-1.\u8ad6\u6587\u306ePECO\u306f\u60a3\u8005\u306ePECO\u3068\u5408\u81f4\u3059\u308b\u304b\uff1f<\/strong><br \/>\n\u3000P\uff1b3\u301c6\u6b73\u306e\uff08\u5c11\u306a\u304f\u3068\u3082\u97f3\u7bc02\uff05\u3067\uff09\u5403\u97f3\u306e\u3042\u308b\u60a3\u8005\u3002\uff08\u9664\u5916\uff1a6\u30f6\u6708\u5185\u767a\u75c7\u300212\u30f6\u6708\u4ee5\u5185\u306e\u6cbb\u7642\u6b74\u3002\uff09<br \/>\n\u3000I(E)\uff1b\u30ea\u30c3\u30ab\u30e0\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u884c\u3046<br \/>\n\u3000C\uff1b\u884c\u308f\u306a\u3044\u5834\u5408<br \/>\n\u3000O\uff1b\u6539\u5584\u306b\u5dee\u304c\u3042\u308b\u304b<br \/>\n\u2192\u60a3\u8005\u306ePECO\u3068\u3000(\u5408\u81f4\u3059\u308b\u3000\u30fb\u3000<span style=\"text-decoration: underline;\"><strong>\u591a\u5c11\u7570\u306a\u308b\u304cOK<\/strong><\/span>\u3000\u30fb\u3000\u5927\u304d\u304f\u7570\u306a\u308b\u305f\u3081\u4e0d\u9069\u5207)<\/p>\n<p><strong>STEP3-2\u3000\u8ad6\u6587\u306e\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u306e\u8a55\u4fa1\uff1b\u5185\u7684\u59a5\u5f53\u6027\u306e\u8a55\u4fa1<\/strong><br \/>\n\u2460\u7814\u7a76\u65b9\u6cd5\u304cRCT\u306b\u306a\u3063\u3066\u3044\u308b\u304b\uff1f\u96a0\u853d\u5316\u3068\u76f2\u691c\u5316\u306f\u3055\u308c\u3066\u3044\u308b\u304b\uff1f<br \/>\n\u3000\u2192\u30e9\u30f3\u30c0\u30e0\u5272\u308a\u4ed8\u3051\u304c\u3000\uff08\u3000<span style=\"text-decoration: underline;\"><strong>\u3055\u308c\u3066\u3044\u308b<\/strong><\/span>\u3000\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044\u3000\uff09<br \/>\n\u3000\u2192\u96a0\u853d\u5316\u304c\uff08\u3000<span style=\"text-decoration: underline;\"><strong>\u3055\u308c\u3066\u3044\u308b<\/strong><\/span>\u3000\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044\u3000\u30fb\u3000\u8a18\u8f09\u306a\u3057 \uff09<br \/>\n\u3000\u2192\u76f2\u691c\u5316\u304c\uff08\u3000\u3055\u308c\u3066\u3044\u308b\u3000\u30fb\u3000<span style=\"text-decoration: underline;\"><strong>\u4e00\u90e8\u3055\u308c\u3066\u3044\u308b<\/strong><\/span>\u3000\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044\u3000\u30fb\u8a18\u8f09\u306a\u3057\u3000\uff09<br \/>\n\u3000\u5b9f\u969b\u306eTable\u3067\u4ecb\u5165\u7fa4\u3068\u5bfe\u7167\u7fa4\u306f\u540c\u3058\u3088\u3046\u306a\u96c6\u56e3\u306b\u306a\u3063\u3066\u3044\u308b\u304b\uff1f<br \/>\n\u3000\u2192\uff08\u3000<span style=\"text-decoration: underline;\"><strong>\u306a\u3063\u3066\u3044\u308b<\/strong><\/span>\u3000\u30fb\u3000\u306a\u3063\u3066\u3044\u306a\u3044\u3000\u30fb\u3000\u8a18\u8f09\u306a\u3057\u3000\uff09<br \/>\n\u2461 \u89e3\u6790\u65b9\u6cd5\u306fITT(intention to treat)\u304b\uff1f<br \/>\n\u2192ITT\u304c\uff08 <span style=\"text-decoration: underline;\"><strong>\u3055\u308c\u3066\u3044\u308b<\/strong><\/span>\u3000\u30fb\u3000\u3055\u308c\u3066\u3044\u306a\u3044 \uff09<\/p>\n<p>STEP3-3\u3000\u8ad6\u6587\u3067\u898b\u3044\u3060\u3055\u308c\u305f\u7d50\u679c\u306e\u8a55\u4fa1<br \/>\nOutcome\u306b\u3064\u3044\u3066\u3001\u4ee5\u4e0b\u306e\u5024\u3092\u78ba\u8a8d\u3059\u308b<br \/>\n\u3010\u2460 \u6cbb\u7642\u52b9\u679c\u306e\u6709\u7121\uff1b P\u5024\u3092\u78ba\u8a8d\u3059\u308b\u3011<br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/11\/\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2460.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1177\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/11\/\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2460.png\" alt=\"\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2460\" width=\"820\" height=\"328\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/11\/\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2460.png 820w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/11\/\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2460-300x120.png 300w\" sizes=\"auto, (max-width: 820px) 100vw, 820px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/11\/\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2461.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-1178\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/11\/\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2461.png\" alt=\"\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2461\" width=\"640\" height=\"187\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/11\/\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2461.png 830w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/11\/\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2461-300x87.png 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p>\u3010\u2461\u6cbb\u7642\u52b9\u679c\u306e\u5927\u304d\u3055\uff1b\u6bd4\u306e\u6307\u6a19\u3068\u5dee\u306e\u6307\u6a19\u3092\u78ba\u8a8d\u3059\u308b\u3011<br \/>\n\u3000\u25cfRR(\u3042\u308b\u3044\u306fHR\u30fbOR)\u3092\u78ba\u8a8d\u3059\u308b<br \/>\n\u3000\u25cfARR\u3068NNT\u3092\u8a08\u7b97\u3059\u308b<br \/>\n\u3000<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/11\/\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2462.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1179\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/11\/\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2462.png\" alt=\"\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2462\" width=\"886\" height=\"171\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/11\/\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2462.png 886w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/11\/\u8cb4\u5cf6\u5148\u751f\u56f3EBM\u2462-300x58.png 300w\" sizes=\"auto, (max-width: 886px) 100vw, 886px\" \/><\/a><\/p>\n<p>\u3000\u3000RR\uff1d\uff0813\uff0f27\uff09\uff0f\uff0817\uff0f20\uff09\u22520.567<br \/>\n\u3000\u3000ARR\uff1d\uff0817\uff0f20\uff09 \u2013 \uff0813\uff0f27\uff09\u22520.37<br \/>\n\u3000\u3000NNT\uff1d1\uff0fARR\u22522.71<\/p>\n<p>\u3010\u2462\u6cbb\u7642\u52b9\u679c\u306e\u3086\u3089\u304e\uff1b\u4fe1\u983c\u533a\u9593\u3092\u78ba\u8a8d\u3059\u308b\u3011<br \/>\n\u3000\u2460\u53c2\u7167<\/p>\n<p><strong>STEP4\u3000\u60a3\u8005\u3078\u306e\u9069\u7528<\/strong><br \/>\n\u3010\u2460\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8996\u70b9\u3011<br \/>\n\u3000\u25cf\u8ad6\u6587\u306e\u60a3\u8005\u3068\u3001\u76ee\u306e\u524d\u306e\u60a3\u8005\u304c\u3001\u7d50\u679c\u304c\u9069\u7528\u3067\u304d\u306a\u3044\u307b\u3069\u7570\u306a\u3063\u3066\u3044\u306a\u3044\u304b\uff1f<br \/>\n\u3000\u5e74\u9f62\u306f\u7814\u7a76\u5bfe\u8c61\u5185\u3067\u3042\u308b\u304c\u3001\u767a\u75c7\u6642\u671f\u306f1\u30f6\u6708\u4ee5\u5185\u306e\u305f\u3081\u9664\u5916\u57fa\u6e96\u3067\u3042\u308b\u767a\u75c76\u30f6\u6708\u4ee5\u5185\u306b\u8a72\u5f53\u3057\u3066\u304a\u308a\u672c\u60a3\u8005\u306f\u5bfe\u8c61\u5916\u3067\u3042\u308b\u3002<br \/>\n\u3000\u65e5\u672c\u3067\u3082\u53d6\u308a\u5165\u308c\u59cb\u3081\u3066\u3044\u308b\u30d7\u30ed\u30b0\u30e9\u30e0\u3067\u3042\u308b\u304c\u3001\u65e5\u672c\u8a9e\u306b\u9069\u5fdc\u3057\u305f\u969b\u306b\u52b9\u679c\u304c\u3042\u308b\u304b\u3069\u3046\u304b\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u307e\u3060\u306a\u3055\u305d\u3046\u3002<\/p>\n<p>\u3000\u25cf\u5185\u7684\u59a5\u5f53\u6027\u306e\u554f\u984c\u70b9\u306f\uff1f(STEP3\u306e\u7d50\u679c\u306e\u30b5\u30de\u30ea\u30fc)<br \/>\n\u3000\u30e9\u30f3\u30c0\u30e0\u5316\u306f\u3055\u308c\u3066\u304a\u308a\u3001observer\u306e\u307f\u76f2\u691c\u5316\u304c\u3055\u308c\u3066\u3044\u308b\u3002<br \/>\n\u3000\u5e74\u9f62\u3001\u5403\u97f3\u306e\u91cd\u75c7\u5ea6\u3001\u6027\u5dee\u3001\u6cbb\u7642\u306e\u5834\u6240\u3001\u5bb6\u65cf\u306e\u6cbb\u7652\u6b74\u306b\u95a2\u3057\u691c\u8a0e\u3055\u308cbalanced randomisation\u306e\u8a18\u8f09\u304c\u3042\u308b\u3002<br \/>\n\u3000110\u4eba\u306e\u53c2\u52a0\u8005\u3092\u76ee\u6307\u3057\u3066\u3044\u305f\u304c\u3001\u52df\u96c6\u56f0\u96e3\u3067N\uff1a54\u3068\u5c11\u306a\u3044\u3002\u305d\u306e\u51857\u4eba\u304c\u8131\u843d\uff08\u4e00\u4eba\u306f\u75c5\u6c17\u306e\u305f\u3081\u3001\u305d\u306e\u4ed6\u306f\u4e3b\u306b\u5f15\u8d8a\u3057\u306b\u3088\u308a\u63a5\u89e6\u3067\u304d\u306a\u304f\u306a\u3063\u305f\uff09<\/p>\n<p>\u3010\u2461\u81e8\u5e8a\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u306e\u8996\u70b9\u3011<br \/>\n\u3000\u25cf\u6cbb\u7642\u305d\u306e\u3082\u306e\u306f\u5fe0\u5b9f\u306b\u5b9f\u884c\u53ef\u80fd\u304b\uff1f<br \/>\n\u3000\u2192\u7814\u4fee\u3092\u53d7\u3051\u305fST\u304c\u5fc5\u8981\u3067\u3042\u308a\u3001\u5f53\u9662\u3067\u306e\u5fe0\u5b9f\u306a\u5b9f\u884c\u306f\u4e0d\u53ef\u80fd\u3067\u3042\u308b\u3002\u307e\u305f\u3001\u5b9f\u65bd\u3057\u3066\u3044\u308b\u65bd\u8a2d\u6570\u3082\u9650\u3089\u308c\u3066\u3044\u308b\u3088\u3046\u3067\u56f0\u96e3\u3002<\/p>\n<p>\u3000\u25cf\u91cd\u8981\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u30b3\u30b9\u30c8\u3084\u5bb3\u3092\u542b\u3081\u3066\u5168\u3066\u8a55\u4fa1\u3055\u308c\u305f\u304b\uff1f<br \/>\n\u3000\u219212\u30f6\u6708\u9593\u306e\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u304c\u4e88\u5b9a\u3055\u308c\u3066\u3044\u305f\u304c\u3001\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u7fa4\u306e\u89aa\u304c\u60a3\u5150\u306b\u6cbb\u7642\u3092\u53d7\u3051\u3055\u305b\u305f\u3044\u5e0c\u671b\u306e\u305f\u3081\u306b9\u30f6\u6708\u9593\u306b\u5909\u66f4\u3055\u308c\u305f\u3002<\/p>\n<p>\u3010\u2462\u4f7f\u3046\u8005\u306e\u7d4c\u9a13\u306e\u8996\u70b9\u3011<br \/>\n\u3000\u25cf\u3053\u308c\u307e\u3067\u306e\u305d\u306e\u6cbb\u7642\u306b\u5bfe\u3059\u308b\u7d4c\u9a13\u306f\u3069\u3046\u304b\uff1f<br \/>\n\u3000\u7d4c\u9a13\u306f\u306a\u3044\u3002<\/p>\n<p>\u3000\u25cf\u81ea\u5206\u306e\u719f\u9054\u5ea6\u304b\u3089\u5b9f\u884c\u306f\u53ef\u80fd\u3060\u308d\u3046\u304b\uff1f<br \/>\n\u3000ST\u3068\u4f34\u306b\u884c\u308f\u308c\u308b\u3082\u306e\u3067\u3042\u308a\u3001\u5fe0\u5b9f\u306a\u5b9f\u884c\u306f\u56f0\u96e3\u3067\u3042\u308b\u3002<br \/>\n\u3000\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u306e\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3067\u3042\u308c\u3070\u67d0\u5927\u5b66\u8033\u9f3b\u54bd\u5589\u79d1\u3068\u9023\u643a\u3057\u65bd\u884c\u306f\u53ef\u80fd\u3067\u306f\u3042\u308a\u305d\u3046\u3060\u304c\u30fb\u30fb\u30fb\u3002<\/p>\n<p>\u3010\u2463\u60a3\u8005\u306e\u8003\u3048\u30fb\u55dc\u597d\u306e\u8996\u70b9\u3011<br \/>\n\u3000\u25cfillness\/context\u306e\u89b3\u70b9\u304b\u3089\u306f\u6cbb\u7642\u306f\u884c\u3046\u3079\u304d\u304b\uff1f\u3042\u308b\u3044\u306fillness\/context\u3092\u66f4\u306b\u78ba\u8a8d\u3059\u308b\u3079\u304d\u304b\uff1f<br \/>\n\u3000\u2192\u305d\u3082\u305d\u308240\u5206\u304b\u3051\u3066\u5b9a\u671f\u7684\u306a\u75c5\u9662\u53d7\u8a3a\uff08\u5927\u5b66\uff09\u306f\u671b\u3093\u3067\u3044\u306a\u3044\u3002<br \/>\n\u3000\u63a5\u3057\u65b9\u306e\u30a2\u30c9\u30d0\u30a4\u30b9\u3092\u6b32\u3057\u3066\u3044\u308b\u305f\u3081\u3001\u5f93\u6765\u306e\u652f\u63f4\u624b\u6bb5\u306e\u63d0\u6848\u306b\u3068\u3069\u3081\u3066\u304a\u304f\u306e\u304c\u826f\u3044\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u8003\u3048\u308b\u3002<br \/>\n\u3000\u30ea\u30c3\u30ab\u30e0\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u69cb\u7bc9\u3055\u308c\u3066\u3044\u308b\u6642\u671f\u3067\u3042\u308a\u3001\u60c5\u5831\u306b\u654f\u611f\u306b\u306a\u308a\u306a\u304c\u3089\u6709\u7528\u6027\u3092\u5224\u65ad\u3057\u3001\u4eca\u5f8c\u306b\u5099\u3048\u3089\u308c\u305f\u3089\u3068\u611f\u3058\u305f\u3002<\/p>\n<p>\u3000\uff1c\u5f93\u6765\u306e\u652f\u63f4\u624b\u6bb5\u306e\u4f8b\uff1e<br \/>\n\u3000\u3000\u30fb\u8a71\u3057\u65b9\u306e\u30a2\u30c9\u30d0\u30a4\u30b9\uff08\u4f8b\uff1a\u3086\u3063\u304f\u308a\u843d\u3061\u7740\u3044\u3066\u8a71\u3057\u3066\uff09\u3001\u8a00\u8449\u306e\u5148\u53d6\u308a\u3092\u3057\u306a\u3044\uff08\u4f8b\uff1a\u300c6\u6642\u304b\u3089\u3061\u3061\u3061\u3061\u300d\u300c\u3061\u3073\u307e\u308b\u5b50\u3061\u3083\u3093\u304c\u59cb\u307e\u308b\u306d\u300d\uff09\u3002<br \/>\n\u3000\u3000\u30fb\u8a71\u3092\u6700\u5f8c\u307e\u3067\u805e\u304f\u3001\u8a71\u3059\u5185\u5bb9\u306b\u6ce8\u76ee\u3059\u308b\uff08\u4f8b\uff1a\u300c\u3068\u3068\u3068\u3068\u8df3\u3073\u7bb1\uff12\u6bb5\u98db\u3079\u305f\u3093\u3060\u300d\u300c\uff12\u6bb5\u3082\uff01\u3059\u3054\u3044\uff01\u300d\uff09\u3053\u3068\u3067\u3001\u81ea\u5df1\u80af\u5b9a\u611f\u3092\u80b2\u3080\u5bfe\u5fdc\u3092\u3059\u308b\u3002<br \/>\n\u3000\u3000\u30fb\u5e7c\u7a1a\u5712\u3084\u5b66\u6821\u306b\u5403\u97f3\u306e\u60c5\u5831\u63d0\u4f9b\u3092\u3059\u308b\u3002<\/p>\n<p>\u3010\u53c2\u8003\u56f3\u66f8\u3011<br \/>\n\u3000\u83ca\u6c60\u826f\u548c. \u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u3044\u305f\u5403\u97f3\u652f\u63f4\u5165\u9580.\u521d\u7248.\u6771\u4eac\u90fd:\u5b66\u82d1\u793e:2012.<br \/>\n\u3000\u83ca\u6c60\u826f\u548c. \u5b50\u3069\u3082\u306e\u5403\u97f3 \u30de\u30de\u5fdc\u63f4BOOK.\u521d\u7248.\u6771\u4eac\u90fd:\u5b66\u82d1\u793e:2012.<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n\u30002016\u5e7410\u670812\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>STEP1\u3000\u81e8\u5e8a\u60a3\u8005\u306b\u5373\u3057\u305fPI(E)CO \u3010\u8a55\u4fa1\u3092\u884c\u3063\u305f\u65e5\u4ed8\u3011 \u30002016\u5e749\u670825\u65e5 \u3010\u81e8\u5e8a\u72b6\u6cc1\u306e\u30b5\u30de\u30ea\u30fc\u3011 \u30004\u6b73\u5973\u5150\u3002\u6bcd\u89aa\u3088\u308a\u5403\u97f3\u306b\u5bfe\u3057\u3069\u306e\u3088\u3046\u306a\u5bfe\u5fdc\u3092\u3057\u305f\u3089\u3088\u3044\u306e\u304b\u3068\u76f8\u8ac7\u3092\u53d7\u3051\u305f\u3002\u5403\u97f3\u306b\u5bfe\u3059\u308b\u77e5\u8b58\u3092\u6301\u3061\u5408\u308f\u305b\u3066 &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1176\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u3010EBM\u306e\u5b66\u3073\u3011\u5403\u97f3<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[],"class_list":["post-1176","post","type-post","status-publish","format-standard","hentry","category-10"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1176","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1176"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1176\/revisions"}],"predecessor-version":[{"id":1180,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1176\/revisions\/1180"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1176"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1176"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}