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卵巢癌病人症状/生活质量特异性测量工具的比较分析 被引量:4

Comparative analysis of symptom/quality of life specific measurement tools in ovarian cancer patients
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摘要 目的:系统回顾并比较分析卵巢癌病人症状/生活质量特异性测量工具,以期为研究者对卵巢癌病人进行评估时能选择合适且特异度高的工具提供参考。方法:检索Web of Science、PubMed、The Cochrane Library、EMbase、中国知网、万方数据库、维普、中国生物医学文献数据库(CBM)中关于卵巢癌病人症状/生活质量测量工具的文献,检索时限为1990年1月-2020年5月,对符合入选标准的症状评估/生活质量测量工具进行比较分析。结果:最终纳入4个症状评估工具、5个生活质量工具。各量表的测量维度与条目数量变异较大,症状评估量表维度1~6个,测量内容可总结为癌症相关症状、治疗相关症状、卵巢癌特异性症状;生活质量评估量表维度1~7个,测量内容可归纳为生理状况、心理/情感状况、社会/家庭状况、特异模块状况、化疗副作用状况。各量表信效度检验方法不尽相同,多通过克朗巴赫系数、专家咨询、因子分析、相关分析来检验量表的信度、内容效度、结构效度及效标效度。各量表显示出的整体性能均较好。结论:现有工具在测量重点、维度、性能、优缺点等方面各不相同,研究者要根据自身需要选择合适的工具,且未来仍需研究者开发更多测量性能良好的本土化评估工具。 Objective:To systematically review and compare the specific research instruments for symptom/quality of life in patients with ovarian cancer,in order to providing a reference for researchers to choose appropriate and highly specific tools when evaluating patients with ovarian cancer.Methods:The literatures on symptom/quality of life measurement tools in ovarian cancer patients were searched from Web of Science,PubMed,The Cochrane Library,EMbase,CNKI,Wanfang Data,VIP and CBM.The search time was between January 1990 and May 2020.Symptom/quality of life measurement tools that met inclusion criteria were analyzed and compared.Results:Totally four symptom assessment instruments and five quality of life instruments were included.The content dimensions and scale entries of these instruments varied greatly.The dimensions of symptom instruments varied from one to six,which could be summarized as cancer-related symptoms,treatment-related symptoms,and ovarian cancer specific symptoms.The dimensions of quality of life instruments varied from one to seven,which could be summarized as physical well-being,psychological/emotional well-being,social/family well-being,ovarian subscale,chemotherapy side effects.The reliability and validity test methods of each scale were different,Cronbach coefficient,expert consultation,factor analysis and correlation analysis were used to test the reliability,content validity,structure validity and criterion validity of the scale.The overall performance of each scale was good.Con c lu s ion:Existing tools were different in terms of measurement focus,dimension,performance,advantages,disadvantages and so on.Researchers should choose appropriate tools according to their own needs.In the future,researchers need to develop more localized evaluation tools for good performance measurement.
作者 官美君 冯先琼 GUAN Meijun;FENG Xianqiong(West China School of Nursing,Sichuan University/west China Hospital,Sichuan University,Sichuan 610041 China)
出处 《护理研究》 北大核心 2021年第17期3026-3031,共6页 Chinese Nursing Research
关键词 卵巢癌 症状 生活质量 评估 量表 信度 效度 ovarian cancer symptom quality of life assessment scale reliability validity
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