摘要
目的:比较患者本身、主要照顾者、护士及医生四者所提供的患者生活质量的异同,来探究代理回答的效度。方法:研究对象为53例接受住院治疗的癌症患者。纳入标准:①病理确诊为癌症。②年龄≥16岁。③小学及以上文化程度,简明精神状态评价得分≥25分。④既往和目前均无精神疾病、意识障碍和交流障碍。⑤预计存活半年以上。排除标准:身体体质过于虚弱不能填写问卷表的患者。患者及主要照顾者分别在患者来住院治疗时填写SF-36生活质量调查表,而负责治疗的医生与护士亦在同一天填写SF-36生活质量调查表。然后比较患者本身、主要照顾者、护士及医生四者所提供的患者生活质量的异同。结果:主要照顾者、医生及护士提供的癌症患者的生活质量与患者相比,差异无显著性意义P>0.05);在患者与代理回答者个别的比较(上,仅有中度一致平均ICC=0.555),医生、主要照顾者、护士所提供(的生活质量结果与患者的一致性比较:ICC=0.546,0.530,0.590。结论:主要照顾者、医生及护士提供的癌症患者的生活质量与患者相差不大。其中护士所提供的生活质量结果与患者的最相似。
AIM:To probe into the validity of answers of the proxies by comparing the similarities and differences of patients' quality of life(QOL) with cancer provided by patient,significant minder,nurse and physician. METHODS:Fifty three patients with cancer receiving inpatient chemotherapy were involved.The accepting criteria:①patients were diagnosed as having cancer pathologically;②aged no younger than 16 years of age;③with the educational level equal to or above primary,with the mental status score no less than 25;④without mental disorder,conscious disturbance and communication disorder unprecedently;⑤living more than half a year.The excluding criteria:the patients were too weak to fill in the questionnaire.The patients as well as the significant minaers filled in SF 36 QOL questionnaire separately when the patients were hospitalized,and the physician and the nurse in charge also filled in the SF 36 QOL questionnaire on the same day.The similarities and differences of QOL of patient provided by patient,significant minders,nurse and physician were compared. RESULTS:The QOL provided by significant minder,physician and nurse were equivalent or similar to that of the patients(P >0.05).Compared with the answers provided by proxies,the mean scores of the proxy raters were equivalent or similar to those of the patients(mean ICC=0.555).The concordance of QOL provided by physician,significant minder,nurse and patient showed that ICC=0.546,0.530 and 0.590. CONCLUSION:The QOL of patients provided by significant minder,physician as well as the nurse was similar to that of patients.Among them,the QOL of patients provided by nurse was the most similar to that of patients.
出处
《中国临床康复》
CSCD
2004年第29期6302-6304,共3页
Chinese Journal of Clinical Rehabilitation
