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台湾癌症儿童的生活质量(第二部分):可行性、不同信息提供者之间的差异及临床效度

The quality of life for cancer children (QOLCC) for Taiwanese children with cancer (part II): feasibility, cross-informants variance and clinical validity.

作者信息

Yeh Chao-Hsing, Hung Li-Chen, Chao Kuo-Yu

机构信息

Graduate School of Nursing, Chang Gung University, Kwei-San, Tao-Yuen, Taiwan.

出版信息

Psychooncology. 2004 Mar;13(3):171-6. doi: 10.1002/pon.729.

Abstract

The quality of life in childhood cancer (QOLCC) is a research instrument that has been developed to assess the quality of life for children and adolescents who suffer from cancer in Taiwan. The current paper is the second of a two-part series of research reports. Part I is reported in this journal (Yeh et al., 2003). Part II describes the range of measurement, concordance of cross-informants reports, and clinical validity of Taiwanese pediatric cancer children (7-12 years) and adolescents (13-18 years) and their parents/caregivers. Due to the cognitive ability of children and adolescents, data were analyzed for children and adolescent separately. The validity of cross-referenced information between parent and child forms was subsequently examined using Pearson product correlation. The feasibility (percentage of missing values per item) and range of measurement [percentage of minimum (floor effect) and maximum (ceiling effect) possible scores] was calculated for the five QOLCC and the total scale score. The findings of medium to high correlation of the patient/parent responses strongly imply that relevant information might be obtainable through parents when children are unable or unwilling to complete the assessment instrument. Feasibility for the QOLCC was very good.

摘要

儿童癌症生活质量量表(QOLCC)是一种用于评估台湾地区患癌儿童和青少年生活质量的研究工具。本文是系列研究报告两部分中的第二篇。第一部分已发表于本期刊(Yeh等人,2003年)。第二部分描述了台湾儿科癌症患儿(7至12岁)和青少年(13至18岁)及其父母/照顾者的测量范围、不同信息提供者报告的一致性以及临床效度。由于儿童和青少年的认知能力,数据分别针对儿童和青少年进行分析。随后使用Pearson积差相关分析亲子问卷之间交叉信息的效度。计算了五个QOLCC项目和总分量表的可行性(每个项目缺失值的百分比)以及测量范围[最低(地板效应)和最高(天花板效应)可能得分的百分比]。患者/父母回答的中到高相关性结果强烈表明,当儿童无法或不愿意完成评估工具时,通过父母可能获得相关信息。QOLCC的可行性非常好。

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