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一种适用于社区姑息治疗患者的症状测量工具的验证:CAMPAS-R。

Validation of a symptom measure suitable for use among palliative care patients in the community: CAMPAS-R.

作者信息

Ewing Gail, Todd Chris, Rogers Margaret, Barclay Stephen, McCabe Janet, Martin Anna

机构信息

Center for Family Research, University of Cambridge, United Kingdom.

出版信息

J Pain Symptom Manage. 2004 Apr;27(4):287-99. doi: 10.1016/j.jpainsymman.2003.12.012.

Abstract

The purpose of the study was to investigate psychometric properties of CAMPAS-R, an instrument for prospectively monitoring patients' symptoms and needs during palliative care at home. CAMPAS-R was piloted for face and content validity and then administered alongside criterion measures to a home care sample. Cronbach's alpha was used to test internal consistency and criterion-related validity was tested by non-parametric correlation with Brief Pain Inventory (BPI), Hospital Anxiety and Depression Scale (HADS) and EORTC QLQ-C30. Predictive validity was assessed by relating CAMPAS-R scores to survival. One hundred and nine patients were recruited to the study. Good reliability and high correlations between CAMPAS-R and criterion measures were found. Predictive validity was demonstrated by significant differences in symptom scores between groups differing in length of survival. CAMPAS-R is acceptable to patients, families and primary care professionals and is a valid, reliable instrument, which has the benefit of being easy to score.

摘要

本研究的目的是调查居家姑息治疗期间用于前瞻性监测患者症状和需求的工具CAMPAS-R的心理测量特性。对CAMPAS-R进行了面部和内容效度的预试验,然后与标准测量方法一起应用于一个居家护理样本。使用克朗巴哈系数(Cronbach's alpha)来测试内部一致性,并通过与简明疼痛量表(BPI)、医院焦虑抑郁量表(HADS)和欧洲癌症研究与治疗组织核心问卷(EORTC QLQ-C30)的非参数相关性来测试与标准相关的效度。通过将CAMPAS-R评分与生存率相关联来评估预测效度。109名患者被纳入该研究。研究发现CAMPAS-R具有良好的信度,且与标准测量方法之间具有高度相关性。生存时间不同的组之间症状评分存在显著差异,证明了其预测效度。CAMPAS-R为患者、家庭和初级保健专业人员所接受,是一种有效、可靠的工具,其优点是易于评分。

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