Snyder Claire F, Dy Sydney M, Hendricks Danetta E, Brahmer Julie R, Carducci Michael A, Wolff Antonio C, Wu Albert W
Division of General Internal Medicine, Johns Hopkins School of Medicine, 624 N. Broadway, 6th Floor, Baltimore, MD 21205, USA.
Support Care Cancer. 2007 Sep;15(9):1075-85. doi: 10.1007/s00520-007-0223-1. Epub 2007 Feb 21.
Questionnaires used in oncology practice for individual patient management need to address issues patients find important and want help with and issues cancer center health professionals can address. We investigated the item content from two health-related quality-of-life (HRQOL) questionnaires and two needs assessments for this purpose.
In this preliminary study, 61 cancer patients and 19 cancer center health professionals rated the item content from the EORTC-QLQ-C30, FACT-G, Supportive Care Needs Survey-34 (SCNS), and Kingston Needs Assessment--Cancer. Patients rated each item's importance and whether they wanted help with it; health professionals rated each item's importance and whether they felt able to help patients address it. Patients and health professionals also reported their overall questionnaire preference.
Patients rated information about treatments (options, benefits, side effects) and care coordination as the most important issues and those for which they most wanted help from their health professionals. Health professionals rated pain and other symptom/side effect items as most important to patients and those for which they were most able to help. Findings were consistent across tumor type and treatment status. Patients had an overall preference for the SCNS. Health professionals had no clear questionnaire preference.
This preliminary study suggests that the issues patients most want help with may not be the issues that health professionals feel most able to address. If these findings are confirmed in more representative samples, interventions may be needed to assist health professionals in managing cancer patients' HRQOL issues and needs.
肿瘤学实践中用于个体患者管理的问卷需要解决患者认为重要且希望得到帮助的问题，以及癌症中心的健康专业人员能够解决的问题。为此，我们调查了两份与健康相关的生活质量（HRQOL）问卷和两份需求评估的项目内容。
在这项初步研究中，61名癌症患者和19名癌症中心的健康专业人员对欧洲癌症研究与治疗组织生活质量核心问卷（EORTC-QLQ-C30）、癌症治疗功能评价量表通用版（FACT-G）、支持性护理需求调查-34（SCNS）以及金斯顿需求评估——癌症问卷的项目内容进行了评分。患者对每个项目的重要性以及他们是否希望得到相关帮助进行评分；健康专业人员对每个项目的重要性以及他们是否觉得能够帮助患者解决该问题进行评分。患者和健康专业人员还报告了他们对问卷的总体偏好。
患者将有关治疗（选择、益处、副作用）的信息和护理协调评为最重要的问题，也是他们最希望从健康专业人员那里获得帮助的问题。健康专业人员将疼痛和其他症状/副作用项目评为对患者最重要且他们最能够提供帮助的问题。研究结果在肿瘤类型和治疗状态方面保持一致。患者总体上更倾向于SCNS问卷。健康专业人员没有明确的问卷偏好。
这项初步研究表明，患者最希望得到帮助的问题可能并非健康专业人员认为最能够解决的问题。如果在更具代表性的样本中证实了这些发现，可能需要采取干预措施来帮助健康专业人员处理癌症患者的HRQOL问题和需求。
