Zhao Yi, Wang Xin Shelley, Li Ping-ping
Department of Oncology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China.
Chin J Integr Med. 2007 Sep;13(3):195-9. doi: 10.1007/s11655-007-0195-5.
To identify cancer distribution and treatment requirements, a questionnaire on cancer patients was conducted. It was our objective to validate a series of symptoms commonly used in traditional Chinese medicine (TCM).
The M. D. Anderson Symptom Assessment Inventory (MDASI) was used with 10 more TCM items added. Questions regarding TCM application requested in cancer care were also asked. A multi-center, cross-sectional study was conducted in 340 patients from 4 hospitals in Beijing and Dalian. SPSS and Excel software were adopted for statistical analysis. The questionnaire was self-evaluated with the Cronbach's alpha score.
The most common symptoms were fatigue 89.4%, sleep disturbance 74.4%, dry mouth 72.9%, poor appetite 72.9%, and difficulty remembering 71.2%. These symptoms affected work (89.8%), mood (82.6%), and activity (76.8%), resulting in poor quality of life. Eighty percent of the patients wanted to regulate the body with TCM. Almost 100% of the patients were interested in acquiring knowledge regarding the integrated traditional Chinese medicine (TCM) and Western medicine (WM) in the treatment and rehabilitation of cancer. Cronbach's alpha score indicated that there was acceptable internal consistency within both the MDASI and TCM items, 0.86 for MDASI, 0.78 for TCM, and 0.90 for MDASI-TCM (23 items).
Fatigue, sleep disturbance, dry mouth, poor appetite, and difficulty remembering are the most common symptoms in cancer patients. These greatly affect the quality of life for these patients. Patients expressed a strong desire for TCM holistic regulation. The MDASI and its TCM-adapted model could be a critical tool for the quantitative study of TCM symptoms.
为确定癌症分布及治疗需求，开展了一项针对癌症患者的问卷调查。我们的目的是验证一系列中医常用症状。
使用了安德森症状评估量表（MDASI），并增加了10项中医相关条目。还询问了癌症护理中有关中医应用的问题。在北京和大连的4家医院对340名患者进行了多中心横断面研究。采用SPSS和Excel软件进行统计分析。通过克朗巴哈系数对问卷进行自评。
最常见的症状为疲劳（89.4%）、睡眠障碍（74.4%）、口干（72.9%）、食欲不佳（72.9%）和记忆力减退（71.2%）。这些症状影响工作（89.8%）、情绪（82.6%）和活动（76.8%），导致生活质量下降。80%的患者希望用中医调理身体。几乎100%的患者对获取中西医结合治疗及癌症康复相关知识感兴趣。克朗巴哈系数表明，MDASI及中医条目内部一致性均可接受，MDASI为0.86，中医条目为0.78，MDASI - 中医（23项）为0.90。
疲劳、睡眠障碍、口干、食欲不佳和记忆力减退是癌症患者最常见的症状。这些症状极大地影响了患者的生活质量。患者表达了对中医整体调理的强烈愿望。MDASI及其中医适应性模型可能是中医症状定量研究的关键工具。
