Baba Kerstin, Fransson Per, Lindh Jack
Department of Oncology, Umeå University Hospital, Sweden.
Int J Palliat Nurs. 2007 Dec;13(12):610-6. doi: 10.12968/ijpn.2007.13.12.27890.
To evaluate the feasibility of a modified Edmonton Symptom Assessment Scale (ESAS) for monitoring symptoms in oncological palliative care.
A modified ESAS was delivered daily to 28 patients with advanced cancer. A questionnaire to discover staff members' opinions on the ESAS was delivered at the end of the study. Structured interviews were used to examine patients' opinions on the ESAS.
The mean total ESAS score was 28.9 on inclusion day and 25.8 on Day 3 (p=0.531). Eleven of 21 of the staff considered the ESAS to be a 'good' or 'very good' way to obtain information about patients' symptoms. Seventeen of 24 patients who participated in the interview felt that ESAS was easy to fill in, and that there were no missing questions.
The patients felt that the modified ESAS contained relevant symptoms, and that the questionnaires were easy to fill in. The staff considered the modified ESAS to be a useful instrument for obtaining information about patients' symptom distress. The modified ESAS is a good instrument for use as part of the daily clinical routine, as well as for monitoring symptoms in palliative oncological care.
评估改良版埃德蒙顿症状评估量表（ESAS）在肿瘤姑息治疗中监测症状的可行性。
每天向28例晚期癌症患者发放改良版ESAS。在研究结束时发放一份问卷，以了解工作人员对ESAS的看法。采用结构化访谈来调查患者对ESAS的看法。
纳入当天ESAS总评分均值为28.9，第3天为25.8（p = 0.531）。21名工作人员中有11名认为ESAS是获取患者症状信息的“好”或“非常好”的方式。参与访谈的24例患者中有17例觉得ESAS易于填写，且没有遗漏问题。
患者认为改良版ESAS包含了相关症状，且问卷易于填写。工作人员认为改良版ESAS是获取患者症状困扰信息的有用工具。改良版ESAS是日常临床常规工作的良好工具，也是肿瘤姑息治疗中监测症状的良好工具。
