Bauwens S, Baillon C, Distelmans W, Theuns P
Universitair Ziekenhuis Brussel, Oncology Centre, Supportive and Palliative Care, Laarbeeklaan 101, Brussels, Belgium.
Psychooncology. 2009 May;18(5):534-42. doi: 10.1002/pon.1425.
Screening instruments may enhance the clinician's ability to detect elevated levels of distress in cancer patients, but these are often neither suitable nor effective for the routine of daily care for cancer patients. The newly developed Distress Barometer (DB) was intended to provide medical doctors with a convenient tool to interpret 'at single glance' the nature and the intensity of distress in ambulatory cancer patients. The DB, i.e. a combination of the Distress Thermometer (DT) and a new tool, the Colored Complaint Scale was developed to improve the specificity of distress screening without decreasing the sensitivity of the Distress Thermometer.
Distress was screened in a sample of 538 out-patients, using the Hospital Anxiety and Depression Scale (HADS) and the new Distress Barometer (DB).
The results confirm the validity of the Dutch version of the DT against the HADS as standard measure. In addition, it was found that the overall accuracy of the new DB was higher, with a sensitivity of 0.79 and a specificity of 0.81.
These results indicate that the Distress Barometer, which is convenient for both patients and doctors, can be used as an acceptable, brief and sufficiently accurate method for detecting distress in cancer patients.
筛查工具可能会提高临床医生检测癌症患者痛苦程度升高的能力，但这些工具通常既不适用于癌症患者的日常护理常规，也无效。新开发的痛苦晴雨表（DB）旨在为医生提供一种便捷工具，以便“一眼”解读门诊癌症患者痛苦的性质和强度。痛苦晴雨表（DB）是痛苦温度计（DT）与一种新工具——彩色主诉量表的组合，旨在在不降低痛苦温度计敏感性的情况下提高痛苦筛查的特异性。
使用医院焦虑抑郁量表（HADS）和新的痛苦晴雨表（DB）对538名门诊患者样本进行痛苦筛查。
结果证实了以HADS作为标准测量时荷兰版DT的有效性。此外，发现新DB的总体准确性更高，敏感性为0.79，特异性为0.81。
这些结果表明，对患者和医生都方便的痛苦晴雨表可作为检测癌症患者痛苦的一种可接受、简短且足够准确的方法。
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