Wilkins Victoria M, Quill Timothy E, King Deborah A
Department of Psychiatry, Weill Medical College of Cornell University, White Plains, New York, USA.
J Palliat Med. 2009 Jun;12(6):517-9. doi: 10.1089/jpm.2009.0021.
Although families often play an integral role in palliative care, there are currently few measures to help clinicians gauge families' abilities to participate in this process. The Checklist of Family Relational Abilities was developed as an efficient, clinician-rated method of family assessment. Preliminary results suggest that Checklist ratings of overall family functioning and strength of family attachments were reliable across raters and associated with a well-validated self-report measure of family functioning. However, ratings of family communication and collaborative decision-making were less reliable. Based on these preliminary findings, we propose a revised version of the Checklist for further study in palliative care settings.
尽管家庭在姑息治疗中常常发挥不可或缺的作用,但目前几乎没有措施来帮助临床医生评估家庭参与这一过程的能力。家庭关系能力清单是作为一种高效的、由临床医生评定的家庭评估方法而制定的。初步结果表明,家庭整体功能和家庭依恋强度的清单评分在不同评定者之间是可靠的,并且与一种经过充分验证的家庭功能自我报告测量方法相关。然而,家庭沟通和共同决策的评分可靠性较低。基于这些初步发现,我们提出了该清单的修订版,以供在姑息治疗环境中进行进一步研究。