Strain J J
Mount Sinai Medical Center, New York, NY.
Oncology (Williston Park). 1990 May;4(5):22-6; discussion 27.
Patients' feelings, psychological and functional status, and quality of life have often been regarded as unmeasurable subjective entities that cannot be scientifically studied. But now, with better measurement tools, the cancer patient's Quality of Life can be understood in more operational terms than the "soft" subjective statements that have too often characterized the field to date. This paper addresses the issue of Quality of Life from several perspectives: 1. Historical antecedents of the concept; 2. precipitating factors; 3. evolution of the concept; 4. historical development of the measures; and 5. applications of Quality of Life assessments, including implications for research, teaching, and clinical care.
患者的感受、心理和功能状态以及生活质量常常被视为无法测量的主观实体，不能进行科学研究。但现在，有了更好的测量工具，癌症患者的生活质量可以用比迄今为止该领域常用的“软性”主观表述更具操作性的方式来理解。本文从几个角度探讨生活质量问题：1. 该概念的历史渊源；2. 促成因素；3. 概念的演变；4. 测量方法的历史发展；5. 生活质量评估的应用，包括对研究、教学和临床护理的意义。
