Nursing School, The Second Military Medical University, Room 316, No.800 Xiangyin Road, Yangpu District, Shanghai, 200433, China,
Support Care Cancer. 2013 Oct;21(10):2655-62. doi: 10.1007/s00520-013-1836-1. Epub 2013 May 8.
The aims of this cross-sectional study were to explore the agreement in symptom evaluation results between patients and their family caregivers and to search for the possible factors influencing the agreement.
A convenience sample of 280 dyads consisting of hepatocellular carcinoma patients and their family caregivers was included in this study. All of them completed the symptom checklist of Chinese version of the M. D. Anderson symptom inventory and the evaluations of six common symptoms of hepatocellular carcinoma.
The levels of agreement ranged from moderate to substantial. A number of factors associated with caregivers (particularly depression state, age, others helping to care for the patient or not, and the relationship with patient) and patients (traditional Chinese medicine treatment, religion, KPS scores, and educational levels) were significantly correlated with levels of disparity on some symptoms.
The study illustrates that family caregivers of hepatocellular carcinoma patients can provide reasonable reports on patients' symptoms. Healthcare providers need to pay special and sufficient attention to the caregivers' depression.
本横断面研究旨在探讨患者及其家属照顾者在症状评估结果上的一致性，并寻找影响一致性的可能因素。
本研究纳入了 280 对由肝细胞癌患者及其家属照顾者组成的便利样本。他们都完成了 MD 安德森症状评估量表中文版的症状清单和 6 种常见肝细胞癌症状的评估。
一致性程度从中等到高度不等。一些与照顾者相关的因素（特别是抑郁状态、年龄、是否有其他人帮助照顾患者以及与患者的关系）和患者相关的因素（中医治疗、宗教信仰、KPS 评分和教育水平）与某些症状的差异水平显著相关。
研究表明，肝细胞癌患者的家属照顾者可以对患者的症状提供合理的报告。医疗保健提供者需要特别关注照顾者的抑郁情况。
