Physiotherapy Department, University Hospital Aintree, Lower Lane, Liverpool L9 7AL, United Kingdom.
Eur J Oncol Nurs. 2013 Dec;17(6):863-9. doi: 10.1016/j.ejon.2013.05.002. Epub 2013 May 31.
The Patients Concerns Inventory (PCI) is a practical tool for patients to highlight their concerns and needs for discussion in consultations.
To use paper and touch-screen technology (TST) versions of the PCI, to see if there were differences in issues raised by patients before consultation and in issues discussed during consultation.
Two consultants participated. Also 105 of their post-operative head and neck cancer patients in 122 consultations completed paper or TST versions of the PCI before consultation, April 2010 to April 2012.
There were no statistically significant differences between paper and TST in how many PCI concerns were selected by patients or discussed in consultation, nor in length of consultation. Fear of recurrence, chewing/eating, dental health, swallowing, salivation, head & neck pain, speech and sleeping issues were common concerns across both paper and TST. Fewer than 10% of patients encountered any problems when completing either form of PCI. Interestingly, the two consultants used the PCI differently, reflected in different levels of agreement between items highlighted on the PCI and items subsequently discussed - κappa-coefficients of agreement were 0.68 for the paper and 0.66 for the TST version of the PCI (consultant A) and 0.55 for the paper and 0.32 for the TST version of the PCI (consultant B).
This study found that the paper version of the PCI was an acceptable alternative to the TST version.
患者关注量表（PCI）是一种实用的工具，可以让患者突出他们在咨询中关注的问题和需要讨论的内容。
使用纸质和触摸屏技术（TST）版本的 PCI，观察患者在咨询前提出的问题和在咨询中讨论的问题是否存在差异。
两名顾问参与了研究。2010 年 4 月至 2012 年 4 月，他们的 122 次术后头颈部癌症患者中有 105 名患者在咨询前完成了纸质或 TST 版本的 PCI。
在患者选择的 PCI 关注问题数量或在咨询中讨论的数量方面，纸质和 TST 版本之间没有统计学上的显著差异，咨询时间也没有差异。对复发的恐惧、咀嚼/进食、口腔健康、吞咽、流涎、头颈部疼痛、言语和睡眠问题是两种版本中常见的关注问题。少于 10%的患者在完成任何一种 PCI 表单时遇到问题。有趣的是，两位顾问使用 PCI 的方式不同，这反映在 PCI 上突出的项目与随后讨论的项目之间的一致性水平不同-一致性的 κappa 系数为纸质版本的 0.68 和 TST 版本的 0.66（顾问 A）和纸质版本的 0.55 和 TST 版本的 0.32（顾问 B）。
本研究发现，纸质版 PCI 是 TST 版本的可接受替代品。
