Collins Emily S, Witt Jana, Bausewein Claudia, Daveson Barbara A, Higginson Irene J, Murtagh Fliss E M
Department of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, King's College London, London, United Kingdom; School of Medicine, Keele University, Keele, Staffordshire, United Kingdom.
Department of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, King's College London, London, United Kingdom.
J Pain Symptom Manage. 2015 Dec;50(6):842-53.e19. doi: 10.1016/j.jpainsymman.2015.07.015. Epub 2015 Aug 31.
The Palliative care Outcome Scale (POS) and the Support Team Assessment Schedule (STAS) are two outcome measures used in palliative care settings to assess palliative concerns, needs, and quality of care.
This systematic review builds on the findings of a previous review to appraise the use of the POS and STAS since 2010, particularly the context and nature of their use.
MEDLINE, Embase, PsycINFO, British Nursing Index, and CINAHL were searched for studies published between February 2010 and June 2014. Relevant authors were contacted, and reference lists of included studies were searched. Studies reporting validation or the use of the POS or STAS were included, and data on sample population, how the outcome measure was being used, study design, study aim, and results of the study were extracted.
Forty-three studies were included (POS n = 35, STAS n = 8). There was an increase in the use of the POS and STAS in Europe and Africa with the publication of 13 new translations of the POS. Most studies focused on the use, rather than further validation, of the POS and STAS. There has been increasing use of these measures within non-cancer patient groups.
The POS and STAS are now used in a wide variety of settings and countries. These tools may be used in the future to compare palliative care needs and quality of care across diverse contexts and patient groups.
姑息治疗结果量表(POS)和支持团队评估表(STAS)是用于姑息治疗环境中评估姑息治疗问题、需求和护理质量的两项结果测量工具。
本系统评价基于之前一项评价的结果,以评估自2010年以来POS和STAS的使用情况,尤其是其使用的背景和性质。
检索MEDLINE、Embase、PsycINFO、英国护理索引和护理学与健康领域数据库(CINAHL),查找2010年2月至2014年6月期间发表的研究。联系了相关作者,并检索了纳入研究的参考文献列表。纳入报告POS或STAS验证或使用情况的研究,并提取有关样本人群、结果测量工具的使用方式、研究设计、研究目的和研究结果的数据。
纳入43项研究(POS:35项,STAS:8项)。随着POS的13种新译本的发表,POS和STAS在欧洲和非洲的使用有所增加。大多数研究关注的是POS和STAS的使用,而非进一步验证。这些测量工具在非癌症患者群体中的使用也越来越多。
POS和STAS现在在各种环境和国家中都有使用。这些工具未来可能用于比较不同背景和患者群体的姑息治疗需求和护理质量。