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评估神经胶质瘤患者的心理和支持性护理需求——关于在临床实践中使用支持性护理需求调查问卷简表(SCNS-SF34-G)和支持性护理需求调查筛查工具(SCNS-ST9)的可行性研究。

Assessing psychological and supportive care needs in glioma patients - feasibility study on the use of the Supportive Care Needs Survey Short Form (SCNS-SF34-G) and the Supportive Care Needs Survey Screening Tool (SCNS-ST9) in clinical practice.

作者信息

Renovanz M, Hickmann A-K, Coburger J, Kohlmann K, Janko M, Reuter A-K, Keric N, Nadji-Ohl M, König J, Singer S, Giese A, Hechtner M

机构信息

Department of Neurosurgery, University Medical Center, Johannes-Gutenberg-University, Mainz, Germany.

Center for Endoscopic and Minimally Invasive Neurosurgery, Hirslanden, Zürich, Switzerland.

出版信息

Eur J Cancer Care (Engl). 2018 Jan;27(1). doi: 10.1111/ecc.12598. Epub 2016 Oct 24.

Abstract

Neuro-oncological patients experience high symptom and psychosocial burden. The aim was to test feasibility and practicability of the Supportive Care Needs Survey Short Form (SCNS-SF34-G) and the SCNS-Screening Tool (SCNS-ST9) to assess supportive care needs of neuro-oncological patients in clinical routine. A total of 173 patients, most with a primary diagnosis of high-grade glioma (81%), were assessed first using SCNS-SF34-G in comparison to two well-established patient-reported outcome measures, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQC30 + QLQ-BN20) and Distress Thermometer (DT). In a follow-up assessment, SCNS-ST9 was used in a subgroup (n = 90). Questionnaires were completed either with personal guidance offered (group A) or by patients alone (group B). Feasibility was compared between instruments and groups for possible associations with patient and treatment-related factors. Missing values occurred in similar frequencies in all instruments. Errors in completion occurred in SCNS-SF34-G in 20% and in SCNS-ST9 in 16%; difficulties in completion were observed more often in SCNS-SF34-G and SCNS-ST9 (39%) compared to DT and EORTC (13%, p < .001). Distress was found to be associated with difficulties in completion of SCNS (OR 1.4, [95% CI 1.1-1.9], p = .013). SCNS-SF34 and SCNS-ST9 are suitable tools for glioma patients as long as personal guidance is offered.

摘要

神经肿瘤患者承受着较高的症状负担和心理社会负担。本研究旨在测试支持性护理需求调查简表(SCNS-SF34-G)和SCNS筛查工具(SCNS-ST9)在临床常规中评估神经肿瘤患者支持性护理需求的可行性和实用性。总共173例患者,大多数原发性诊断为高级别胶质瘤(81%),首先使用SCNS-SF34-G进行评估,并与另外两种成熟的患者报告结局测量工具进行比较,即欧洲癌症研究与治疗组织生活质量问卷(EORTC QLQC30 + QLQ-BN20)和苦恼温度计(DT)。在后续评估中,对一个亚组(n = 90)使用了SCNS-ST9。问卷通过提供个人指导完成(A组)或由患者单独完成(B组)。比较了不同工具和组之间的可行性,以探讨与患者及治疗相关因素的可能关联。所有工具中缺失值出现的频率相似。SCNS-SF34-G完成错误的发生率为20%,SCNS-ST9为16%;与DT和EORTC(13%,p <.001)相比,SCNS-SF34-G和SCNS-ST9完成困难的情况更常见(39%)。发现苦恼与SCNS完成困难相关(OR 1.4,[95% CI 1.1 - 1.9],p =.013)。只要提供个人指导,SCNS-SF34和SCNS-ST9是适用于胶质瘤患者的工具。

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