Shimizu Megumi, Fujisawa Daisuke, Kurihara Miho, Sato Kazuki, Morita Tatsuya, Kato Masashi, Miyashita Mitsunori
1 Clinical Research, Innovation, and Education Center, Tohoku University Hospital, Sendai, Japan.
2 Department of Psychiatry, Keio University Graduate School of Medicine, Tokyo, Japan.
Am J Hosp Palliat Care. 2017 Aug;34(7):622-631. doi: 10.1177/1049909117693576. Epub 2017 Jan 1.
To monitor quality of life (QOL) for patients with cancer in a large population-based survey, we developed a short QOL and quality-of-care (QOC) questionnaire. To determine the validity and reliability of this new questionnaire for evaluating QOL in patients with cancer.
Outpatients and inpatients at National Cancer Center Hospital East were administered a questionnaire, including the following items-the short QOL and QOC questionnaire (physical distress, pain, emotional distress, walk burden, and need for help with self-care; perceived general health status; and satisfaction with medical care and treatment by doctor, communication with doctor, support by health-care staff other than doctor, care for physical symptoms such as pain, and psychological care), the Functional Assessment of Cancer Therapy-General (FACT-G), the Cancer Care Evaluation Scale (CCES) for patients, and demographic and medical data. We then readministered the short QOL and QOC questionnaire.
In total, 329 outpatients and 239 inpatients completed the survey (response rates: 80% and 90%, respectively). Total Cronbach α for the short QOL and QOC questionnaire was 0.83 for outpatients and 0.82 for inpatients. Items of the questionnaire correlated with cancer-specific measurements, FACT-G, and CCES. Intraclass correlation coefficients for all items of the questionnaire were 0.79 and 0.89 in each setting. Items of QOL and QOC did not correlate with each other.
The validity and reliability of the short QOL and QOC questionnaire appear sufficient. This questionnaire enables continuous monitoring of patient QOL in large population-based surveys.
为在一项基于大样本人群的调查中监测癌症患者的生活质量（QOL），我们编制了一份简短的生活质量与医疗质量（QOC）问卷。以确定这份新问卷在评估癌症患者生活质量方面的有效性和可靠性。
对国立癌症中心东医院的门诊患者和住院患者进行问卷调查，问卷包括以下项目——简短的生活质量与医疗质量问卷（身体不适、疼痛、情绪困扰、行走负担以及自我护理所需帮助；感知的总体健康状况；对医疗护理以及医生治疗、与医生沟通、医生以外医护人员的支持、对疼痛等身体症状的护理以及心理护理的满意度）、癌症治疗功能评估通用量表（FACT-G）、患者癌症护理评估量表（CCES）以及人口统计学和医疗数据。然后再次对简短的生活质量与医疗质量问卷进行调查。
共有329名门诊患者和239名住院患者完成了调查（回复率分别为80%和90%）。简短的生活质量与医疗质量问卷的总克朗巴哈α系数门诊患者为0.83，住院患者为0.82。问卷项目与癌症特异性测量指标、FACT-G和CCES相关。问卷所有项目的组内相关系数在每种情况下分别为0.79和0.89。生活质量和医疗质量项目之间不相关。
简短的生活质量与医疗质量问卷的有效性和可靠性似乎足够。该问卷能够在基于大样本人群的调查中持续监测患者的生活质量。
