《生命终末期癌症患者姑息治疗表现量表（第 2 版）的西班牙文版：心理测量学特性》。

The Spanish Adaptation of the Palliative Performance Scale (Version 2) Among Cancer Patients at the End of Life: Psychometric Properties.

机构信息

Faculty of Nursing and Physiotherapy, GESEC, University of Lleida, Lleida, Spain; Institute of Biomedical Research, IRB Lleida, Lleida, Spain.

Hospital Universitari Arnau de Vilanova, Lleida, Spain.

出版信息

J Pain Symptom Manage. 2017 Oct;54(4):570-577.e5. doi: 10.1016/j.jpainsymman.2017.07.014. Epub 2017 Jul 14.

DOI:10.1016/j.jpainsymman.2017.07.014

PMID:28712988

Abstract

BACKGROUND

Palliative Performance Scale (PPS) is a reliable tool to assess performance status in cancer patients receiving palliative care (PC). Spanish validated and culturally adapted tools are needed.

OBJECTIVES

The objectives are to develop PPS translation and cross-cultural adaptation into Spanish and to assess its psychometric properties.

DESIGN

Translation process with cross-cultural adaptation to produce Spanish Palliative Performance Scale (PPS-SPANISH).

SETTINGS

PC Team at one University hospital in Spain.

PARTICIPANTS

Fifteen advanced cancer patients (60 assessments) were included for PPS translation and validation and 250 patients for cross-sectional analysis. All participants were recruited at oncology ward, emergency area, and outpatient clinic by PC team professionals. Informed consent was given. Average age was 66.4 ± 13 years (60% men).

METHODS

The process is designed in three steps. In Step 1, PPS translation and reverse translation into Spanish (three bilingual speakers) and linguistic complexity measurement were performed. In Step 2, readability and intelligibility assessment was carried out. In Step 3, a pilot study was conducted to assess test-retest reliability followed by a cross-sectional study to measure internal consistency. Inclusion criteria were the same for two samples. Demographic data were also analyzed by descriptive statistics.

RESULTS

Following cultural, linguistic, and grammatical adaptation, PPS-SPANISH was readable and reliable. The analysis of the test-retest reliability after 48 hours showed intraclass correlations >0.60. Cronbach's alpha coefficient was 0.99 (0.988-0.992). There was high agreement with other functional assessment tools (Barthel Index and Karnofsky Performance Status Index).

CONCLUSIONS

PPS-SPANISH showed reliability and validity, and it is suitable to assess performance status in cancer patients receiving PC.

摘要

背景

在接受姑息治疗（PC）的癌症患者中，姑息治疗表现量表（PPS）是一种评估表现状态的可靠工具。需要对经过验证和文化适应性调整的西班牙语版本工具进行研究。

目的

本研究旨在开发西班牙语版 PPS（PPS-SPANISH）并对其进行跨文化适应性调整，同时评估其心理测量特性。

设计

对 PPS 进行翻译和跨文化调整，以产生西班牙语版 PPS（PPS-SPANISH）。

地点

西班牙一家大学医院的 PC 团队。

参与者

共纳入 15 例晚期癌症患者（60 次评估）用于 PPS 的翻译和验证，纳入 250 例患者用于横断面分析。所有参与者均由 PC 团队专业人员在肿瘤科病房、急诊区和门诊招募。均获得了知情同意。平均年龄为 66.4±13 岁（60%为男性）。

方法

该过程设计分为三个步骤。在步骤 1 中，进行 PPS 的翻译、西班牙语回译（由三名双语者进行）和语言复杂性测量。在步骤 2 中，进行了可读性和可理解性评估。在步骤 3 中，进行了预试验以评估测试-重测信度，随后进行了横断面研究以测量内部一致性。两个样本的纳入标准相同。还通过描述性统计分析了人口统计学数据。