卡氏功能状态量表在土耳其癌症终末期患者中的有效性和可靠性。
Karnofsky Performance Scale validity and reliability of Turkish palliative cancer patients.
机构信息
Department of Family Medicine, Faculty of Medicine, Tokat Gaziosmanpaşa University, Tokat, Turkey
Department of Anesthesiology and Reanimation, Faculty of Medicine, Tokat Gaziosmanpaşa University, Tokat, Turkey
出版信息
Turk J Med Sci. 2019 Jun 18;49(3):894-898. doi: 10.3906/sag-1810-44.
BACKGROUND/AIM: Validated measures in palliative cancer patients are very important in the evaluation and management of the disease. The Karnofsky Performance Scale (KPS) has been used for many years to assess the performance status of cancer patients. The aim of this study is to determine the validity and reliability of the KPS in cancer patients receiving palliative care in Turkey.
MATERIALS AND METHODS
Eighty patients with a cancer diagnosis who were admitted to Gaziosmanpaşa University Medical Faculty Hospital Palliative Care Unit between 01.03.2016 and 01.03.2017 were included in the study. KPS, measurements from the Katz Activi-ties of Daily Living (ADL) scale, and Basic Activities of Daily Living (BADL) scale were recorded. The alpha coefficient (Cronbach) was calculated by using SPSS version 20.0. The P-value was accepted as P < 0.05 in the analysis of the data.
RESULTS
There was a positive and strong correlation between Katz ADL scale total score and KPS score (r = 0.895; P < 0.001). In ad-dition, there was a strong negative correlation between the total score of BADL scale and KPS score (r = –0.894; P < 0.001). As for the reliability of the scale scores, Cronbach’s alpha coefficient found to be 0.720.
CONCLUSION
KPS is a reliable scale for Turkish cancer patients in palliative care settings.
背景/目的：在癌症患者的姑息治疗中，有效的评估工具非常重要。卡氏行为状态量表（KPS）多年来一直用于评估癌症患者的身体状况。本研究旨在确定 KPS 在土耳其接受姑息治疗的癌症患者中的有效性和可靠性。
材料和方法
2016 年 3 月 1 日至 2017 年 3 月 1 日期间，共有 80 名癌症诊断患者被纳入研究。记录了 KPS、Katz 日常生活活动量表（ADL）和基本日常生活活动量表（BADL）的测量值。使用 SPSS 20.0 版本计算 alpha 系数（Cronbach）。数据分析中，P 值<0.05 被认为具有统计学意义。
结果
Katz ADL 量表总分与 KPS 评分之间存在正相关且相关性很强（r = 0.895；P < 0.001）。此外，BADL 量表总分与 KPS 评分之间存在负相关且相关性很强（r = –0.894；P < 0.001）。对于量表评分的可靠性，Cronbach 的 alpha 系数为 0.720。
结论
KPS 是土耳其姑息治疗环境中癌症患者的一种可靠量表。
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