Andreu Vaillo Yolanda, Martínez Lopez Paula, Galdón Garrido María J
University of Valencia.
Valencia International University.
Oncol Nurs Forum. 2019 Jul 1;46(4):442-450. doi: 10.1188/19.ONF.442-450.
To explore the performance of the National Comprehensive Cancer Network Distress Thermometer (DT) as a distress screening tool in cancer survivors.
SAMPLE & SETTING: 236 Spanish adult-onset cancer survivors who visited the Fundación Instituto Valenciano de Oncología in Valencia, Spain, for follow-up appointments.
METHODS & VARIABLES: Survivors completed the DT and the Brief Symptom Inventory 18 (BSI-18), which has established a cutoff score for identifying clinically significant distress.
Receiver operating characteristic curve analysis of the DT scores relative to the BSI-18 cutoff score showed good overall accuracy. For a score of 5 or greater, sensitivity, specificity, positive predictive value, negative predictive value, and clinical utility indexes indicated that the DT appeared to be satisfactory for screening but had restricted use for case finding.
Screening for and responding to distress is considered an important part of nursing practice. The DT is suitable for use as a first-stage, quick-detection instrument in a two-step screening process to rule out noncases among Spanish post-treatment cancer survivors.
探讨美国国立综合癌症网络苦恼温度计（DT）作为癌症幸存者苦恼筛查工具的性能。
236名西班牙成年期起病的癌症幸存者，他们前往西班牙巴伦西亚的巴伦西亚肿瘤研究所基金会进行随访预约。
幸存者完成了DT和简明症状量表18项版（BSI - 18），该量表已确定了用于识别具有临床意义苦恼的临界分数。
相对于BSI - 18临界分数的DT分数的受试者工作特征曲线分析显示总体准确性良好。对于5分及以上的分数，敏感性、特异性、阳性预测值、阴性预测值和临床效用指数表明，DT似乎对筛查令人满意，但在病例发现方面用途有限。
筛查和应对苦恼被认为是护理实践的重要组成部分。DT适合在两步筛查过程中用作第一阶段的快速检测工具，以排除西班牙癌症治疗后幸存者中的非病例。
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