Palliative and Supportive Care Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Palliative and Supportive Care Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
J Pain Symptom Manage. 2019 Nov;58(5):886-890.e5. doi: 10.1016/j.jpainsymman.2019.07.012. Epub 2019 Jul 19.
The Integrated Palliative care Outcome Scale (IPOS) is a widely used tool for assessing patient needs in palliative care.
The aim of this study was to provide a validated version of the patient and staff IPOS for French-speaking Switzerland (IPOS-Fr) and assess its psychometric properties.
The validation took place in 12 palliative care units and mobile teams. At baseline (T1) and three days later (T2), patients' general health status, palliative care needs (IPOS-Fr), and quality of life (McGill Quality of Life Scale-Revised) were assessed by patients and staff.
We included 173 patients (mean age: 68.8; 92 women; 85% oncologic disease). IPOS internal consistency was high for the total score (0.69 and 0.71). Staff-patient interrater agreement was good to moderate for 13 items (intraclass correlations >0.516). Results indicated strong correlations between IPOS-Fr and McGill Quality of Life Scale-Revised for the total score (-0.623 at T1) and the psychological domain (Item 11: -0.601 at T1; Item 13: -0.633 at T2). Regarding sensitivity to change, there was a significant difference between T1 and T2 for patients with an improved health condition (z = -2.326; P = 0.020).
IPOS-Fr has fair to good validity, especially with regard to interrater agreement and construct validity, is sensitive to positive change, and has good interpretability and acceptability for patients and staff. IPOS-Fr is not optimal in terms of internal consistency and structure when using subscale scores, except for the emotional subscale.
综合姑息治疗结局量表（IPOS）是一种广泛用于评估姑息治疗患者需求的工具。
本研究旨在为讲法语的瑞士提供经过验证的患者和工作人员版 IPOS（IPOS-Fr），并评估其心理测量特性。
验证在 12 个姑息治疗病房和流动小组中进行。在基线（T1）和三天后（T2），患者的一般健康状况、姑息治疗需求（IPOS-Fr）和生活质量（修订后的 McGill 生活质量量表）由患者和工作人员进行评估。
我们纳入了 173 名患者（平均年龄：68.8 岁；92 名女性；85%为肿瘤疾病）。IPOS 总分的内部一致性较高（0.69 和 0.71）。对于 13 个项目，工作人员与患者之间的评分者间一致性较好到中等（组内相关系数>0.516）。IPOS-Fr 与 McGill 生活质量量表修订版总分（T1 时为-0.623）和心理领域（项目 11：T1 时为-0.601；项目 13：T2 时为-0.633）之间存在强烈相关性。关于变化的敏感性，健康状况改善的患者在 T1 和 T2 之间存在显著差异（z=-2.326；P=0.020）。
IPOS-Fr 具有良好的信度和效度，尤其是在评分者间一致性和结构效度方面，对积极变化敏感，且对患者和工作人员具有良好的可解释性和可接受性。除情感分量表外，当使用子量表评分时，IPOS-Fr 的内部一致性和结构并不是最佳的。
