Mast M E
University of Virginia, Charlottesville, USA.
Oncol Nurs Forum. 1995 Jul;22(6):957-64.
To describe oncology nurses' diverse conceptual and operational approaches to the study of quality of life (QOL) by reviewing oncology nursing research of QOL, using principles of theory-building to examine and explain findings, and discussing implications for QOL measurement in research and practice.
Journal articles published since 1980.
The use of diverse definitions and measures of QOL reflects the difficulty of operationalizing this abstract and highly individualized concept. A predominant trend in nursing research is the development of multidimensional scales that are disease-specific and include respondent-generated items.
Findings reflect a struggle to balance the need for practical, clinically relevant measures of QOL with the equally important need for theoretical integrity and comprehensiveness.
Nurses need to examine carefully their purposes for documenting QOL and the congruence of the evaluation method with patients' perceptions of QOL. This information can guide the choice of methods and enhance the validity of data used to evaluate QOL.
通过回顾肿瘤护理领域中有关生活质量（QOL）的研究，运用理论构建原则审视并解释研究结果，探讨其对研究及实践中QOL测量的启示，来描述肿瘤护理人员对生活质量研究的不同概念及操作方法。
1980年以来发表的期刊文章。
对生活质量使用不同的定义和测量方法，反映出将这个抽象且高度个体化的概念进行操作化的困难。护理研究中的一个主要趋势是开发针对特定疾病的多维量表，这些量表包含由受访者提出的项目。
研究结果反映出在平衡对生活质量进行实用、临床相关测量的需求与对理论完整性和全面性的同等重要需求方面存在困难。
护士需要仔细审视记录生活质量的目的以及评估方法与患者对生活质量认知的一致性。这些信息可指导方法的选择，并提高用于评估生活质量的数据的有效性。
