Munro A J, Potter S
Department of Radiotherapy, St Bartholomew's Hospital, West Smithfield, London, UK.
Br J Cancer. 1996 Aug;74(4):640-7. doi: 10.1038/bjc.1996.414.
A computerised self-assessment instrument was used to capture data on the distress caused by symptoms in 110 patients treated with radical radiotherapy. Patients selected symptoms from a list of 34 problems and then quantified the distress associated with each problem using a linear Analogue self assessment (LASA)-type scale. The test instrument was feasible: 90% of assessments were completed in under 14 min. There was a significant increase in tiredness and significant decrease in anxiety and worries about the family, during treatment. Menopausal symptoms and post-surgical problems were important causes of distress in the patients with breast cancer. When the area under the curve method was used to quantify distress in the patients with breast cancer, difficulty concentrating, pain and sleep disturbances emerged as significantly troublesome problems. Computerised self-assessment may have a useful role in quantifying the distress caused by treatment with radiotherapy.
使用一种计算机化的自我评估工具来收集110例接受根治性放疗患者因症状所导致的痛苦数据。患者从34个问题列表中选择症状，然后使用线性模拟自我评估（LASA）类型的量表对每个问题相关的痛苦进行量化。该测试工具是可行的：90%的评估在14分钟内完成。在治疗期间，疲劳显著增加，对家庭的焦虑和担忧显著减少。更年期症状和术后问题是乳腺癌患者痛苦的重要原因。当使用曲线下面积法对乳腺癌患者的痛苦进行量化时，注意力不集中、疼痛和睡眠障碍成为明显棘手的问题。计算机化自我评估在量化放疗治疗所导致的痛苦方面可能具有有用的作用。
