头颈癌患者自我报告结局评估工具的评价及护理启示

doi:10.3761/j.issn.0254-1769.2026.07.017

摘要/Abstract

摘要：

目的对头颈癌患者自我报告评估工具展开系统综述，为医护人员选择合适评估工具提供依据。方法系统检索PubMed、Web of Science、Embase、Cochrane Library、CINAHL、中国知网、万方数据库、维普数据库及中国生物医学文献数据库中头颈癌患者报告结局评估工具的相关研究，检索时限自建库至2025年10月30日。由2名研究者独立进行文献筛选与数据提取，采用“基于共识的健康测量工具选择标准”评价纳入文献的方法学和测量学质量，并形成推荐意见。结果共纳入19篇文献，包括6种生活质量评估工具、5种生理症状评估工具、3种社会心理状况评估工具和2种身体意象评估工具。经过评估，口腔黏膜炎每周问卷-头颈癌和颈部纤维化量表为A级推荐，中国头颈癌生命质量测定量表、头颈癌患者亲密关系问题患者报告结局问卷、吞咽恐惧量表为C级推荐，其余11个评估工具为B级推荐。结论口腔黏膜炎每周问卷-头颈癌和颈部纤维化量表的方法学质量和测量学属性相对较好，优先推荐使用，但仍需进一步验证其测量学属性。

关键词: 头颈癌, 患者报告结局, 评估工具, 系统综述, 循证护理学

Abstract:

Objective To systematically evaluate reporting tools for head and neck cancer patients，and to provide a basis for healthcare professionals to select appropriate assessment tools. Methods A systematic search was conducted in PubMed，Web of Science，Embase，Cochrane Library，CINAHL，CNKI，Wanfang Database，VIP Database，and the CBM for studies related to patient-reported outcome measures（PROMs） in head and neck cancer patients. The search period was from the construction of the databases to October 30，2025. Totally 2 researchers were independent in conducting literature screening and data extraction. The methodological and psychometric quality of the included studies was assessed using the COSMIN framework，and recommendations were formulated accordingly. Results A total of 19 studies were included，comprising 6 quality of life assessment tools，5 physiological symptom assessment tools，3 psychosocial condition assessment tools，and 2 body image assessment tools. The OMWQ-HN and NFS were rated as Grade A and the QLICP-HN，MHK，and SWKS were recommended as Grade C tools. All other 11 assessment tools were recommended as Grade B tools. Conclusion The OMWQ-HN and NFS demonstrate relatively favorable methodological quality and psychometric properties，which are recommended for priority use. However，their psychometric properties require further validation.

Key words: Head and Neck Cancer, Patient-Reported Outcomes, Assessment Tools, Systematic Review, Evidence-Based Nursing

曾佳琳, 符冰, 杨泠韵, 江庆华. 头颈癌患者自我报告结局评估工具的评价及护理启示[J]. 中华护理杂志, 2026, 61(7): 986-994.

ZENG Jialin, FU Bing, YANG Lingyun, JIANG Qinghua. Evaluation of patient-reported outcome assessment tools for head and neck cancer patients and nursing implications[J]. Chinese Journal of Nursing, 2026, 61(7): 986-994.

图/表 3

表1 PubMed检索式

Table 1 PubMed search formula

表2 纳入文献的基本特征（n=19）

Table 2 General characteristics of the included literature（n=19）

表3 纳入评估工具的总体评价及推荐等级（n=16）

Table 3 The overall evaluation and recommendation level of included assessment tools（n=16）

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