癌症患者家庭韧性评估工具的质量评价

doi:10.3761/j.issn.0254-1769.2022.03.017

摘要/Abstract

摘要：

目的对癌症患者家庭韧性的评估工具进行质量评价,为临床医护人员选择高质量的评估工具提供依据。方法检索PubMed、The Cochrane Library、Web of Science、Embase、PsycINFO、CINAHL、中国生物医学文献数据库、中国知网、万方数据库、维普数据库,检索时限为建库至2021年7月,纳入所有癌症患者家庭韧性评估工具的相关研究。基于健康测量工具选择的共识标准（consensus-based standards for the selection of health measurement instru-ments,COSMIN）指南,采用COSMIN偏倚风险评估清单、质量准则评价纳入研究工具的方法学质量及测量属性质量,采用改良版证据质量评价及推荐强度评级指南（grading of recommendations assessment,development of evaluation,GRADE）进行证据分级并对纳入评估工具进行分类推荐。结果最终纳入的10个癌症患者家庭韧性评估工具均未报告效标效度、测量误差、反应度;证据分级结果显示,家庭韧性评估量表（Family Resilience Assessment,FRA）、家庭韧性问卷（Family Resilience Questionnaire, FaREQ）质量等级为高;家庭韧性评估量表（Family Resilience Assessment Scale,FRAS）、FRA、FaREQ为A类推荐,其他均为B类推荐。结论 FRAS、樊颖维版中文版FRAS是国内外使用最广泛的癌症患者家庭韧性评估工具,FRAS、FRA、FaREQ具有良好的方法学质量、测量属性质量及证据等级,推荐在癌症患者中应用。

关键词: 癌症, 家庭韧性, 评估工具, 质量评价, 护理

Abstract:

Objective To evaluate the quality of family resilience assessment tools for cancer patients, so as to provide references for the selection of high-quality research tools. Methods We searched databases including PubMed,the Cochrane Library,Web of Science,Embase, PsycINFO, CINAHL, CBM, CNKI, Wanfang, VIP to collect all studies about assessment tools that measure cancer patients’ family resilience. Based on the consensus-based standards for the selection of health measurement instruments（COSMIN） guideline,the methodological and measure-ment properties quality of the included assessment tools were evaluated by the COSMIN risk of bias checklist and quality criteria,and the modified grading of recommendations assessment, development of evaluation（GRADE） was used to classify the grade of evidence and recommendations of the tools. Results None of the 10 assessment tools reported criterion validity, measurement error or responsiveness. The GRADE of Family Resilience Assessment（FRA） and Family Resilience Questionnaire（FaREQ） were high. The recommendation level of Family Resilience Assessment Scale（FRAS）, FRA and FaREQ were A, and the others were B. Conclusion FRAS and Chinese version of Family Resilience Assessment Scale（C-FRAS） translated by Fan are the most widely used family resilience assessment tools for cancer patients at home and abroad. FRAS, FRA and FaREQ have good methodological quality, measurement properties quality and evidence level, so they are recommended for use in cancer patients.

Key words: Cancer, Family Resilience, Assessment Tools, Quality Appraisal, Nursing Care

张珊珊, 李惠萍, 张婷, 周梦珂, 李嘉欣, 高杰. 癌症患者家庭韧性评估工具的质量评价[J]. 中华护理杂志, 2022, 57(3): 356-362.

ZHANG Shanshan, LI Huiping, ZHANG Ting, ZHOU Mengke, LI Jiaxin, GAO Jie. Quality appraisal of family resilience assessment tools for cancer patients[J]. Chinese Journal of Nursing, 2022, 57(3): 356-362.

图/表 5

图1 PubMed数据库的检索策略

Figure 1 Search strategy of PubMed database

图2 文献筛选流程及结果

Figure 2 Literature screening process

表1 纳入评估工具的基本特征

Table 1 The basic characteristics of the included assessment tools

表2 纳入评估工具的方法学质量评价

Table 2 Methodological quality evaluation of the included assessment tools

表3 纳入评估工具的测量属性质量评价

Table 3 Measurement properties quality evaluation of the included assessment tools

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