基于癌症患者体验的安宁疗护质量评估工具的系统评价

doi:10.3761/j.issn.0254-1769.2024.13.018

摘要/Abstract

摘要：

目的系统评价基于癌症患者体验的安宁疗护质量评估工具的测量学特性及方法学质量，为医护人员选择高质量的评估工具提供循证依据。方法系统检索PubMed、Embase、Web of Science、CINAHL、中国知网、万方数据库、维普数据库、中国生物医学文献数据库，收集基于癌症患者体验的安宁疗护质量评估工具，检索时限为建库至2023年12月10日。由2名研究者独立进行文献筛选和资料提取，使用基于共识的健康测量工具选择标准（consensus-based standards for the selection of health measurement instruments，COSMIN）偏倚风险清单及质量标准，评价纳入文献的方法学质量及评估工具的测量学特性，并形成最终的推荐意见。结果共纳入19篇文献，涉及8个评估工具。其中，6个评估工具为B级推荐，2个评估工具为A级推荐。结论推荐使用简化版安宁疗护质量量表和终末期癌症患者安宁疗护照护质量问卷，其内容效度和内部一致性较好，但仍需进一步验证其测量学特性。

关键词: 癌症, 安宁疗护, 质量, 评估工具, 测量学特性, 系统评价, 循证护理学

Abstract:

Objective To systematically evaluate the measurement properties and methodological quality of the palliative quality assessment tools based on the cancer patient experiences，and to provide an evidence-based basis for the selection of a high-quality assessment tool for healthcare professionals. Methods Systematic search of PubMed，Embase，Web of Science，CINAHL，CNKI，Wanfang database，VIP database，and China Biomedical Literature database for studies related to the evaluation of the measurement properties of the self-report palliative care quality assessment tools for cancer patients. The search period from the date of creation to December 10，2023. There are 2 researchers who independently conducted literature screening and data extraction according to the COSMIN selection criteria，and used the COSMIN Risk of Bias Inventory and Quality Criteria Scale to measure the academic characteristics and form the final recommendations. Results A total of 19 studies involving 8 assessment tools for cancer patients were included. The final 6 assessment tools were recommended at level B. 2 assessment tools are recommended at level A. Conclusion The SF-QCQ-PC and the Self-Report Palliative Care Quality Assessment Tool for Terminal Cancer Patients can be provisionally recommended. However，further validation of its measurement properties is still needed.

Key words: Cancer, Palliative Care, Quality, Assessment Tools, Measurement Properties, Systematic Review, Evidence-Based Nursing

褚云怡, 江子芳, 贺泽翻, 张家馨, 陈燕飞. 基于癌症患者体验的安宁疗护质量评估工具的系统评价[J]. 中华护理杂志, 2024, 59(13): 1657-1665.

CHU Yunyi, JIANG Zifang, HE Zefan, ZHANG Jiaxin, CHEN Yanfei. Palliative care quality assessment tools based on the cancer patient experience：a systematic review[J]. Chinese Journal of Nursing, 2024, 59(13): 1657-1665.

图/表 4

图1 文献筛选流程

Figure 1 Flow chart of literature screening

表1 纳入文献的一般特征（n=19）

Table 1 General characteristics of the included literature（n=19）

表2 评估工具的方法学质量评价结果和测量学特性（n=19）

Table 2 Evaluation of the methodological quality of the measurement properties of the included scales and studies（n=19）

表3 纳入评估工具测量学特性的总体评价与推荐等级（n=8）

Table 3 Evaluation of the psychometric properties and recommendations for inclusion in the assessment tools（n=8）

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