肝癌患者特异性自我报告结局评估工具测量学属性的系统评价

doi:10.3761/j.issn.0254-1769.2024.22.007

摘要/Abstract

摘要：

目的系统评价肝癌患者特异性自我报告结局评估工具的测量学属性及其方法学质量，为医护人员选择最佳评估工具提供依据。方法系统检索PubMed、Embase、CINAHL、Web of Science、Cochrane Library、中国知网、维普数据库、万方数据库及中国生物医学文献数据库中与肝癌患者特异性自我报告结局评估工具相关的研究，检索时限为建库至2024年2月1日。2名研究者独立进行文献筛选和资料提取，采用基于共识的健康测量工具遴选标准（consensus-based standards for the selection of health measurement instruments，COSMIN）偏倚风险清单及其质量标准，评定纳入研究的方法学质量及测量学属性，并形成推荐意见。结果共纳入12篇文献，涉及8个肝癌患者特异性自我报告结局评估工具。通过评估，肝癌患者特异性症状模块问卷为A级推荐，癌症治疗功能评价系统-肝胆量表、肝癌围手术期症状报告问卷、肝癌患者生命质量量表、癌症治疗的功能评估-肝胆症状指数问卷为B级推荐，欧洲癌症研究与治疗组织肝细胞癌患者特异性生活质量问卷、肝癌患者生活质量评定量表、癌症患者生命质量测定量表体系之肝癌量表为C级推荐。结论肝癌患者特异性症状模块问卷的方法学质量及测量学属性相对较好，优先推荐应用。由于评估内容主要聚焦于患者的身体症状困扰，可与其他评估工具联合使用，以提高评估的全面性。

关键词: 肝癌, 自我报告, 评估工具, 测量学属性, 系统评价, 循证护理学

Abstract:

Objective To systematically evaluate the measurement properties and methodological quality of the liver cancer patients specific self-reported outcome assessment tools，and to provide a basis for healthcare professionals to select a high-quality scale. Methods Systematic search of PubMed，Embase，CINAHL，Web of Science，Cochrane Library，China National Knowledge Infrastructure，VIP Database，Wanfang Database，and China Biomedical Literature Database was conducted for studies related to the evaluation of the measurement properties of liver cancer specific self-reported outcome assessment tools. The search period was from the date of creation to February 1，2024，and 2 researchers 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 methodological quality and measurement properties，and the final recommendations were formed. Results A total of 12 studies involving 8 specific self-reported outcome assessment tools for liver cancer patients were included. Finally，TSM-PLC was recommended at level A；EORTC QLQ-HCC18，QOL-LC，QLICP-LI were recommended at level C；FACT-HEP，MDASI-Periop-Hep，Quality of Life Scale for Liver Cancer Patients，and FHSI-8 were recommended at level B. Conclusion Compared to other scales，TSM-PLC has relatively good methodological quality and measurement properties，and is recommended for use as a priority. Due to its evaluation content mainly focusing on the patient’s physical symptom distress，it can be used in conjunction with other scales to enhance the comprehensiveness of the evaluation.

Key words: Liver Neoplasms, Self-Reporting, Assessment Tools, Measurement Properties, System Evaluation, Evidence-Based Nursing

陆诗燕, 刘羡, 江笑笑, 黄燕萍, 徐虹霞. 肝癌患者特异性自我报告结局评估工具测量学属性的系统评价[J]. 中华护理杂志, 2024, 59(22): 2734-2741.

LU Shiyan, LIU Xian, JIANG Xiaoxiao, HUANG Yanping, XU Hongxia. Systematic review of measurement properties of liver cancer patient specific self-reported outcome assessment tools[J]. Chinese Journal of Nursing, 2024, 59(22): 2734-2741.

图/表 3

表1 纳入文献的基本特征（n=12）

Table 1 General characteristics of the included literature（n=12）

表2 纳入评估工具的方法学质量和测量学属性的质量评价（n=12）

Table 2 Psychometric properties and methodological quality evaluation of the included scales（n=12）

表3 纳入评估工具测量学属性的合成结果及推荐意见（n=8）

Table 3 The synthesis results and recommendations of the measurement properties of the included assessment tools（n=8）

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