Factors influencing agreement in symptom ratings by lung cancer patients and their significant others
Factors influencing agreement in symptom ratings by lung cancer patients and their significant others
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DOI：
10.1016/j.jpainsymman.2006.07.019
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发表时间：
2007-02-01
影响因子：
4.7
通讯作者：
Gustavsson, Petter
中科院分区：
文献类型：
--
作者：
Wennman-Larsen, Agneta;Tishelman, Carol;Gustavsson, Petter
在过去的几十年里，重要他人和患者之间的症状评级和健康相关生活质量的比较一直是众多研究的焦点。需要进行更多的研究，以评估这项工作中发现的差异。在本横断面探索性研究中，重点是评估其他重要代理评级的准确性，并调查影响肺癌患者和其他重要患者之间协议的因素，基于52名患者和54名重要患者的二元评估。结果表明，协议的水平是公平的，良好的，但显着的其他人一致认为患者的症状更高，功能低于患者自己。发现影响症状和功能的各个方面的协议的因素是性别，患者年龄，和重要的其他人的自我报告缺乏家庭支持，健康问题和照顾者的尊重。
Comparisons of symptom ratings and health-related quality of life between significant others and patients have been the focus of numerous studies during the past decades. Additional studies are needed to assess the discrepancies identified in this work. In, the present cross-sectional exploratory study, focus has been on evaluating the accuracy of significant other proxy ratings and on investigating factors that influence agreement between lung cancer patients and significant others based on dyadic assessments from 52 patients and 54 significant others. Results indicate that the levels of agreement are fair to good, but that Significant others consistently rate the patients' symptoms higher and functioning lower than the patients do themselves. Factors found to influence agreement in various dimensions of symptoms and functioning were gender, patient age, and significant others' self-reported lack of family support, health problems, and caregiver esteem.