Use of a modified ESAS in cancer patients: a pilot study of patient and staff experiences.
Use of a modified ESAS in cancer patients: a pilot study of patient and staff experiences.
复制标题
在癌症患者中使用改良的 ESAS：针对患者和工作人员体验的试点研究。
DOI：
10.12968/ijpn.2007.13.12.27890
复制
发表时间：
2007
影响因子：
1
通讯作者：
J. Lindh
中科院分区：
文献类型：
--
作者：
Kerstin Baba;P. Fransson;J. Lindh
目的
评价改良埃德蒙顿症状评估量表（ESAS）用于肿瘤姑息治疗症状监测的可行性。
方法
改良ESAS每天提供给28例晚期癌症患者。研究结束时，发放了一份调查问卷，以了解工作人员对ESAS的意见。采用结构化访谈法调查患者对ESAS的意见。
结果
入选当天的平均总ESAS评分为28.9，第3天为25.8（p=0.531）。21名工作人员中有11人认为ESAS是获得患者症状信息的“好”或“非常好”的方法。参与访谈的24名患者中有17名认为ESAS很容易填写，并且没有遗漏的问题。
结论
患者认为修改后的ESAS包含相关症状，并且问卷很容易填写。医护人员认为，经修订的“病人情绪困扰评估系统”是一个有用的工具，可用以取得病人的症状困扰资料。改良的ESAS是一个很好的工具，作为日常临床常规的一部分，以及在姑息性肿瘤治疗中监测症状。
AIM
To evaluate the feasibility of a modified Edmonton Symptom Assessment Scale (ESAS) for monitoring symptoms in oncological palliative care.
METHODS
A modified ESAS was delivered daily to 28 patients with advanced cancer. A questionnaire to discover staff members' opinions on the ESAS was delivered at the end of the study. Structured interviews were used to examine patients' opinions on the ESAS.
RESULTS
The mean total ESAS score was 28.9 on inclusion day and 25.8 on Day 3 (p=0.531). Eleven of 21 of the staff considered the ESAS to be a 'good' or 'very good' way to obtain information about patients' symptoms. Seventeen of 24 patients who participated in the interview felt that ESAS was easy to fill in, and that there were no missing questions.
CONCLUSION
The patients felt that the modified ESAS contained relevant symptoms, and that the questionnaires were easy to fill in. The staff considered the modified ESAS to be a useful instrument for obtaining information about patients' symptom distress. The modified ESAS is a good instrument for use as part of the daily clinical routine, as well as for monitoring symptoms in palliative oncological care.