Care Evaluation Scale-Patient Version: Measuring the Quality of the Structure and Process of Palliative Care From the Patient's Perspective
Care Evaluation Scale-Patient Version: Measuring the Quality of the Structure and Process of Palliative Care From the Patient's Perspective
复制标题
DOI：
10.1016/j.jpainsymman.2013.08.019
复制
发表时间：
2014-07-01
影响因子：
4.7
通讯作者：
Shima, Yasuo
中科院分区：
文献类型：
--
作者：
Miyashita, Mitsunori;Wada, Makoto;Shima, Yasuo
上下文。最近，患者报告的结果受到了更多的重视。然而，从患者的角度来评价护理质量的方法很少。报告从患者角度衡量姑息治疗结构和过程质量的量表的研制情况，并检验该量表的信度和效度。对2007年8月至2008年3月期间在肿瘤住院病房接受治疗的癌症患者、前往崎玉医科大学国际医学中心肿瘤门诊就诊的癌症患者或在日本住院姑息病房接受治疗的癌症患者进行横断面匿名问卷调查。共有405名癌症患者参与了这项研究。因子分析表明，护理评估量表-患者版(CES-P)由23个条目组成，包括8个子量表：医生的身体护理、护士的身体护理、心理存在护理、帮助患者决策、环境、成本、可用性和协调/一致性。CES-P总分与满意度呈正相关(r=0.63)，与生活质量无相关性(r=0.18)。总分的Cronbachα系数为0.97，总分的组内相关系数为0.67。CES-P总分与自报的东部合作肿瘤组的表现状态无显著相关性(Rho=-0.05)。CES-P具有足够的信度和效度。此外，该量表与患者的一般身体状况无关。(C)2014年美国癌症疼痛缓解委员会。爱思唯尔公司出版，版权所有。
Context. Recently, greater emphasis has been placed on patient-reported outcomes. However, there are only a few measures to evaluate the quality of care from the patient's perspective.Objectives. To report the development of a scale to measure the quality of the structure and process in palliative care from the patient's perspective and examine the reliability and validity of the scale.Methods. A cross-sectional anonymous questionnaire was administered to cancer patients who were being treated on an oncology inpatient ward, who visited an oncology outpatient clinic at Saitama Medical University International Medical Center, or who were in an inpatient palliative unit in Japan between August 2007 and March 2008.Results. A total of 405 cancer patients participated in the study. Factor analysis revealed that the Care Evaluation Scale-Patient version (CES-P) consisted of 23 items with eight subscales: physical care by physicians, physical care by nurses, psychoexistential care, help with decision making for patients, environment, cost, availability, and coordination/consistency. The total CES-P score was correlated with satisfaction (r = 0.63) but not with quality of life (r = 0.18). The Cronbach a coefficient of the total score was 0.97, and the intraclass correlation coefficient of the total score was 0.67. The CES-P total score was not significantly correlated with the self-reported Eastern Cooperative Oncology Group performance status (rho = -0.05).Conclusion. The CES-P has sufficient validity and reliability. In addition, this scale is independent of the general physical condition of the patient. (C) 2014 U. S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.