ASSESSMENT OF QUALITY-OF-LIFE IN HEAD AND NECK-CANCER PATIENTS
ASSESSMENT OF QUALITY-OF-LIFE IN HEAD AND NECK-CANCER PATIENTS
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DOI：
10.1002/hed.2880150603
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发表时间：
1993-11-01
影响因子：
2.9
通讯作者：
WEYMULLER, EA
中科院分区：
文献类型：
--
作者：
HASSAN, SJ;WEYMULLER, EA
选择75例连续患者进行疾病特异性生活质量问卷（UW QOL）评估。新的测试进行了比较，两个既定的平等的生活评价工具，卡诺夫斯基规模和疾病的影响概况（SIP）。每项测试在三个不同的场合进行：（1）术前几天;（2）术后即刻;（3）术后3个月。SIP是一份详细的调查问卷，对变化非常敏感。然而，由于它的长度，SIP是低效和昂贵的管理，和病人的不依从性往往是一个问题。与SIP相比，97%的患者更喜欢UW QOL量表，因为它更简洁，更容易完成。有效性：有效性表示所研究的测试测量其预期测量内容的能力。使用SIP作为金标准，UW QOL量表的平均标准效度为0.849，而Karnofsky平均标准效度为0.826。可靠性：可靠性是对数据可重复性的衡量。UW QOL问卷的可靠性系数得分>0.90，Karnofsky量表为0.80，SIP量表为0.87。反应性：反应性是测试测量临床变化的能力。UW QOL量表在检测变化方面优于Karnofsky和SIP量表。在有效性和可靠性测试中，UW QOL量表与Karnofsky和SIP量表相当。它是97%的患者的首选测试形式，并对临床变化提供了最大的响应。(C)John Wiley & Sons，Inc.
Seventy-five consecutive patients were selected to evaluate a disease-specific quality-of-life questionnaire (UW QOL). The new test was compared to two established equality of life evaluation tools, the Karnofsky scale and the Sickness impact Profile (SIP). Each test was administered on three separate occasions: (1) several days preoperatively; (2) immediately postoperatively; and (3) 3 months postoperatively.The Karnofsky scale is relatively crude and lacks the ability to measure subtle changes. The SIP is a detailed questionnaire that is quite sensitive to change. However, due to its length, the SIP is inefficient and expensive to administer, and patient noncompliance is often a problem.The three questionnaires were compared according to the following factors: Acceptability. 97% of the patients favored the UW QOL scale compared with the SIP because it was more concise and easier to complete. Validity: Validity indicates the ability of the test under investigation to measure what it was intended to measure. Using the SIP as a gold standard, the UW QOL scale demonstrated an average criterion validity of 0.849, whereas the Karnofsky average criterion validity was 0.826. Reliability: Reliability is a measurement of the reproducibility of the data. The UW QOL questionnaire scored >0.90 on reliability coefficients versus 0.80 for the Karnofsky and 0.87 for the SIP scale. Responsiveness: Responsiveness is the ability of the test to measure clinical change. The UW QOL scale faired better than the Karnofsky and the SIP scale in detecting change.The UW QOL scale is comparable to the Karnofsky and SIP scales when tested for validity and reliability. It was the preferred test format of 97% of patients and provided the greatest responsiveness to clinical change. (C) 1993 John Wiley & Sons, Inc.