在儿科瘤学中,儿童护理人员的症状和功能报告之间存在一致和不一致
Meaghann S Weaver1,2, Jichuan Wang3, Bryce B Reeve4,5
1Department of Pediatrics, University of Nebraska, Omaha, NE, USA.
Pediatric blood & cancer
|October 13, 2023
概括
护理人员经常误解儿童的癌症治疗症状. 这项研究量化了儿童护理人员对症状报告的同意,揭示了三个不同的一致类,以指导临床解释.
科学领域:
- 儿科瘤学 儿科瘤学
- 患者报告的结果
- 临床研究 临床研究
背景情况:
- 患者报告结果 (PRO) 越来越多地用于儿科瘤学研究和实践.
- 了解儿童和护理人员症状报告之间的差异至关重要,但未得到充分估计.
研究的目的:
- 量化患有癌症的儿童和他们的护理人员在症状和功能报告上的协议.
- 通过使用已确定的最小重要差异 (MID) 值来分析协议模式.
主要方法:
- 匹配的儿童护理人员二位数 (n=430) 完成了PROMIS儿科测量.
- 使用MID (3分) 评估了协议.
- 隐性类分析 (LCA) 确定了儿童护理人员一致性的模式.
主要成果:
- 确定了三类一致性:在1MID (200个二) 内的一致性,护理人员低估 (47个二) 和护理人员高估 (183个二).
- 显著比例的双显示护理人员高估了症状.
结论:
- 癌症儿童和护理人员之间症状报告的差异是常见的和可量化的.
- 临床医生应该考虑这些差异的方向和程度,以更好地了解家庭对治疗影响的看法.
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