日本版本的MD安德森症状清单头部瘤模块:验证研究验证研究
Hiroto Sawaguchi1, Masanori Someya2, Kensei Nakata3
1School of Nursing, Sapporo City University, Sapporo, Japan.
Asia-Pacific journal of oncology nursing
|July 18, 2025
概括
日本版本的MD Anderson症状清单头瘤模块 (MDASI-HN) 是可靠和有效的,用于评估头癌患者的症状. 这种患者报告的结果测量是可行的,用于临床实践.
科学领域:
- 在瘤学瘤学.
- 患者报告的结果
- 心理测量 心理测量 心理测量
背景情况:
- 头癌 (HNC) 显著影响患者的生活质量.
- 准确的症状评估对于有效的HNC管理至关重要.
- 现有的症状清单可能需要适应不同人群的文化和语言版本.
研究的目的:
- 为了翻译和验证MD安德森的症状清单头部和部瘤模块 (MDASI-HN) 的日语.
- 评估日本版MDASI-HN对HNC患者的可靠性和有效性.
- 为日本HNC的症状监测建立一个文化适应的患者报告结果指标.
主要方法:
- 在MDASI-HN中,HNC患者接受了前向后向翻译和认知报告.
- 一项横截面研究涉及147名日本HNC患者在治疗5年内.
- 可靠性 (内部一致性,测试重复测试) 和有效性 (融合,已知组) 用统计分析进行评估,包括结构方程建模.
主要成果:
- 日本的MDASI-HN显示出一个很好的模型匹配 (CFI=0.975,RMSEA=0.059).
- 观察到高的内部一致性 (克朗巴赫α: 0.88-0.96) 和良好的测试重试可靠性 (ICC: 0.72-0.74).
- 证明了与EORTC QLQ-H&N模块的强收有效性 (r=0.79) 和显著的已知组有效性.
结论:
- 日本版本的MDASI-HN是一种可靠,有效和可行的患者报告结果测量方法.
- 这种经过验证的工具可以有效地用于日本语HNC患者的症状评估.
- 这些发现支持在临床环境中使用日本MDASI-HN来改善HNC护理.
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