为低资源环境中的癌症患者开发和验证息护理需求评估工具 (P-NAT)
Hirimbura Mathara Kankanamge Shermi Dilshara Jayasumana1, Dellabada Batawalage Dulani Lakmali Samaranayake2, Suraj Nimalsiri Perera3
1East and North Hertfordshire NHS Trust, Stevenage, UK.
Journal of palliative care
|March 17, 2026
概括
息治疗需求评估工具 (P-NAT) 是一种新的,经过验证的工具,用于评估癌症患者的息治疗需求. 这种可靠的工具有助于提供及时和适当的支持性护理,以改善生活质量.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 癌症发病率不断上升,需要改善患者和家属的息治疗 (PC).
- 对PC需求的系统评估对于有效的服务提供至关重要.
- 现有的工具可能无法全面捕捉需要PC的癌症患者的多方面的需求.
研究的目的:
- 开发和验证息治疗需求评估工具 (P-NAT).
- 创建一个可靠和有效的工具来识别癌症患者的PC需求.
- 促进在各种环境中全面评估PC需求.
主要方法:
- 混合方法的顺序探索设计.
- 仪器开发涉及项目生成,减少,翻译 (辛哈拉语/英语) 和验证阶段.
- 统计分析包括探索性因素分析 (EFA),确认性因素分析 (CFA),可靠性 (Cronbach α,Spearman r) 和融合有效性评估.
主要成果:
- 在8个因素中,P-NAT最终确定了45个项目,证明了很好的模型匹配 (RMSEA=0.068,CFI=0.96).
- 该工具表现出高的内部一致性 (克朗巴赫α=0.919) 和测试-重新测试可靠性 (斯皮尔曼r=0.986).
- 收有效性得到了与EORTC QLQ-C30 (r=0.668) 的显著相关性的支持.
结论:
- 息护理需求评估工具 (P-NAT) 是用于评估息护理需求的心理测量工具.
- 建议P-NAT用于快速全面评估癌症患者的息护理需求.
- 该工具适用于医院和社区医疗保健机构.
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