肿瘤常见症状调查及信度分析

【作者】 李萍萍； 赵翌； 王欣；

【机构】 北京大学临床肿瘤学院中西医结合科；

【摘要】 目的:通过对肿瘤常见症状的调查,了解肿瘤常见症状的分布和治疗需求,并对调查问卷进行信度分析。方法: 使用美国M．D Anderson癌症研究中心制定的MDASI症状评估量表,在此基础上增加10项中医常见条目,对四家医院的340例病人进行症状及中西医结合治疗需求的调查。使用 SPSS及Excel软件进行统计学分析,同时用同质性系数 cronbach Alpha检验对自评量表进行一致性信度检测。结果:肿瘤常见症状发生频率较高的前5项症状依次为疲乏89． 4％、睡眠不安74．4％、口干72．9％、胃口差72．9％、健忘71． 2％。患者不适症状对工作、情绪、一般活动的影响分别为89． 7％、82．6％、78．6％,严重影响了患者的生活质量。在治疗需求中希望用中医整体调节的占80％,几乎100％的患者希望了解中西医结合治疗肿瘤和康复知识。MDASI-中医23项症状条目信度检测结果:Cronbach Alpha值为0．9,原MDASI 问卷Alpha值为0．862,所增10项中医症状条目Alpha值为 0．781,说明MDASI-中医症状评估量表有较高的信度。结论:肿瘤常见症状疲乏、睡眠不安、口干、胃口差、健忘等, 严重影响了患者的生活质量。希望用中医整体调节在患者中有很大的需求。MDASI-中医症状评估量表有较高的信度, 可作为探索中医症状量化研究的工具。更多还原

【Abstract】 Objective: Through symptom survey in cancer patients to find out the symptom distribution and patients treatment require. Also validate set of symptom items that are most commonly used in Traditional Chinese Medicine (TCM). Methods: Use M.D.Anderson Symptom Assessment Inventory (MDASI) that previously validated Chinese version. Add 10 TCM items. We also asked the questions about using TCM request in cancer care. A multi center cross-sectional study using a convenience sample of 340 patients were conducted in 3 hospitals in Beijing and Dalian. Statistical use SPSS and Excel software. Self evaluate questioner with Cronbach Alpha score. Results: The most severe symptoms were fatigue 89.4%, sleeping disturbance 74.4%, moth drier 72.9%, and poor appetite 72.9%, forgotten 71.2%. The influence of cancer symptoms to work, mood and activity were 89.7%, 82.6%, 78.6% separately. The quality of life was affected severely. 80% patients want to regulate the body with TCM. Almost 100% patients hope to know the knowledge of integrated TCM and westerm medicine, and the effect of TCM treatment cancer and health recover. Cronbach Alpha score indicated acceptable internal consistency both the MDASI and TCM items, 0.86 for MDASI, 0.78 for TCM, 0.9 for MDASI-TCM 23 items. Conclusion: Fatigue, sleep disturbance, moth drier, poor appetite and forgotten are more severe symptoms in our cancer patient survey. Greatly affect the quality of life of patients. There are an extremely request that TCM holism regulation in cancer patients. The MDASI and its TCM model could a critical tool to measure the effectiveness of TCM in cancer symptom management.更多还原