Page 28 - 中国全科医学2022-04

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platform，Whipple Journal full-text database，Chinese Biomedical Literature database，PubMed，EmBase，Web of Science
and CINAHL Complete Database were retrieved to collect the Chinese version of the universal supportive care needs scale for cancer
patients from the time of database establishment to March 30，2021. After 2 researchers independently screened the literature and
extracted the data，the guidelines were systematically reviewed using the selection criteria for health measurement tools. Based on
the evaluation of the measurement characteristics of the scale and the methodological quality of the research，the level of evidence
for the measurement characteristics of the Chinese version of the supportive care needs assessment scale for cancer patients were
comprehensively evaluated. All available studies were qualitatively summarised to formulate recommendations. Results A total of 15
studies were included，involving 8 Chinese version of the supportive care needs assessment scale for cancer patients〔the 34-item
Short Form Supportive Care Needs Survey（SCNS-SF34），Supportive Care Needs Survey Screening Tool Chinese version（SCNS-
ST9-C），Comprehensive Needs Assessment Tool in Cancer for Patients（CNAT），Career Needs Questionnaires-Short Form
（CNQ-SF），Chinese Cancer Survivor's Unmet Needs（CaSUN-C），the Short-Form Survivor Unmet Needs Survey（SF-SUNS），
Advanced Cancer Patient Needs Questionnaire（ACNQ-41），short version of Advanced Cancer Patient Needs Questionnaire
（ACNQ-29）〕. In terms of content validity，except that the overall rating of ACNQ-29 was evaluated as "not mentioned"，the
overall rating of the other seven scales was evaluated as "uncertain"；In terms of structural validity，except that the overall rating
of CaSUN-C、SF-SUNS was rated as "sufficient"，the overall rating of the other six scales was rated as "uncertain"；In terms of
internal consistency，the overall rating of SCNS-SF34、CNQ-SF、CaSUN-C、SF-SUNS was assessed as "sufficient"，the overall
rating of ACNQ-41 was assessed as "insufficient"，and the overall rating of the other three scales was assessed as "uncertain"；
In terms of cross-cultural validity，only the overall rating of SCNS-SF34 was rated as "sufficient"，and the overall rating of the
other seven scales was rated as "not mentioned"；In terms of stability，except that the overall rating of ACNQ-41 was evaluated as
"insufficient" and the overall rating of SCNS-ST9-C、ACNQ-29 was rated as "not mentioned"，the overall rating of the other five
scales was evaluated as "sufficient"；In terms of hypothesis testing，the overall rating of three scales was assessed as "not mentioned"
（CNAT、CNQ-SF、ACNQ-29）and "uncertain"（CaSUN-C、SF-SUNS、ACNQ-41），respectively，and the overall rating
of SCNS-SF34、SCNS-ST9-C was assessed as "sufficient". The recommended rating of eight scales was grade B. Conclusion
SCNS-SF34 is the scale with the most comprehensive measurement characteristics with good reliability and validity and high clinical
application feasibility，which can be temporarily recommended for use，but it needs further testing.
【Key words】 Supportive care；Cancer patients；Needs assessment；Measurement properties；Assessment
instruments；COSMIN guideline

支持性照护需求的概念由 FITCH ［1］ 正式提出。支 用于评价患者自我报告结局工具（PROMs）的性能及
持性照护需求是指除治疗性干预措施外，癌症患者可能 研究的质量，旨在为研究者和医务工作者选择合适的
需要的各种帮助，可分为生理需求、日常生活需求、 PROMs 提供依据 ［7］ ，现已成为澳大利亚乔安娜布里格
情感需求、心理需求、精神需求、信息需求及社会需 斯研究所（JBI）PROMs 测量属性系统评价制作的推荐
求7类 ［2］ 。上述需求反映了癌症患者在治疗与康复过 工具 ［8］ 。本研究采用 COSMIN 指南，在对中文版癌症
程中对自身内部环境和外部生活条件的要求，其测量主 患者支持性照护需求量表的测量特性及研究的方法学质
要采用自我报告的方法 ［3-4］ 。癌症患者在治疗与康复 量进行评价的基础上，综合评定中文版癌症患者支持性
过程中常面临诸多压力，并承受着巨大的身心痛苦。研 照护需求评估量表各测量特性的证据等级，并形成对于
究发现，当支持性照护需求未被满足时，癌症患者对 量表的最终推荐意见，旨在筛选出高质量的癌症患者支
疾病的应对能力将会下降，其精神、心理负担亦会明 持性照护需求评估量表，并为其在临床的深度应用与推
显加重，进而会对其生活质量和疾病预后产生不利影 广提供循证依据。
响 ［5］ 。定期评估癌症患者的支持性照护需求情况并为 1 资料与方法
其提供合适的帮助、支持，不仅有助于使其积极配合治 1.1 纳入与排除标准 纳入标准：（1）研究对象为癌
疗，还有利于促进其身心康复，提高其生存质量 ［6］ 。 症患者；（2）研究内容涉及支持性照护需求量表测量
目前，我国可用于评估癌症患者支持性照护需求的量表 学性能评价；（3）研究中至少对量表的 1 项测量学特
较多，但尚不确定这些量表在应用于临床时是否具有良 性进行了评价；（4）能获取全文的中、英文研究。排
好的测量性能，也少有研究者对此类量表的测量特性进 除标准：（1）运用量表来采集调查对象资料的调查性
行系统的评价。健康测量工具遴选标准（COSMIN）指 研究；（2）为量表的预试验或应用现状研究；（3）所
南由多个国家的心理测量学专家共同起草、修订，可 评价的量表仅能用于测量某一特定支持性照护需求的水