頁籤選單縮合
題 名 | 白血病兒童修正版症狀評估量表之信效度=Reliability and Validity of Adapted Symptom Assessment Scale for Children with Leukemia |
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作 者 | 邱淑娥; 駱麗華; 戴臆珊; | 書刊名 | 腫瘤護理雜誌 |
卷 期 | 5:1 2005.06[民94.06] |
頁 次 | 頁1-14 |
分類號 | 419.77 |
關鍵詞 | 血清前白蛋白; 住院; 白血病; 修正版症狀評估量表; Pre-albumin; Children with leukemia; Hospitalization; Adapted symptom assessment scale; |
語 文 | 中文(Chinese) |
中文摘要 | 營養不良會增加癌症病童感染的機會,各種人體測量方法均未能及時反映病人短期間營養的改變,在臨床評估癌症兒童營養狀態的生化指標有執行的限制,而每天的主、客觀症狀的改變或可作為營養狀態評估之依據。本研究目的爲建立癌症兒童修正版症狀評估量表之信效度,作爲癌症兒童住院期間之營養評估工具。研究者於二年期間共收集22位住院接受化療之白血病病童住院期間之血清前白蛋白質與每日症狀評估量表得分。以癌症病童入院日、每隔七天及出院日之血清前白蛋白值爲效標。血清前白蛋白值檢驗日及前二天之修正版症狀評估量表之平均得分爲主要測量值。以Spearman's rho correlation檢定研究假設,結果發現住院第15天病童之血清前白蛋白值與血清前白蛋白值檢驗日及前二天之修正版症狀評估量表之平均得分具統計學上顯著正相關(r=.714, p=.004),相關係數檢力爲.86,建立修正版症狀評估量表之效標關聯效度。測量者間信度之組間相關係數(ICC)爲.91,且六個症狀中每一個症狀測量者間信度之組間相關係數(ICC)均為.80以上,因此,修正版症狀評估量表是一個具有信效度之營養評估工具,可提供照顧兒童癌症之臨床護理人員使用。修正版症狀評估量表得分是住院接受化療白血病病童的營養指標。 |
英文摘要 | Malnutrition is a major complication of malignant diseases. Anthropometrical methods often reflect past rather than current nutritional status. Biochemical laboratory measures have limited clinical feasibility as indicators of nutritional status in children. Daily changes of clinical symptoms are usually relied upon to assess nutritional status. The purpose of the study was to develop the reliability and validity of Adapted Symptom Assessment Scale (ASAS) among hospitalized children with leukemia undergoing cancer chemotherapy. Twenty-two consecutive subjects were recruited during two-year period. The average length of stay was 25.9 days (range: 10~57). Mean age of the group was seven years old. The level of pre-albumin on each patient was assessed at admission, every seven days during hospitalization, and at discharge. ASAS score in each subject was assessed every morning during hospitalization. The average ASAS score was defined as the average of three continuous ASAS scores (the two-day before and on the day of pre-albumin measurement). The result of Spearman's rho correlation coefficient indicated that pre-albumin level among hospitalized children with leukemia on hospital day 15 was correlated with average ASAS score, (r=.714, p=.004), and power was .86. The inter-rater reliability of ASAS calculated by intra-class correlation (ICC) was measured every month by two research assistants. The findings indicated the intra-class correlation coefficient of total score on ASAS was .91 between two research assistants. Inter-rater reliabilities of each symptom on ASAS were more than .80. ASAS is a valid and reliable instrument to assess the nutritional status among hospitalized children with leukemia. |
本系統中英文摘要資訊取自各篇刊載內容。