心力衰竭患者症状评估工具的系统评价
Systematic Review of Symptom Assessment Tools for Patients with Heart Failure
背景??国内外用于心力衰竭患者症状评估的工具较多，但由于此类工具质量的标准化评价研究较为缺乏，为工具的选择带来了困难。目的 ?评价心力衰竭患者症状评估工具的测量属性及研究的方法学质量，为相关人员选择症状评估工具提供参考依据。方法 ?检索PubMed、Embase、中国知网等中英文数据库，获取建库至2023-07-30关于心力衰竭患者症状评估工具测量属性评价的研究。采用健康测量工具选择的共识标准（COSMIN）指南，对纳入的评估工具进行系统评价，形成推荐意见。结果 ?共纳入11项研究进行质量评价，包括8种心力衰竭患者症状评估工具：中文版Memorial心力衰竭症状评估量表（MSAS-HF）、躯体感知量表（HF-SPS）、安德森心力衰竭症状量表（MDASI-HF）、心力衰竭-症状状况问卷（SSQ-HF）、心力衰竭呼吸急促量表（SOB-HF）、明尼苏达心力衰竭生活问卷（MLHFQ）、慢性心力衰竭评估工具（CHAT）、堪萨斯城心肌病问卷（KCCQ）。就量表的测量属性而言，中文版MSAS-HF、MDASI-HF、MLHFQ和KCCQ的内容效度为“充分”，HF-SPS、SSQ-HF和SOB-HF的内容效度为“不确定”；CHAT的内容效度为“不充分”。最后，中文版MSAS-HF和MLHFQ为A级推荐，其余6个量表均为B级推荐。结论 ?中文版MSAS-HF和MLHFQ具有较高的证据等级，考虑评估工具特异性，可推荐中文版MSAS-HF应用于心力衰竭患者的症状评估。
Background??There are many tools for symptom assessment of patients with heart failurebut there is a lack of standardized evaluation studies on the quality of such toolswhich brings difficulties to the selection of tools. Objective ?To evaluate the Measurement Property and methodological quality of symptom assessment tools in patients with heart failureand to provide reference for relevant personnel to choose symptom assessment tools. Methods??The Chinese and English databases such as PubMedEmBaseand CNKI were searched for relevant studies from the date of library construction to July 302023.TheConsensus-based Standards for the Selection of Health Measurement InstrumentsCOSMIN guideline was employed to evaluate the scale and form recommendations. Results??Eleven studies were included for quality assessmentincluding eight tools for assessing symptoms in patients with heart failureChinese version of Memorial Symptom Assessment Scale Heart FailureMSAS-HFHeart Failure Somatic Perception ScaleHF-SPSM.D.Anderson Symptom Inventory Heart FailureMDASI-HFSymptom Status Questionnaire Heart FailureSSQ-HFShortness of Breath in Heart Failure InstrumentSOB-HFMinnesota Living with Heart Failure QuestionnaireMLHFQChronic Heart Failure Assessment ToolCHATand Kansas City Cardiomyopathy QuestionnaireKCCQ. Regarding the measurement propertyscales such as Chinese version of MSAS-HFMDASI-HFMLHFQand KCCQ were demonstrated a “sufficient” level of content validity. ConverselyHF-SPSSSQ-HFand SOB-HF were exhibited an “uncertain” level of content validitywhile CHAT was categorized as having “insufficient” content validity. FinallyChinese version of MSAS-HF and MLHFQ were recommended as level Aand the other six scales were recommended as level B. Conclusion ?Certainlyboth Chinese version of MSAS-HF and MLHFQ demonstrate a remarkable level of reliability. Considering the distinct attributes of assessment toolsit is highly advisable to utilize Chinese version of MSAS-HF for the purpose of symptom assessment in patients suffering from heart failure.
李晶晶、张爽琦、王宇、郑改改、杨巧芳、刘艳存
10.12114/j.issn.1007-9572.2023.0786
内科学医学研究方法
心力衰竭症状评估测量属性OSMIN 指南系统评价
李晶晶,张爽琦,王宇,郑改改,杨巧芳,刘艳存.心力衰竭患者症状评估工具的系统评价[EB/OL].(2024-01-24)[2025-08-02].https://chinaxiv.org/abs/202401.00258.点此复制
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