pos量表在恶性肿瘤姑息治疗评价中的临床应用及研究现状

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1、授予单位代码10089学号或申请号10010010059中国图书分类号R73HebeiMedicalUniversity硕士学位论文专业学位POS量表在恶性肿瘤姑息治疗评价中的临床应用及研究现状研究生：李厚伸导师：刘巍教授专业：肿瘤学二级学院：第四医院2018年3月目录中文摘要········································································································1英文摘要··

2、······································································································4英文缩写········································································································3综述POS量表在恶性肿瘤姑息治疗评价中的临床应用及研究现状·······4附

3、录·······································································································22致谢········································································································27个人简历································

4、································································28中文摘要POS量表在恶性肿瘤姑息治疗评价中的临床应用及研究现状摘要目前肿瘤治疗已经进入精准治疗时代，更加强调关注肿瘤本身的同时，关注患者及家属的生活质量。患者报告结局（PRO）的评定能够准确的反映出患者本身对自身状况的认识和治疗有效性的满意程度，因此被广泛的应用于肿瘤姑息治疗的评价。姑息治疗结果评定量表（POS）作为一组PRO的测量工具现已在世界各地推广，应于评价患

5、者的身体、心理、社会、灵性、信息和支持等需求，在临床上也用作筛查工具或患者健康状况变化的监测工具。随着POS量表的科学研究与应用推广，现已经发展为POS量表家族，为医务工作者提供重要的临床参考，体现出其良好的严谨性、科学性及人文性。当前临床上，POS量表主要应用在恶性肿瘤患者症状筛查与评估、促进医患沟通等方面。科研上，POS量表主要应用在以其作为标准量表，开发新量表方面。尽管由于现有研究样本量相对不足、研究设计缺陷等因素，相关研究中仍存在一些问题，但无疑POS量表是有意义的测量工具。故本文针对P

6、OS量表在恶性肿瘤姑息治疗评价中的临床应用及研究现状作一综述，旨在期待未来POS量表家族能够应用于我国的临床实践中，更有效地发挥其对评价患者及家属生活质量、医疗护理质量等方面的重要意义，为提升我国姑息治疗水平做出卓有成效的积极贡献。关键词：姑息治疗结果评定量表，姑息治疗，恶性肿瘤，临床应用，研究现状1英文摘要ClinicalImplementationandResearchStatusofPOSinPalliativeCareofMalignantCancerABSTRACTAtpresent,

7、cancertherapyhasenteredtheeraofprecisiontreatment,andmoreattentionhasbeenpaidtothecanceritselfaswellasthequalityoflifeofpatientsandtheirfamilymembers.Theevaluationofthepatient-reportedoutcome(PRO)canaccuratelyreflectthepatients'understandingoftheirow

8、nstatus,thedegreeofsatisfactionandtheeffectivenessofthetreatment.Therefore,itiswidelyusedintheevaluationofthepalliativecareoutcomes.PalliativecareOutcomeScale(POS),asoneofthePROmeasurementtools,hasbeenpopularizedallovertheworld.Itisusedtoevaluatethep