摘要
目的:系统评价妇科恶性肿瘤患者性健康评估工具的方法学质量和测量属性,为医护人员选择评估工具提供依据。方法:检索中英文数据库中关于妇科恶性肿瘤患者性健康评估工具的研究,检索时限为建库至2025年3月16日。依据健康测量工具遴选指南评价纳入的评估工具,形成推荐意见。结果:共纳入20篇文献,包含11种评估工具。其中,宫颈癌生活质量特异性模块、子宫内膜癌生活质量特异性模块、宫颈癌及子宫内膜癌性生活幸福感问卷在内容效度和内部一致性方面符合条件,推荐为A级;有两种评估工具分别因内部一致性和假设检验被评为“不充分”,推荐为C级;其余6种评估工具的内容效度或内部一致性证据支持不足,被评为“不确定”或“不充分”,推荐为B级。结论:宫颈癌生活质量特异性模块和子宫内膜癌生活质量特异性模块侧重于评估生活质量;宫颈癌及子宫内膜癌性生活幸福感问卷可综合评估性健康,但能否在国内广泛应用,仍需要进一步验证。
Objective:To systematically evaluate the methodological quality and measurement properties of sexual health assessment tools for patients with gynecologic cancer,providing a basis for selecting appropriate tools for healthcare professionals.Methods:A comprehensive search was conducted in multiple databases up to March 16,2025.Tools were evaluated using the COSMIN criteria to form recommendations.Results:Twenty studies were included,covering 11 sexual health assessment tools.The Quality of Life Questionnaire Cervical Cancer Module,Quality of Life Questionnaire Endometrial Cancer Module,and Sexual Well-being after Cervical or Endometrial cancer met the criteria for content validity and internal consistency,receiving grade A recommendations.Two tools were rated as grade C due to insufficient internal consistency or hypothesis testing.The remaining six tools were rated as grade B due to limited evidence for content validity or internal consistency.Conclusion:The Quality of Life Questionnaire Cervical Cancer Module and the Quality of Life Questionnaire Endometrial Cancer Module focus on assessing quality of life,while the Sexual Well-being after Cervical or Endometrial cancer comprehensively evaluates sexual health.However,its applicability in China requires further validation.
作者
杜易梅
卢吉
刘莉
瞿佳
高杰
DU Yimei;LU Ji;LIU Li;QU Jia;GAO Jie(Nursing Department,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan,430030,China)
出处
《中国护理管理》
北大核心
2025年第5期723-728,共6页
Chinese Nursing Management
基金
2022年华中科技大学同济医学院附属同济医院基金(2022D05)。
