中文版姑息性表现量表在癌症晚期患者中的应用研究

陈 思¹, 杨 小仙¹, 杨 梦雪¹, 潘 生强¹, 顾 乐盈¹, 俞 玮¹, 吴 心雨¹, 张伟 *2²
1、1.无锡太湖学院健康与护理学院 江苏无锡 214063
2、2.江苏大学医学院护理学专业 江苏镇江 212013

摘要

目的：分析中文版姑息性表现量表（Palliative Performance Scale，PPS）评分与癌症晚期患者生存期的关系，为我国临终患者的生存期
预测提供一个较为便捷的工具。方法 采用 PPS 对无锡市某三甲医院肿瘤病房接受治疗的 190 例癌症晚期患者进行评分；采用 Cox 回归模型
用于多因素分析患者年龄、性别及 PPS 评分对生存期的影响。结果 COX 回归分析显示 PPS 评分、年龄、性别为晚期癌症患者死亡风险的独
立影响因素。控制性别和 PPS 评分的影响，年龄越小死亡风险越高；控制年龄和 PPS 评分的影响，男性的死亡风险是女性的 1.523 倍；在
控制年龄和性别的影响，PPS 评分越低死亡风险越高,P 值均＜0.05。结论 不同 PPS 分值是癌症晚期患者生存期的影响因素之一。

关键词

癌症晚期患者；生存期预测；中文版姑息性表现量表；信度；效度

参考

[1] 孙冬冬.基于多模态数据融合的乳腺癌生存期预测研究[D].

中国科学技术大学, 2018.

[2] Anderson FG, Downing GM, Hill JYC, et al.Palliative

Performance Scale (PPS): A new tool[J].Journal of Palliative Care, 1996,

12(1): 5-11.

[3] Virik K, Glare P. Validation of the Palliative Performance

Scale for Inpatients Admitted to a Palliative Care Unit in Sydney,

Australia[J]. J Pain Symptom Manage 2002. 23: 455–456.

[4] Ho F, Lau F, Downing MG, et al., A reliability and validity

study of the Palliative Performance Scale[J]. Bmc Palliative Care, 2008.

7(1): 1-10.

[5] Harrold J, Rickerson E, Carroll JT, et al. Is the Palliative

Performance Scale a Useful Predictor of Mortality in a Heterogeneous

Hospice Population?[J]. Journal of Palliative Medicine, 2005. 8(3):

503-509.

[6] Oh JH, Lee YJ, Seo MS, et al, Change in Palliative

Performance Scale (PPS) Predicts Survival in Patients with Terminal

Cancer[J]. 2017.

[7] Barallat E, Nabal M, Canal J, et al. The Spanish adaptation of

the Palliative Performance Scale (version 2) among cancer patients at

the end of life: Psychometric Properties[J]. Journal of Pain & Symptom

Management, 2017: S0885392417302774.

[8] Hunsa SS, Laddawan, Busyamas. Translation of the Palliative

Performance Scale (PPSv2) to Thai language (non-validated).

Collaboration with M Downing[J]. Victoria BC Canada: Chiang Mai

Hospital, Thailand, 2008.

[9] Abdelhafeez AAM, Makady NF, Hafez O,et al. Reliability and

validity of the Arabic translation of the palliative performance scale[J].

Palliat Support Care, 2019, 15.

[10] Dawon , Baik , David, et al., Using the Palliative Performance

Scale to Estimate Survival for Patients at the End of Life: A Systematic

Review of the Literature[J]. Journal of Palliative Medicine, 2018.

[11] 梅花.临床护士患者安全培训内容体系的研究[D].第二军医

大学, 2012.

[12] Rades, Dirk, Schild, et al. Karnosky Performance Score and

Radiation Dose Predict Survival of Patients Re-irradiated for a

Locoregional Recurrence of Small Cell Lung Cancer[J]. Anticancer

Research International Journal of Cancer Research & Treatment, 2016,

36(2): 803-805.

[13] 张文彤,董伟. SPSS统计分析高级教程[M].高等教育出版社,

2013.

[14] Dowming GM, Lesperance M, Shaw J, et al., Use of Palliative

Performance Scale in End-of-Life Prognostication[J]. Journal of

Palliative Medicine, 2006. 9(5): 1066.

[15] Weng LC, Huang HL, Wilkie DJ, et al. Predicting Survival with

the Palliative Performance Scale in a Minority-Serving Hospice and

Palliative Care Program[J]. Journal of Pain & Symptom Management,

2009. 37(4): 642-648.

[16] Harris PS, Tapati Stalam BA, Kevin A, et al. Can Hospices

Predict which Patients Will Die within Six Months?[J]. Journal of

Palliative Medicine, 2014. 17(8): 894-898.

[17] 杜帅樊. “优雅”的死亡[J]. 中国医学人文, 2016, 2(8):

58-60.

[18] 赵舞阳.基于姑息预后指数（PPI）的晚期胃癌患者的生存

分析[D].辽宁:中国医科大学, 2018.

作者简介：陈思（1994.6-）女，汉族，硕士研究生，助理实验

师，从事护理教育