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首页> 外文期刊>Journal of pain and symptom management. >How to analyze palliative care outcome data for patients in sub-Saharan Africa: An international, multicenter, factor analytic examination of the apca African pos
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How to analyze palliative care outcome data for patients in sub-Saharan Africa: An international, multicenter, factor analytic examination of the apca African pos

机译：如何分析撒哈拉以南非洲地区患者的姑息治疗结果数据：对非洲apca pos的国际多中心因素分析检查

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Context: The incidence of life-limiting progressive disease in sub-Saharan Africa presents a significant clinical and public health challenge. The ability to easily measure patient outcomes is essential to improving care. Objectives: The present study aims to determine the specific factors (if any) that underpin the African Palliative Care Association African Palliative Outcome Scale to assist the analysis of data in routine clinical care and audit. Methods: Using self-reported data collected from patients with HIV infection in eastern and southern Africa, an exploratory factor analysis was undertaken with 1337 patients; subsequently, a confirmatory analysis was done on two samples from separate data sets (n = 445). Results: Using exploratory factor analysis initially, both two- and three-factor solutions were examined and found to meet the criteria for simple structure and be readily interpretable. Then using confirmatory factor analysis on two separate samples, the three-factor solution demonstrated better fit, with Goodness-of-Fit Index values greater than 0.95 and Normative Fit Index values close to 0.90. The resulting three factors were 1) physical and psychological well-being, 2) interpersonal well-being, and 3) existential well-being. Conclusion: This analysis presents an important new opportunity in the analysis of outcome data for patients with progressive disease. It has advantages over both the total scoring of multidimensional scaling (which masks differences between domains) and of item scoring (which requires repeated analyses). The three factors map well onto the underlying concept and clinical goals of palliative care, and will enable audit of facility care.
机译：背景：在撒哈拉以南非洲，限制生命的进行性疾病的发病率对临床和公共卫生构成了重大挑战。轻松衡量患者预后的能力对于改善护理至关重要。目标：本研究旨在确定支持非洲姑息治疗协会非洲姑息治疗结果量表的特定因素（如果有），以辅助常规临床治疗和审计中的数据分析。方法：使用从东部和南部非洲的HIV感染患者收集的自我报告数据，对1337例患者进行探索性因素分析。随后，对来自不同数据集的两个样本进行了确认分析（n = 445）。结果：最初使用探索性因素分析，对两因素和三因素解决方案进行了检查，发现它们均符合结构简单且易于理解的标准。然后，使用两个独立样本的验证性因子分析，三因子溶液显示出更好的拟合度，拟合优度指数值大于0.95，标准拟合度指数值接近0.90。由此产生的三个因素是：1）身心健康，2）人际关系和3）存在性幸福。结论：该分析为进行性疾病患者的结局数据分析提供了重要的新机会。它比多维标度的总评分（掩盖域之间的差异）和项目评分（需要重复分析）都具有优势。这三个因素很好地反映了姑息治疗的基本概念和临床目标，并将能够对设施治疗进行审核。

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