Asunto(s)
Tumor Carcinoide/veterinaria , Enfermedades de los Perros/patología , Neoplasias de la Vesícula Biliar/veterinaria , Hemobilia/veterinaria , Animales , Tumor Carcinoide/complicaciones , Colestasis Extrahepática/veterinaria , Perros , Femenino , Neoplasias de la Vesícula Biliar/complicaciones , Hemobilia/patología , Hemorragia/veterinaria , Masculino , Trombosis/veterinariaAsunto(s)
Estimulación Cardíaca Artificial/veterinaria , Enfermedades de los Perros/etiología , Marcapaso Artificial/veterinaria , Medicación Preanestésica/veterinaria , Analgésicos Opioides/efectos adversos , Animales , Butorfanol/efectos adversos , Perros , Electrocardiografía/veterinaria , Hipnóticos y Sedantes/efectos adversos , Masculino , Midazolam/efectos adversos , Medicación Preanestésica/efectos adversos , Punción Espinal/veterinariaRESUMEN
The Memorial Symptom Assessment Scale (MSAS) is a new patient-rated instrument that was developed to provide multidimensional information about a diverse group of common symptoms. This study evaluated the reliability and validity of the MSAS in the cancer population. Randomly selected inpatients and outpatients (n = 246) with prostate, colon, breast or ovarian cancer were assessed using the MSAS and a battery of measures that independently evaluate phenomena related to quality of life. Symptom prevalence in the 218 evaluable patients ranged from 73.9% for lack of energy to 10.6% for difficulty swallowing. Based on a content analysis, three symptoms were deleted and two were added; the revised scale evaluates 32 physical and psychological symptoms. A factor analysis of variance yielded two factors that distinguished three major symptom groups and several subgroups. The major groups comprised psychological symptoms (PSYCH), high prevalence physical symptoms (PHYS H), and low prevalence physical symptoms (PHYS L). Internal consistency was high in the PHYS H and PSYCH groups (Cronback alpha coefficients of 0.88 and 0.83, respectively), and moderate in the PHYS L group (alpha = 0.58). Although the severity, frequency and distress dimensions were highly intercorrelated, canonical correlations and other analyses demonstrated that multidimensional assessment (frequency and distress) augments information about the impact of symptoms. High correlations with clinical status and quality of life measures support the validity of the MSAS and indicate the utility of several subscale scores, including PSYCH, PHYS, and a brief Global Distress Index. The MSAS is a reliable and valid instrument for the assessment of symptom prevalence, characteristics and distress. It provides a method for comprehensive symptom assessment that may be useful when information about symptoms is desirable, such as clinical trials that incorporate quality of life measures or studies of symptom epidemiology.
Asunto(s)
Neoplasias/complicaciones , Calidad de Vida , Índice de Severidad de la Enfermedad , Adulto , Anciano , Anciano de 80 o más Años , Análisis de Varianza , Femenino , Humanos , Estado de Ejecución de Karnofsky , Masculino , Persona de Mediana Edad , Dimensión del Dolor , Prevalencia , Reproducibilidad de los Resultados , Estrés PsicológicoRESUMEN
The relationship between nonenvironment-caused falls and drug use was evaluated in an intermediate care facility over a 14-month period. The medical problems and selected drug use of 45 patients who had fallen were retrospectively compared with those of a matched control population of 30 patients who had not fallen during this same period. Antihypertensives, diuretics, tranquilizers, sedative/hypnotics, antidepressants, and antianginal agents were reviewed for all patients. The use of diuretics, specifically furosemide, and sedative/hypnotics was significantly greater in the population who had fallen. Observations of dizziness, confusion, insomnia, and ataxia were recorded more frequently in that group, as well. Closer monitoring of medications, especially in specific drug classes, may help prevent accidental falls in this type of institution.