ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (2): 223-230.doi: 10.3761/j.issn.2096-7446.2026.02.017

• 证据综合研究 • 上一篇    下一篇

血栓后综合征患者结局自我报告工具的系统评价

张莉莉1(), 张焱2, 王方方2, 黄丽华1,*(), 尹慧芳3   

  1. 1.浙江大学医学院附属第一医院护理部 杭州市 311100
    2.浙江大学医学院附属第一医院产科 杭州市 311100
    3.浙江大学医学院附属第一医院内镜中心 杭州市 311100
  • 收稿日期:2025-02-24 出版日期:2026-02-10 发布日期:2026-02-02
  • 通讯作者: 黄丽华 E-mail:1709103@zju.edu.cn;lihuahuang818@zju.edu.cn
  • 作者简介:张莉莉：女，本科（硕士在读），副主任护师，副护士长，E-mail：1709103@zju.edu.cn
  • 基金资助:
    浙江省医药卫生科技项目(2022KY157)

Patient-reported outcome measures for patients with post-thrombotic syndrome：a systematic review

ZHANG Lili1(), ZHANG Yan2, WANG Fangfang2, HUANG Lihua1,*(), YIN Huifang3   

  1. 1. Department of Nursing， the First Affiliated Hospital，College of Medicine，Zhejiang University， Hangzhou 311100， China
    2. Department of Obstetrics， the First Affiliated Hospital，College of Medicine，Zhejiang University， Hangzhou 311100， China
    3. Endoscopy Center， the First Affiliated Hospital，College of Medicine，Zhejiang University， Hangzhou 311100， China
  • Received:2025-02-24 Online:2026-02-10 Published:2026-02-02
  • Contact: HUANG Lihua E-mail:1709103@zju.edu.cn;lihuahuang818@zju.edu.cn
  • Supported by:
    Zhejiang Provincial Medical and Health Science and Technology Project(2022KY157)

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摘要：

目的 评估血栓后综合征患者自我报告工具的测量性能，为临床评估工具的选择提供依据。方法 检索Embase、Medline、Springer Link、Web of Science、PubMed、维普数据库、万方数据库、中国知网等数据库中关于血栓后综合征患者自我报告工具的原始研究，检索时限为建库至2024年12月10日。由2名研究人员独立筛选文献并提取相关资料，基于选择健康测量工具的统一标准（consensus-based standards for the selection of health measurement ins-truments，COSMIN）对评估工具进行评价，若出现分歧，由第3名研究人员决定。结果 共纳入10个评估工具，所有评估工具均存在不同程度的方法学问题。根据COSMIN指南，静脉功能不全生活质量/症状问卷（VEINES-the quality of life/symptom，VEINES-QOL/Sym）和患者报告Villalta量表第2版（the Patient Reported Villalta Scale Version 2，Villalta-PVR2）为A类评估工具，其余量表为B类评估工具。结论 评估工具的选择应取决于具体临床情况，并进一步在不同环境和人群中进行验证，优先推荐Villalta-PVR2量表用于基层筛查，VEINES-QOL/Sym量表用于专科随访，在研究场景的多维探索中，可采用多种测评工具共同协作的形式。

关键词: COSMIN指南, 血栓后综合征, 自我报告工具, 测量性能, 系统评价, 护理

Abstract:

Objective To evaluate the measurement performance of patient-reported outcome measures in patients with post-thrombotic syndrome and to provide a basis for the selection of clinical evaluation tools. Methods The original studies on patient-reported outcome measures for patients with post-thrombotic syndrome were searched in databases such as Embase，MEDLINE，Springer Link，Web of science，PubMed，Weipu，Wanfang，and CNKI from inception to December 2024. Two researchers independently screened the literature and extracted relevant data，and the evaluation tools were evaluated based on the consensus-based standards for the selection of health measurement instruments （COSMIN） method，and if there was a disagreement，the third researcher decided. Results A total of 10 evaluation tools was included，and all of them had different degrees of methodological problems. According to COSMIN guidelines，the VEINES-the quality of life/symptom（VEINES-QOL/Sym） and Villalta-PVR2 scales are class A assessment tools，and the rest of the scales are class B assessment tools. Conclusion The choice of assessment tools should be dependent on specific clinical circumstances and further verified in different environments and populations. It is recommended that the Villalta-PVR2 scale be prioritized for primary screening at the grassroots level，and the VEINES-QOL/Sym scale be used for specialized follow-up. In the multi-dimensional exploration of research scenarios，various assessment tools can be adopted in a collaborative manner.

Key words: COSMIN, Post-Thrombotic Syndrome, Patient-Reported Outcome Measure, Measure Performance, Systematic Review, Nursing Care