综合临终关爱结果量表(IPOS)能够有效可靠地测量接受临终关爱者的症状和关切。本研究的目的是确定纸质版和电子版IPOS(eIPOS)的等效性。采用多中心随机交叉试验(NCT03879668)，比较了两种模式下的结果(洗脱时间为30分钟)。招募了18岁以上的专科住院和临终关爱家庭护理患者，其癌症和非癌症状况均被纳入到了方便样本中。利用类间相关系数(ICC)、布兰德-阿特曼图和方差混合效应分析比较了得分。共有50名患者随机完成了纸质-电子版(n=24)和电子-纸质版(n=26)IPOS，中位年龄为69岁(范围24-95岁)，其中56%为男性，16%为非癌症患者。ICC显示总分非常一致(ICC 0.99, 95% CI 0.98-1.00)，最低的ICC观察到的是症状“食欲减退”和“嗜睡”(ICC 0.95，95% CI 0.92-0.97)。九个项目的ICC高于0.98，所有亚分量表的ICC也高于0.98。IPOS总分和亚分量表的结果没有观察到显著的模式、顺序、年龄和交互作用效应，除了“交流”(Fmode=5.9, p=0.019)。58%的患者更喜欢电子版。在75岁以上的群体中，53%更喜欢纸质版。自由文本主要问题中只有三个项目在两个版本中有所不同。IPOS和eIPOS得分以及自由文本之间非常高的等效性证明，在临终关爱的老年人口中使用eIPOS是可行和可靠的。

The Integrated Palliative Care Outcome Scale (IPOS) validly and reliably measures symptoms and concerns of those receiving palliative care.To determine the equivalence of the paper version with an electronic version of the IPOS (eIPOS).Multicentre randomised crossover trial (NCT03879668) with a within-subject comparison of the two modes (washout period 30 min).Convenience sample of specialist inpatient and palliative home care patients aged over 18 years with cancer and non-cancer conditions was recruited. Scores were compared using intraclass correlation coefficients (ICC), Bland-Altman plots and via a mixed-effects analysis of variance.Fifty patients were randomised to complete paper-electronic (n = 24) and electronic-paper (n = 26) IPOS with median age 69 years (range 24-95), 56% male, 16% non-cancer. The ICCs showed very high concordance for the total score (ICC 0.99, 95% CI 0.98-1.00), lowest ICCs being observed for symptoms 'Appetite loss' and 'Drowsiness' (ICC 0.95, 95% CI 0.92-0.97). Nine of seventeen items had ICCs above 0.98, as did all subscales. No statistically significant mode, order, age, and interaction effects were observed for IPOS total score and subscales, except for 'Communication' (Fmode = 5.9, p = 0.019). Fifty-eight percent preferred the electronic version. In the group 75+ years, 53% preferred the paper version. Only three entries in the free-text main problems differed between the versions.The very high equivalence in scores and free text between the IPOS and the eIPOS demonstrates that eIPOS is feasible and reliable in an older palliative population.