血液恶性肿瘤患者特异性支持照护需求量表的编制及信效度检验
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摘要
目的编制血液恶性肿瘤患者特异性需求量表,并检验其信效度。方法通过文献研究、质性访谈和小组会议形成量表初版,经专家咨询、预测试形成量表施测版。对420名血液恶性肿瘤患者进行调查,有效回收问卷412份。经项目分析筛选条目,并检验量表的内部一致信度、折半信度、聚合及区分效度。结果量表包含51个条目,Cronbanch'sα系数为0.966,Guttman Split-Half系数为0.793,条目内容效度指数为0.86～1.00,量表平均内容效度指数为0.973;聚合效度分析显示,量表总分与癌症患者护理专业性社会支持需求量表、中文版生存质量核心量表和医院焦虑抑郁量表得分存在相关(P<0.05);区分效度分析显示,不同患病年龄,距确诊不同时间患者的需求得分差异均具有统计学意义(P<0.01)。结论量表具有良好的信效度,可用于对血液恶性肿瘤患者特异性需求的评估。
Objective To develop of the hematological malignancies cancer-specific supportive care needs scale and to evaluate the reliability and validity. Methods The primary item pool was designed based on literature review, in-depth interview and group meeting. Then the scale for measuring version was completed by experts' consultation the pilot survey.420 patients were selected for investigation and 412 valid questionnaires were collected. Items were selected by using item analysis. Reliability was tested using internal consistency reliability and split-half reliability. Validity analysis was examined by expert content validity, converge and discrimination validity. Results The final scale contained 51 items and the Cronbanch's α coefficient was 0.966, the split-half reliability of scale was 0.793. The item-level content validity index(ICVI) was 0. 86-1.00. The Sale-CVI/average(S-CVI/Ave) was 0.973. Convergent validity analysis showed that the score of total scale was correlated with the Nursing Professional Social Support Needs Scale, Hospital Anxiety and Depression Scale and the European organization for research and treatment of cancer Quality of Life Questionnaire-Core 30 with statistical significance(P<0.05). Discrimination validity analysis showed that there were statistically significant differences in scores of patients with different characteristics of time from diagnosis and age groups(P <0.01). Conclusion The Scale has a good psychometric property and can be used to assess the supportive care needs among patients with hematological cancers.
Objective To develop of the hematological malignancies cancer-specific supportive care needs scale and to evaluate the reliability and validity. Methods The primary item pool was designed based on literature review, in-depth interview and group meeting. Then the scale for measuring version was completed by experts' consultation the pilot survey.420 patients were selected for investigation and 412 valid questionnaires were collected. Items were selected by using item analysis. Reliability was tested using internal consistency reliability and split-half reliability. Validity analysis was examined by expert content validity, converge and discrimination validity. Results The final scale contained 51 items and the Cronbanch's α coefficient was 0.966, the split-half reliability of scale was 0.793. The item-level content validity index(ICVI) was 0. 86-1.00. The Sale-CVI/average(S-CVI/Ave) was 0.973. Convergent validity analysis showed that the score of total scale was correlated with the Nursing Professional Social Support Needs Scale, Hospital Anxiety and Depression Scale and the European organization for research and treatment of cancer Quality of Life Questionnaire-Core 30 with statistical significance(P<0.05). Discrimination validity analysis showed that there were statistically significant differences in scores of patients with different characteristics of time from diagnosis and age groups(P <0.01). Conclusion The Scale has a good psychometric property and can be used to assess the supportive care needs among patients with hematological cancers.
引文
[1] Boyes AW, Clinton-Mcharg T, Waller AE, et al. Prevalence andcorrelates of the unmet supportive care needs of individuals diag-nosed with a haematological malignancy[J]. Acta Oncologica, 2015,54(4):507-514.
[2] Hall A, D'este C, Tzelepis F, et al. Factors associated with haemato-logical cancer survivors experiencing a high level of unmet needacross multiple items of supportive care:a cross-sectional surveystudy[J]. Supportive Care in Cancer, 2014, 22(11):2899-2909.
[3]宋永霞.癌症患者护理专业性社会支持需求量表的编制及应用[D].合肥:安徽医科大学,2015.
[4]谭诗生,李杭,罗健,等.欧洲癌症研究与治疗组织研制的生活质量核心调查问卷第3版中文版生活质量调查问卷测评[J].中国临床康复,2006,10(4):23-27.
[5]苏茜,刘玉萍,程幼夫,等.医院焦虑抑郁量表在健康体检中心应用的信度和效度研究[J].四川医学,2012,33(1):174-176.
[6]王翎懿,王宏,程绪婷,等.初中生健康素养量表的编制与信效度分析[J].现代预防医学,2016,43(23):4296-4300, 4305.
[7]安胜利,陈平雁.量表的信度及其影响因素[J].中国临床心理学杂志,2001,19(4):315-318.
[8]陈维,黄程琰,毛天欣,等.多维测评工具聚敛和区分效度的SEM分析-以领悟社会支持量表为例[J].西南师范大学学报(自然科学版),2016,41(2):136-140.
[9]高月乔,张阳,陈长英.中文版淋巴瘤患者生命质量测定量表的信效度评价[J].中国全科医学,2017,20(26):3277-3281.
[10]胡月,宋永霞,吕晓晴,等.食管癌患者特异性支持照护需求量表的编制及信效度检测[J].现代预防医学,2017,44(14):2659-2662.
[11] Taylor K, Joske D, Bulsara M, et al. Protocol for care after lymphoma(CALy)trial:a phase II pilot randomised controlled trial of a lym-phoma nurse-led model of survivorship care[J]. BMJ Open, 2016, 6(5):e010817.
[12] Schofield P, Gough K, Lotfi-Jam K, et al. Validation of the sup-portive care needs survey-short form 34 with a simplified responseformat in men with prostate cancer[J]. Psycho-Oncology, 2012, 21(10):1107-1112.
[13] Beynon T, Selman L, Radcliffe E, et al.'We had to change to singlebeds because I itch in the night':a qualitative study of the experi-ences, attitudes and approaches to coping of patients with cutaneousT-cell lymphoma[J]. British Journal of Dermatology, 2015, 173(1):83-92.
[14]苏中华,李四劝,成义仁.量表评估的内部一致性与克朗巴赫α系数的应用评价[J].临床心身疾病杂志,2009,15(1):85-86.
[15]杨璞,朱建华,肖文华,等.34条目癌症患者支持性需求简明问卷中文版的信效度分析[J].医学研究生学报,2016,29(6):610-615.
[2] Hall A, D'este C, Tzelepis F, et al. Factors associated with haemato-logical cancer survivors experiencing a high level of unmet needacross multiple items of supportive care:a cross-sectional surveystudy[J]. Supportive Care in Cancer, 2014, 22(11):2899-2909.
[3]宋永霞.癌症患者护理专业性社会支持需求量表的编制及应用[D].合肥:安徽医科大学,2015.
[4]谭诗生,李杭,罗健,等.欧洲癌症研究与治疗组织研制的生活质量核心调查问卷第3版中文版生活质量调查问卷测评[J].中国临床康复,2006,10(4):23-27.
[5]苏茜,刘玉萍,程幼夫,等.医院焦虑抑郁量表在健康体检中心应用的信度和效度研究[J].四川医学,2012,33(1):174-176.
[6]王翎懿,王宏,程绪婷,等.初中生健康素养量表的编制与信效度分析[J].现代预防医学,2016,43(23):4296-4300, 4305.
[7]安胜利,陈平雁.量表的信度及其影响因素[J].中国临床心理学杂志,2001,19(4):315-318.
[8]陈维,黄程琰,毛天欣,等.多维测评工具聚敛和区分效度的SEM分析-以领悟社会支持量表为例[J].西南师范大学学报(自然科学版),2016,41(2):136-140.
[9]高月乔,张阳,陈长英.中文版淋巴瘤患者生命质量测定量表的信效度评价[J].中国全科医学,2017,20(26):3277-3281.
[10]胡月,宋永霞,吕晓晴,等.食管癌患者特异性支持照护需求量表的编制及信效度检测[J].现代预防医学,2017,44(14):2659-2662.
[11] Taylor K, Joske D, Bulsara M, et al. Protocol for care after lymphoma(CALy)trial:a phase II pilot randomised controlled trial of a lym-phoma nurse-led model of survivorship care[J]. BMJ Open, 2016, 6(5):e010817.
[12] Schofield P, Gough K, Lotfi-Jam K, et al. Validation of the sup-portive care needs survey-short form 34 with a simplified responseformat in men with prostate cancer[J]. Psycho-Oncology, 2012, 21(10):1107-1112.
[13] Beynon T, Selman L, Radcliffe E, et al.'We had to change to singlebeds because I itch in the night':a qualitative study of the experi-ences, attitudes and approaches to coping of patients with cutaneousT-cell lymphoma[J]. British Journal of Dermatology, 2015, 173(1):83-92.
[14]苏中华,李四劝,成义仁.量表评估的内部一致性与克朗巴赫α系数的应用评价[J].临床心身疾病杂志,2009,15(1):85-86.
[15]杨璞,朱建华,肖文华,等.34条目癌症患者支持性需求简明问卷中文版的信效度分析[J].医学研究生学报,2016,29(6):610-615.
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