癌症患者适应能力指数的汉化及信效度检验

doi:10.3761/j.issn.1672-9234.2024.02.015

摘要/Abstract

摘要：

目的汉化并验证癌症患者适应能力指数，为评估晚期患者癌症相关疲劳适应能力提供测评工具。方法经翻译、专家函询、跨文化调试及预试验形成中文版测评工具。邀请7名专家进行内容效度检验；对421例晚期癌症患者问卷调查，进行项目分析、内在一致性分析、结构效度分析；选取30例晚期癌症患者在2周后进行重测，以检验测评工具的重测信度。结果形成的中文版癌症患者适应能力指数包括认知功能、耐力与肌肉耐力、情感反应、社会互动、睡眠质量5个维度，共30个条目。探索性因子分析共提取的5个公因子累计方差贡献率为80.942%；验证性因子分析结果显示，测评工具拟合指数均达到适配标准（χ²/df=2.400、GFI=0.784、NFI=0.863、RFI=0.845、IFI=0.915、TLI=0.903、CFI=0.914、PNFI=0.764）；量表层面的内容效度指数为0.993，条目水平的内容效度指数为0.8~1.0；中文版测评工具Cronbach’s α系数为0.853，重测信度为0.807。结论中文版癌症患者适应能力指数具有良好的信效度，可作为我国晚期癌症患者癌症相关疲劳适应能力的测评工具。

关键词: 肿瘤, 适应, 心理学, 问卷调查

Abstract:

Objective To translate and validate the Chinese version of the Adaptive Capacity Index of advanced cancer patients，and to provide a suitable assessment instrument for patient to assess the cancer-related fatigue. Methods A Chinese version scale was formed by translation，cross-cultural debugging and pre-experimentation. Seven experts were invited to conduct content validity tests. Four hundred and twenty-one patients with advanced cancer were surveyed by questionnaire，and item analysis，internal consistency analysis and validity analysis were conducted and 30 patients with advanced cancer who met the criteria were selected for retesting 2 weeks later to test the retest reliability. Results The Chinese version of the Adaptive Capacity Index includes 5 dimensions of cognitive function，endurance and muscular endurance，emotional response，social interaction，and sleep quality，with a total of 30 items. The exploratory factor analysis showed that the cumulative variance contribution rate was 80.942%. The results of confirmatory factor analysis showed that the scale fitting index reached the adaptation standard （χ²/df=2.400， GFI=0.784， NFI=0.863， RFI=0.845， IFI=0.915， TLI=0.903， CFI=0.914， PNFI=0.764）. The content validity at the scale level was 0.993，and the content validity at the entry level was 0.8-1.0. The Cronbach’s α coefficient of the Chinese scale was 0.853，the test-retest reliability of the scale was 0.807. Conclusion The Chinese version of the scale has good reliability and validity，and can be used as an assessment tool for the ability to assess the adaptability to cancer-related fatigue in patients with advanced cancer in China.

Key words: Neoplasms, Adaptation, Psychological, Questionnaires

王红莲, 谢文娟, 黄慧, 刘玉瑶, 尤雪莲, 陈慧. 癌症患者适应能力指数的汉化及信效度检验[J]. 中华护理教育, 2024, 21(2): 218-223.

WANG Honglian, XIE Wenjuan, HUANG Hui, LIU Yuyao, YOU Xuelian, CHEN Hui. Translation and validation of the Adaptive Capacity Index for advanced cancer patients[J]. Chinese Journal of Nursing Education, 2024, 21(2): 218-223.

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