康复期乳腺癌患者淋巴水肿预防行为依从性量表的研制及应用

doi:10.3761/j.issn.1672-9234.2025.08.018

摘要/Abstract

摘要：

目的编制康复期乳腺癌患者淋巴水肿预防行为依从性量表并检验其信效度。方法通过文献回顾、半结构式访谈等初步构建量表条目池，经专家函询形成初始量表，采用预调查对条目进行预测试。2023年5月—7月，便利选取372例康复期乳腺癌患者进行调查，并对其进行项目分析、信效度检验，于2023年8月—10月选取366例康复期乳腺癌患者进行验证性因子分析。结果乳腺癌患者淋巴水肿预防行为依从性量表包括患肢保护、皮肤护理、适宜的功能锻炼、自我检测及症状识别、良好的生活方式5个维度，共30个条目，探索性因子分析累计方差贡献率为73.472%。量表内容效度指数为0.825~1.000，Cronbach’s α系数为0.901，2周重测信度为0.818。结论康复期乳腺癌患者淋巴水肿预防行为依从性量表信效度较好，可作为评估康复期乳腺癌患者淋巴水肿预防行为依从性的有效工具。

关键词: 乳腺肿瘤, 淋巴水肿, 预防行为, 量表, 信效度

Abstract:

Objective To develop a behavioral adherence scale for prevention of lymphedema in breast cancer patients and test its reliability and validity. Method A preliminary item pool was constructed through literature review，semi-structured interviews，etc. The initial scale was formed by expert consultation，and a pre-survey was used to pre-test and adjust the entries. From May 2023 to July 2023，372 breast cancer survivors were conveniently selected for investigation，and item analysis，reliability and validity test were conducted. From August 2023 to October 2023，366 breast cancer survivors were selected for confirmatory factor analysis to further test the factor structure of the questionnaire. Results The final version of the scale for measuring the compliance of lymphedema prevention behaviors in breast cancer patients during the rehabilitation period includes five dimensions：limb protection，skin care，appropriate functional exercise，self-detection and symptom recognition，and a healthy lifestyle，with a total of 30 items. The cumulative variance contribution rate of exploratory factor analysis was 73.472%. The content validity index of the scale ranged from 0.825 to 1.000. The Cronbach’s α coefficient was 0.901，and the 2-week test-retest reliability was 0.818. Conclusion The scale for measuring the compliance of lymphedema prevention behaviors in breast cancer patients during the rehabilitation period has good reliability and validity，and can be used as an effective tool for evaluating the behavior compliance of lymphedema prevention in breast cancer survivors.

Key words: Breast tumors, Lymphedema, Preventive behavior, Scale, Reliability and validity

邱晓晴, 王彦艳, 姚梁怡, 曹梦迪, 李汝情, 李星, 李靖. 康复期乳腺癌患者淋巴水肿预防行为依从性量表的研制及应用[J]. 中华护理教育, 2025, 22(8): 1006-1012.

QIU Xiaoqing, WANG Yanyan, YAO Liangyi, CAO Mengdi, LI Ruqing, LI Xing, LI Jing. Development and validation of the Lymphoedema Prevention Behavioral Adherence Scale in breast cancer patients during the rehabilitation[J]. Chinese Journal of Nursing Education, 2025, 22(8): 1006-1012.

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