摘要
目的 编制成人癌症生存者延续护理服务需求量表,并检验其信效度.方法 以新人本主义需要理论为指导,通过回顾文献、进行半结构式访谈及Delphi专家函询、预调查形成量表初稿.2022年6月选取云南省、四川省、河南省、河北省、辽宁省7所三级甲等医院531例患者对量表进行项目分析及探索性因子分析,形成正式量表;2022 年 8 月选取浙江省、云南省、河南省、辽宁省 6 所三级甲等医院784例患者正式调查,评价量表的信度和效度.结果 成人癌症生存者延续护理服务需求量表包括症状控制/缓解需求、健康服务需求、情感心理需求及家庭/社会支持需求4个维度,25个条目.量表总的内容效度为0.940,各条目内容效度为 0.875～1;探索性因子分析提取4个公因子,累计方差贡献率为64.619%.验证性因子分析量表模型适配度良好;聚敛效度理想,各维度平均方差提取量(AVE)均＞0.5,组合信度(CR)均＞0.8;量表区分效度理想,各维度间有显著相关性(P＜0.01),相关性系数均小于所对应的AVE平方根.量表Cronbach's α系数为0.945,折半信度为0.867,重测信度为0.726.结论 成人癌症生存者延续护理服务需求量表具有良好的信效度,可作为成人癌症生存者延续护理服务需求的测量工具.
Abstract
Objective To develop the continuous nursing service demand scale for adult cancer survivors and test its reliability and va-lidity.Methods Guided by new humanistic need theory,the first draft of the scale was formed by reviewing the literature,conducting semi-structured interviews,Delphi expert correspondence and pre-survey.In June 2022,531 patients from seven tertiary class A hospitals in Yun-nan Province,Sichuan Province,He'nan Province,Hebei Province and Liaoning Province were selected for item analysis and exploratory factor analysis to form a formal scale.In August 2022,784 patients from six tertiary class A hospitals in Zhejiang Province,Yunnan Province,He'nan Province and Liaoning Province were selected to evaluate the structural validity and reliability of the scale.Results Continuous care needs scale for adult cancer survivors included 4 dimensions and 25 items,including symptom control/remission needs,health service needs,emo-tional and psychological needs and family/social support needs.The content validity of the scale was 0.940,and the content validity of each i-tem was 0.875～1.Four common factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was 64.619%.The confirmatory factor analysis scale model fitted well.The convergent validity was ideal.The average variance extraction(AVE)of each dimension was＞0.5,and the combination reliability(CR)was＞0.8.The discriminant validity of the scale was ideal,and there was a significant correlation between each dimension(P＜0.01).The correlation coefficient were all less than the corresponding AVE square root.The Cronbach's α coefficient was 0.945,the split-half reliability was 0.867,and the test-retest reliability was 0.726.Conclusion The con-tinuous care needs scale for adult cancer survivors has good reliability and validity,and can be used as a measurement tool for the continuing care needs of adult cancer survivors.
基金项目
云南省科技厅科技项目(2019FE001-243)
NETL
NSTL
维普
万方数据