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晚期癌症患者饮食相关困扰量表的汉化及信效度检验

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目的 对晚期癌症患者饮食相关困扰量表(QERD-P)进行汉化并检验其在晚期癌症患者中的信效度.方法 根据Brislin翻译模式对QERD-P英文版原量表进行正译、综合、回译、文化调适,通过预调查形成中文版QERD-P.采用便利抽样的方法选取晚期癌症患者428例作为调查对象,其中170例用以检验中文版QERD-P的信效度,258例用于验证性因子分析.结果 中文版QERD-P包括7个维度,共20个条目.量表总的Cronbach's α系数为0.897,重测信度为0.837,探索性因子分析提取出7个公因子(饮食摄入减少、饮食异常的原因、身体衰弱、营养摄入知识不足、家庭内部食物冲突、外貌及体型改变、与家人相处的时间),各条目因子载荷为0.770~0.923,累计方差贡献率86.076%.验证性因子分析显示,x2/df=2.440,RMSEA=0.075,CFI=0.955,TLI=0.942,IFI=0.955,RFI=0.906,GFI=0.878.结论 中文版QERD-P具有良好的信效度,可作为评估晚期癌症患者饮食相关困扰的可靠工具.
Translation and validation of the Chinese version of the Questionnaire for Eating-Related Dis-tress among Patients with advanced cancer
Objective To translate and test the reliability and validity of the Chinese version of the Questionnaire for Eating-Related Distress among Patients with advanced cancer(QERD-P).Methods The QERD-P was translated and adapted to Chinese culture ac-cording to the Brislin translation model,and the Chinese version of the QERD-P was formed through a pre-survey.A total of 428 patients diagnosed with advanced cancer were selected by convenience sampling as the participants for the survey.Among them,170 cases were used to test the reliability and validity of the Chinese version of QERD-P and 258 cases were used for confirmatory factor analysis.Results The Chinese version of the QERD-P consists of 7 dimensions with 20 entries.The Cronbach's α of the scale was 0.897,and the retest reliability coefficient was 0.837.Exploratory factor analysis extracted 7 factors(reduced dietary intake,causes of dietary disorders,physical weakness,insufficient knowledge of nutritional intake,intra-family food conflict,changes in ap-pearance and body shape,time with family),and the factor loadings of each entry ranged from 0.770 to 0.923.The 7 factors com-bined could explain 86.076%of the total variance.Confirmatory factor analysis showed that,x2/df=2.440,RMSEA=0.075,CFI=0.955,TLI=0.942,IFI=0.955,RFI=0.906,GFI=0.878.Conclusion The Chinese version of the QERD-P has acceptable reliability and validity,and can be used as a reliable tool to assess eating-related distress in advanced cancer patients.

cancerend-stageeating-related distressscale translationnutritionfood conflictreliabilityvalidity

卢晶晶、武丽华、陈星宇、曹鲜娟、高洋、曹茉莉

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山西中医药大学护理学院(山西晋中,030619)

山西白求恩医院(山西医学科学院同济山西医院),山西医科大学第三医院

癌症 晚期 饮食相关困扰 量表汉化 营养 食物冲突 信度 效度

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(20)