中国全科医学2018，Vol.21Issue(9)：1091-1097,7.DOI:10.3969/j.issn.1007-9572.2018.00.068
中文版Mishel疾病不确定感量表的重新修订及其在中国恶性肿瘤患者中的信效度检验
Revised Chinese Version of Mishel Uncertainty in Illness Scale: Development, Reliability and Validity
摘要
Abstract
Objective To develop the Revised Chinese Version of Mishel Uncertainty in Illness Scale (RC-MUIS), and test its reliability and validity in a sample of Chinese patients with cancer. Methods The original MUIS was translated into Chinese and revised, then the initial RC-MUIS was developed. Then, the psychometric properties of the initial RC-MUIS were tested in 550 conveniently sampled patients with cancer who received treatment from the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Sun Yat-sen University Cancer Center, Guangdong Provincial Hospital of Chinese Medicine from July 2015 to April 2016. The participants were also surveyed by a self-developed Baseline Characteristics Questionnaire, Chinese version of Zung Self-Rating Anxiety Scale (C-SAS), Chinese version of Zung Self-Rating Depression Scale (C-SDS), and Chinese version of Strategies Used by People to Promote Health (C-SUPPH) for testing the convergent validity of the initial RC-MUIS. Two weeks later, the initial RC-MUIS was re-tested in 50 patients randomly selected from the responsive participants (totaled 470) in the first test by an Excel-based program. After that, we conducted item analysis, reliability and validity assessment of the initial RC-MUIS, then developed the final RC-MUIS, and determined its cutoff value. Results The final RC-MUIS includes three factors (ambiguity, lack of clarity and unpredictability) covering 20 items, which were extracted by factor analysis, explaining 57.23% of the total variance. The CVI of items ranged from 0.73-1.00. KMO=0.810 and Bartlett's χ2=871.55, P<0.001. Confirmatory factor analysis showed root mean square error of approximation (RMSEA)=0.037, comparative fit index (CFI)=0.905, goodness-of-fit index (GFI)=0.936, adjusted goodness-of-fit index (AGFI)= 0.911, standardized root mean square residual (SRMR)=0.052. RC-MUIS and its factors were positively associated with C-SAS and C-SDS and their corresponding factors in terms of score(P<0.05), but were negatively associated with C-SUPPH and its factors (P<0.05). The Cronbach's α and test-retest reliability of RC-MUIS was 0.825 and 0.836, respectively. The cut-off value, sensitivity and specificity of RC-MUIS was 60.5, 0.715 and 0.759, respectively. Conclusion The RC-MUIS, being reliable, valid and easy to use, is suitable to be adapted by clinical settings as a screening tool to recognize Chinese cancer patients with high-risk psychological problems.关键词
肿瘤/疾病不确定感/信度/效度Key words
Neoplasms/Uncertainty in illness/Reliability/Validity分类
医药卫生引用本文复制引用
叶增杰,邱鸿钟,佘颖,梁木子,Knobf Tish,Dixon Jane,胡蕖,曾珍,胡光云,朱云飞..中文版Mishel疾病不确定感量表的重新修订及其在中国恶性肿瘤患者中的信效度检验[J].中国全科医学,2018,21(9):1091-1097,7.基金项目
国家留学基金资助项目(留金发[2016]3100号) （留金发[2016]3100号）
广州中医药大学2016年校创新科研团队培育项目(2016KYTD08) （2016KYTD08）
广州中医药大学优秀博士论文培育项目(20152108112) （20152108112）
