宫颈癌根治术后患者自我管理行为量表的编制及信效度检验OACSTPCD
Development and validity testing of a self-management behavior scale for patients after radical hysterectomy for cervical cancer
目的 编制宫颈癌根治术后患者自我管理行为量表并检验量表信效度,为后续研究提供一致性测评工具及为针对性护理干预提供依据.方法 基于文献回顾、半结构化质性访谈构建量表条目池,经专家函询和适用性测试形成初始量表.采用便利抽样法,于2023年8-10月选取广州市某三甲医院的195例宫颈癌根治术后患者进行调查,采用项目分析及探索性因子分析法优化条目后,再于2023年10-12月对220例宫颈癌根治术后患者进行正式调查以检验量表信效度.结果 2轮调查分别回收184份及210份有效问卷,经条目优化形成包括健康生活方式管理、性康复管理、管道护理、并发症监测与预防、信息管理、情绪管理、角色管理7个维度,共27个条目的宫颈癌根治术后患者自我管理行为量表.通过探索性因子分析提取7个公因子,累积方差贡献率为68.493%;验证性因子分析显示模型拟合良好(χ2/df=1.668,CFI=0.917,RMSEA= 0.056);量表全体一致性内容效度指数为0.926,平均内容效度为0.988,条目水平的内容效度指数为0.833～1.000;总量表的Cronbach's α系数为0.816,重测信度为0.596.结论 本研究开发的宫颈癌根治术后患者自我管理行为量表信效度良好,可作为宫颈癌根治术后患者的自我管理行为的测评工具.
Objective This paper aims to develop a self-management behavior scale for patients after radical hysterectomy for cervical cancer and test the reliability and validity of the scale,so as to provide a consistent evaluation tool for future research and a basis for targeted nursing interventions.Methods A pool of scale items was constructed based on a literature review and semi-structured qualitative interviews.The initial scale was formed through expert consultation and applicability testing.Convenience sampling was used to survey 195 patients who underwent radical hysterectomy for cervical cancer in a grade A tertiary hospital in Guangzhou from August to October 2023.After item analysis and exploratory factor analysis to optimize the items,a formal survey was conducted from October to December 2023 to test the reliability and validity of the scale a-mong 220 patients.Results A total of 184 and 210 valid questionnaires were collected in the two rounds of surveys,respec-tively.After item optimization,a self-management behavior scale for patients after radical hysterectomy for cervical cancer was formed,consisting of 7 dimensions(health lifestyle management,sexual rehabilitation management,stoma care,com-plications monitoring and prevention,information management,emotional management,role management)and 27 items.Exploratory factor analysis extracted 7 common factors with a cumulative variance contribution rate of 68.493%.Confirma-tory factor analysis showed a good model fit(χ2/df=1.668,CFI=0.917,RMSEA=0.056).The overall content validity index of the scale was 0.926,the average content validity was 0.988,and the item-level content validity index ranged from 0.833 to 1.000.The Cronbach's α coefficient of the total scale was 0.816,and the test-retest reliability was 0.596.Conclu-sion The self-management behavior scale for patients after radical hysterectomy for cervical cancer developed in this study has good reliability and validity,which can be used as an evaluation tool for self-management behavior in these patients.
叶敏珊;罗艳霞;陈怡藤;王馨笛;胡志凌;阮伟清
南方医科大学南方医院惠侨医疗中心,广州 510515||南方医科大学护理学院,广州 510515南方医科大学南方医院惠侨医疗中心,广州 510515||南方医科大学护理学院,广州 510515南方医科大学南方医院惠侨医疗中心,广州 510515||南方医科大学护理学院,广州 510515南方医科大学南方医院惠侨医疗中心,广州 510515||南方医科大学护理学院,广州 510515南方医科大学南方医院惠侨医疗中心,广州 510515南方医科大学南方医院惠侨医疗中心,广州 510515
临床医学
宫颈癌自我管理测评量表信效度检验
Cervical cancerSelf-managementEvaluation scaleReliability and validity testing
《保健医学研究与实践》 2024 (1)
7-14,125,9
广东省科技计划项目(2022A1414020007).
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