摘要
目的开发胃肠道肿瘤患者化疗期间自我管理测量工具并检验信效度。方法以COSMIN为指导,根据文献回顾、患者访谈和专家咨询形成测量工具初稿。采用便利抽样法,对211例患者进行调查,通过项目分析和探索性因子分析优化条目,再对361例患者进行调查,检验测量工具的信效度。结果探索性因子分析提取躯体症状管理、用药相关管理、营养管理、医疗合作与信息获取、情绪管理、角色管理6个因子共24个条目,累积方差贡献率为75.361%;验证性因子分析显示模型拟合良好(χ2/df=2.442,CFI=0.935,RMSEA=0.063)。总量表Cronbach′sα系数0.930,重测信度系数0.979。结论开发的胃肠道肿瘤患者化疗期间自我管理测量工具具有良好的信效度,可用于测评胃肠道肿瘤化疗患者自我管理情况。
Objective To develop and validate a self-management rating scale for gastrointestinal cancer patients undergoing chemotherapy(SMRS-GCC).Methods Based on the COSMIN checklist,draft of the SMRS-GCC was formulated using literature review,interview of gastrointestinal cancer patients and expert consultation.Then 211 patients were surveyed to provide data for item analysis and exploratory factor analysis(EFA).At last,361 patients were surveyed to test the reliability and validity.Results Six factors of 24 items were identified through EFA,accounting for 75.361%of the total variance.The factors were labeled physical symptom management,drug related management,nutritional management,medical cooperation and information acquisition,emotional management and role management.Confirmatory factor analysis indicated the model fit well(χ2/df=2.442,CFI=0.935,and RMSEA=0.063).The Cronbach′s alpha coefficient was 0.930 for the total scale,and test-retest reliability was 0.979 for the total scale.Conclusion The SMRS-GCC is reliable and valid to measure self-management ability of gastrointestinal cancer patients during chemotherapy.
作者
彭健
郑苏娜
张晓菊
杨瑒
邢唯杰
陈祎婷
沈蓝君
胡雁
Peng Jian;Zheng Suna;Zhang Xiaoju;Yang Yang;Xing Weijie;Chen Yiting;Shen Lanjun;Hu Yan(School of Nursing,Fudan University,Shanghai 200032,China)
出处
《护理学杂志》
CSCD
北大核心
2021年第18期6-9,共4页
Journal of Nursing Science
基金
复旦大学-复星护理科研基金项目(FNF201929)。
关键词
胃癌
结直肠癌
化疗
自我管理
信度
效度
COSMIN
gastric cancer
colorectal cancer
chemotherapy
self-management
reliability
validity
COSMIN
