修订版创伤后症状量表在中国老年女性乳腺癌患者中的信效度  

Reliability and validity of the PTSD checklist-civilian among Chinese elderly women with breast cancer

作　　者：董璐[1,2] 徐国会[3] 胡雁 黄嘉玲[5] 吕倩[6] 

机构地区：[1]上海中医药大学护理学院,上海市201203 [2]复旦大学护理学院,上海市200032 [3]复旦大学附属华东医院,上海市200040 [4]不详 [5]复旦大学附属肿瘤医院乳腺外科,上海市200032 [6]休斯顿大学心理学系,美国德州

出　　处：《老年医学与保健》2014年第1期30-33,共4页Geriatrics & Health Care

摘　　要：目的研究修订版创伤后症状量表在中国老年女性乳腺癌患者中应用的信度阳效度，方法采用翻译并修订的中文版创伤后症状量表，通过91例乳腺癌患者，验证其信效度。结果经因子分析得到再体验症状、回避、警觉性增高3个因子17个条目，方差累积贡献率69．88％，量表总Cronbachα系数为0．926，标准化后为0．930，折半价度为091。3个N子的Cronbacho α分别为01810、0．860、0．827．结合条目分析和因子分析，绝大多数条目在各自维度上有较高的因子负荷。PTSD总分为0～51（24．85±14．17）分，不同年龄、教育水平及患病时间等方面差异有统计学意义，结论创伤后症状量表具有较好的信效度，可用于对中国老年女性乳腺癌患者创伤后症状状况的测量。Objective To evaluate the reliability and validity of PTSD checklist-civilian version （PCL-C） in Chinese women with breast cancer. Methods Ninety-one elderly breast cancer survivors were surveyed using PCL-C （Chinese version） for evaluation of its reliability and validity. Results Three factors were extracted from 17 entries, including re-experiencing, avoidance and hyper-arousal. The explainable variance was 69.88%. The general and standard Cronbach values were 0.926 and 0.930, and Guttman Split-half coefficient was 0.91. The three factors＇ Cronbach ct values were 0.810, 0.860 and 0.827 respectively. Combined project analysis and factor analysis, the vast majority of entries in the respective dimension was high. The score of PCL-C was 0 - 51 （24.85 ± 14.17）. There were statistical differences regarding age, education status and duration of the disease. Conclusion The PCL-C has good reliability and validity, and could be used as an alternative measurement tool for nursing researchers.

关 键 词：老年 女性 乳腺癌 创伤后症状量表 信度 效度 

分 类 号：R473.73[医药卫生—护理学]