中文版临终关怀态度调查量表的跨文化调适  

Cross-culture Adjustment of Frommelt Attitude Toward Care of the Dying Scale

作　　者：杨红[1] 陆宇晗[1] 赵艺媛[2] 谷友惠 张丽燕[3] 

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所护理部,北京100142 [2]北京大学肿瘤医院暨北京市肿瘤防治研究所胸部肿瘤外二科,北京100142 [3]北京大学肿瘤医院暨北京市肿瘤防治研究所消化肿瘤内科,北京100142

出　　处：《护理学报》2016年第5期50-53,共4页Journal of Nursing（China）

摘　　要：目的对英文版临终关怀的态度调查量表(Frommelt Attitude Toward Care of the Dying,FATCOD)进行跨文化调适,形成中文版量表,适用于临终关怀照顾者的态度评价。方法通过严格的跨文化调适程序将英文版FATCOD修订成中文版;对265名肿瘤科护士进行现场问卷调查,对数据进行信度、效度分析。结果中文版FATCOD语言通俗易懂,绝大多数受调查者能在20 min内完成,量表有效回收率94.6%。信度检验:内部一致性信度Cronbach’α系数为0.805;折半信度系数为0.697,P<0.001;效度检验:量表KMO值为0.780,经过探索性因子分析,协同日文版该量表的因子分析结果,共提取了护理濒死患者的积极态度和对患者及家属为中心护理的感知2个因子。结论修订的中文版FATCOD具有较好的信度和效度,为调查中国肿瘤科护士对临终关怀的态度提供了有效的评估工具。Objective To develop a Chinese version of FATCOD （Frommelt Attitude Toward Care of the Dying） Scale after cross-culture adjustment. Methods Through cross-cultural adaptation and investigation, the Chinese version of FATCOD Scale was established.A cross-sectional study was conducted among 265 oncology nurses then the reliability and validity of the Chinese version were assessed. Results The Chinese version of the FATCOD Scale was easy to understand. Most respondents finished the whole scale within 20 minutes. And the effective collecting rate of questionnaires was 94.6%.The internal consistency reliability evaluated by Cronbach’a was 0.805, and the split-half reliability coefficient 0.697 for the whole 30 items. Structural equation models and factor analysis displayed good construction of the Chinese version of the scale working together with the Japanese version and the Chinese version of FATCOD Scale was divided into 2 subscales： positive attitude toward caring for the dying patient （FATCOD I） and perception of patient and family-centered care （FATCOD II）. Conclusion The Chinese version of FATCOD Scale has good reliability and validity, and should be a good instrument for the assessment of oncology nurses ’ attitude toward caring for the dying.

关 键 词：濒死患者 临终关怀 态度 FATCOD 信度 效度 

分 类 号：R473[医药卫生—护理学]