34条目癌症患者支持性需求简明问卷中文版的信效度分析  

Reliability and validity analysis of the Chinese version of 34-item short-form Supportive Care Needs Survey Questionnaire for cancer patients

作　　者：杨璞[1] 朱建华[1] 肖文华[1] 刘家宏[1] 周旋[1] 李秋文[1] 

机构地区：[1]解放军总医院第一附属医院肿瘤一科,北京医学硕士研究生100048

出　　处：《医学研究生学报》2016年第6期610-615,共6页Journal of Medical Postgraduates

基　　金：国家自然科学基金(30872939)

摘　　要：目的癌症患者支持治疗需求简明问卷是评价癌症患者需求的有效工具。文中对34条目癌症患者支持治疗需求简明问卷（The 34-item short form Supportive Care Needs Survey,SCNS-SF34）中文版的信度和效度进行检验,为评估患者支持治疗方面的需求提供有效可信的工具。方法应用SCNS-SF34中文版对于2014年2月至2015年8月就诊于解放军总医院第一附属医院肿瘤科的326名患者施测,共收回有效问卷321份。采用探索性因素分析、验证性因素分析及内部一致性信度对SCNS-SF34中文版进行评定,同时完成医院焦虑和抑郁量表（Hospital Anxiety and Depression Scale,HADS）、欧洲癌症研究与治疗组织的生存质量核心量表（The European organization for research and treatment of cancer Quality of Life QuestionnaireCore 30,QLQ-C30）及躯体症状评估简表（The Memorial Symptom Assessment Scale-Short Form,MSAS-SF）以检验聚合效度。在首次评估结束后2-4周随机抽取59名患者再次评估SCNS-SF34中文版,以检验重测信度。结果探索性因素分析结果表明,SCNS-SF34中文版累计方差解释率为72.247%。量表共34个条目,包括生理和日常生活方面的需求、心理方面的需求、患者照顾和支持方面的需求、卫生系统和信息方面的需求以及性需求5方面的需求。各分量表的内部一致性信度Cronbach＇sα系数分别为0.850、0.931、0.952、0.964和0.868,重测信度均〉0.8。验证性因素分析显示该量表拟合度较好,CFI=0.972。聚合效度结果显示SCNS-SF34中文版与HADS、MSAS-SF和QLQ-C30显著相关（P〈0.01）。结论癌症患者支持性需求简明问卷中文版具有良好的信度和效度,适合用于评估我国癌症患者支持治疗方面的需求。Objective The short form Supportive Care Needs Survey is an effective tool to assess cancer patient needs. This study aimed to verify the reliability and validity of the Chinese version of the 34-item short form Supportive Care Needs Survey （ SCNS- SF34） and to provide an efficient and reliable tool for evaluating cancer patient needs. Methods Three hundred and twenty six patients hospitalized in the Oncology Department of PLA General Hospital First Affiliated Hospital from February 2014 to August 2015 were measured using the Chinese version of SCNS-SF34. A total of 321 effective questionnaires were taken back, and the exploratory factor analysis （EFA）, confirmatory factor analysis （CFA） and internal consistency reliability of the Chinese version of SCNS-SF34 were examined. The Hospital Anxiety and Depression Scale （HADS）, the European organization for research and treatment of cancer Quality of Life Questionnaire-Core 30 （QLQ-C30） and the Memorial Symptom Assessment Scale-Short Form （MSASSF） were also used to test the convergent validity. A random sample of 59 patients were chosen to complete SCNS-SF34 after 2 - 4 weeks to detect test- retest reliability. Results The results of EFA showed that the cumulative variance rate of SCNS-SF34 was 72. 247%. The scales con- tained 34 items, and the following five-factors were included： health system and information needs, psychological needs, physical and daily living, patient care and support needs and sexuality needs. The internal consistency reliability Cronbach＇s alpha coefficients of subscales were 0.85, 0. 931, 0. 952, 0. 964 and 0. 868, and all the test-retest reliabilities were more than 0.8. CFA showed that the scale have a higher fit, and the CFI （Comparative Fit Index） was 0. 972. Convergent validity test found SCNS-SF34 has a significant correlation with HADS, MSAS-SF and QLQ-C30 （P 〈 0. 01 ）. Conclusion The Chinese version of the SCNS-SF34, with its high validity and reliability, can be used to evaluate cancer patients s

关 键 词：支持性照顾 需求 问卷调查 信度 效度 

分 类 号：R473.73[医药卫生—护理学]