疾病获益感量表修订版在癌症家庭照顾者中应用的信效度检验  

Reliability and Validity of the Revised Chinese Version of Benefit Finding Scale in Family Caregivers of Cancer Patients

作　　者：边静[1] 张兰凤[2] 刘谆谆 倪同伟 李芸芸 BIAN Jing;ZHANG Lan-feng;LIU Zhun-zhun;NI Tong-wei;LI Yun-yun(School of Nursing,Nantong University,Nantong 226019,China;Nursing Department,Nantong Tumor Hospital,Nantong 226361,China;Nursing Department,Jiangyin People＇s Hospital,Jiangyin 214400,China;Department of Orthopaedics,Yancheng Tinghu District People＇s Hospital,Yancheng 224001,China)

机构地区：[1]南通大学护理学院,江苏省南通市226019 [2]江苏省南通市肿瘤医院护理部,226361 [3]江苏省江阴市人民医院护理部,214400 [4]江苏省盐城市亭湖区人民医院骨科,224001

出　　处：《中国全科医学》2018年第17期2091-2096,共6页Chinese General Practice

基　　金：江苏省卫生计生委信息化科研课题(X201609)-基于易随诊平台的肿瘤出院患者延续性护理质量评价指标构建与应用;无锡市科技强卫项目青年医学人才项目(QNRC052);无锡市卫计委科研青年项目(Q201738)

摘　　要：目的修订疾病获益感量表中文版,并初步评价其在癌症家庭照顾者中应用的信效度。方法对疾病获益感量表中文版进行内容修订,形成疾病获益感量表修订版。采用便利抽样方法选取2017年1—9月在南通市肿瘤医院就诊的癌症家庭照顾者420例,采用一般资料调查表、疾病获益感量表修订版对其进行调查。4周后,采用随机抽样方法抽取30例癌症患者家庭照顾者,采用疾病获益感量表修订版对其获益感进行重测。对疾病获益感量表修订版进行条目分析、内容效度分析、探索性因子分析、信度分析和验证性因子分析。结果疾病获益感量表修订版包括接受、家庭关系、个人成长、社会关系、健康行为5个维度,22个条目。探索性因子分析结果显示,KMO=0.899,Bartleet's球形检验χ2=2 876.943,自由度为231(P<0.01),5个公因子累积方差贡献率为69.903%。验证性因子分析结果显示,残差均方根(RMR)=0.032,近似误差均方根(RMSEA)=0.033,增值拟合指数(IFI)=0.984,非规准适配指数(TLI)=0.980,比较拟合指数(CFI)=0.983,简约拟合优度指数(PGFI)=0.703,简约规范拟合指数(PNFI)=0.778,简约比较拟合指数(PCFI)=0.834。量表Cronbach'sα系数为0.933,接受、家庭关系、个人成长、社会关系和健康行为维度的Cronbach'sα系数分别为0.905、0.856、0.886、0.841、0.889。重测信度系数为0.884。结论疾病获益感量表修订版具有良好的信效度,在癌症家庭照顾者中具有一定的适用性。Objective To revise the Chinese version of Benefit Finding Scale（BFS-C） and to evaluate its reliability and validity in family caregivers of cancer patients.Methods We developed a revised Chinese version of Benefit Finding Scale（BFS-RC） by revising the BFS-C.Then,we conducted a survey in a convenience sample of 420 family caregivers of cancer patients receiving treatment in Nantong Tumor Hospital from January to September 2017 with the demographic questionnaire and the BFS-RC.Four weeks later,we carried out another survey in a random sample of 30 of the 420 participants with the BFSRC for retesting its reliability.After that,we implemented item analysis,content validity analysis,exploratory factor analysis,reliability analysis as well as confirmatory factor analysis of the BFS-RC.Results The BFS-RC includes five factors（acceptance,family relationship,personal growth,social relations and health behaviors） covering 22 items.The results of exploratory factor analysis showed that KMO=0.899,Bartlett ＇s χ~2 =2 876.943,df=231（P〈0.01）,and the 5 common factors explained 69.903% of the total variance.The results of confirmatory factor analysis showed that root mean square residual（RMR）=0.032,root mean square error of approximation（RMSEA）=0.033,incremental fit index（IFI）=0.984,tacker-lewis index（TLI）=0.980,comparative fit index（CFI）=0.983,parsimonious goodness-of-fit index（PGFI） =0.703,parsimonious normed fit index（PNFI）=0.778,and parsimonious comparative fit index（PCFI）=0.834.The reliability analysis showed that Cronbach＇s αof the BFS-RC and its 5 factors of acceptance,family relationship,personal growth,social relations and health behaviors was 0.933,0.905,0.856,0.886,0.841 and 0.889,respectively.The test-retest reliability of the BFS-RC was 0.884.Conclusion With good reliability and validity,the BFS-RC can be used as a tool for evaluating the benefit finding of the family caregivers of Chinese cancer patients.

关 键 词：肿瘤 医疗护理提供者 疾病获益感 信度 效度 

分 类 号：R739.9[医药卫生—肿瘤]