经腹会阴联合根治术后患者不适反应自我报告量表的构建  

Construction of self-reporting index system for patients with Miles postoperative discomfort

作　　者：魏清风[1] 熊燕 李第芬 梅月英[4] WEI Qing-feng;XIONG Yan;LI Di-fen;MEI Yue-ying(Jiangxi Provincial Tumor Hospital,Nanchang,Jiangxi 330004;Foshan First People's Hospital,Foshan,Guangdong 528000;Ganxian District People's Hospital,Ganzhou,Jiangxi 341000;Anyuan People's Hospital,Anyuan,Jiangxi 342100)

机构地区：[1]江西省肿瘤医院,江西南昌330004 [2]佛山市第一人民医院,广东佛山528000 [3]赣县区人民医院,江西赣州341000 [4]安远县人民医院,江西安远342100

出　　处：《赣南医学院学报》2020年第9期958-963,976,共7页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：江西省卫生健康委科技计划项目(20201091)。

摘　　要：目的:构建经腹会阴联合根治(Miles)术后患者不适反应自我报告量表,为临床医护人员评价Miles术后患者的生理、心理方面的不适反应提供评估工具。方法:通过阅读文献及相关指南、半结构式访谈、研究小组讨论形成Miles术后患者不适反应自我报告量表维度和条目池,经过2轮Delphi专家函询筛选条目形成初始量表,用初始量表预调查进行项目分析、探索性因子分析和信效度检验,进一步筛查条目形成正式量表。结果:Miles术后患者不适反应自我报告量表包含2个维度,25个条目,累计方差贡献率64.783%,内容效度0.980,Cronbach's α系数0.853,重测信度0.960。结论:该量表有良好的信效度,可用于Miles术后患者不适反应自我评估。Objective:To construct a self-reporting scale for patients with Miles postoperative discomfort and provide an assessment tool for clinical medical staff to evaluate the physical and psychological discomfort of patients after Miles postoperative.Methods:After reading the literature and related guides,semi-structured interviews,and research group discussions,the dimensions and entry pools of the self-report scale for patient discomfort after Miles surgery were formed.After 2 rounds of Delphi expert inquiry,the entries were screened to form the initial scale.The initial scale was used for pre-survey conduct project analysis,exploratory factor analysis,and reliability and validity tests,and further screen entries to form a formal scale.Results:The Miles postoperative patient discomfort self-reporting scale includes 2 dimensions and 25 items.The cumulative variance contribution rate was 64.783%,the content validity was 0.980,the cronbach'sαcoefficient was 0.853,and the retest reliability was 0.960.Conclusion:The scale has good reliability and validity,and it can be used for self-assessment of patients'uncomfortable reactions after Miles operation.

关 键 词：直肠癌 经腹会阴联合根治术 不适反应 自我报告 构建 

分 类 号：R735.37[医药卫生—肿瘤]