食管癌术后患者胃食管反流自我管理测评量表的编制及信效度检验  

Development and psychometric testing of self-management scale for gastroesophageal reflux in patients after surgery for esophageal cancer

作　　者：候莹鸽 李好正 侯云霞 汪子寒 李静 王松梅 赵亚杰 阎玲 HOU Ying-ge;LI Hao-zheng;HOU Yun-xia;WANG Zi-han;LI Jing;WANG Song-mei;ZHAO Ya-jie;YAN Ling(Tianjin Medical University Cancer Institute&Hospital,National Clinical Research Center for Cancer,Tianjin Clinical Research Center for Cancer,Key Laboratory of Cancer Prevention and Therapy,Tianjin 300060,China;Tianjin Medical University,Tianjin 300070,China;Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津医科大学肿瘤医院,国家恶心肿瘤临床医学研究中心天津市恶性肿瘤临床医学研究中心天津市肿瘤防治重点实验室,天津300060 [2]天津医科大学,天津300070 [3]天津中医药大学,天津301617

出　　处：《护理学报》2023年第5期12-17,共6页Journal of Nursing（China）

基　　金：天津市医学重点学科第二轮建设项目(TJYXZDXK-011A)。

摘　　要：目的编制食管癌术后患者胃食管反流自我管理测评量表并检验其信效度。方法以自我管理理论为理论框架,通过文献分析、质性访谈、专家函询初步构建量表初稿,便利选取463名食管癌术后患者进行项目筛选、信度和效度检验。结果量表共4个维度,包括疾病知识管理、情绪与态度管理、饮食管理、生活行为管理,31个条目,总方差解释累计率为68.3%;总量表的Cronbachα为0.946,折半信度0.614,重测信度为0.931。结论食管癌术后患者胃食管反流自我管理行为量表具有良好的信效度,可作为食管癌术后患者胃食管反流自我管理行为的测评工具。Objective To develop a self-management scale for gastroesophageal reflux in patients after surgery for esophageal cancer,and to test its reliability and validity.Methods Literature review,qualitative interview,and expert consultation were used to construct the draft of the scale guiding by the theory of self-management.A total of 463 patients were selected by convenience sampling for item screening and reliability and validity testing.Results The scale consisted of 4 dimensions of disease knowledge management,mood and attitude management,diet management and life behavior management and 31 items.The cumulative rate of total explained variance was 68.3%;the Cronbach’sαcoefficient 0.946;the split-half reliability 0.614 and the test-retest reliability 0.931.Conclusion The self-management scale of gastroesophageal reflux in patients after surgery for esophageal cancer presents good reliability and validity,and it can be used to evaluate the self-management of gastroesophageal reflux in patients after esophageal cancer surgery.

关 键 词：食管癌 胃食管反流 自我管理 信度 效度 

分 类 号：R471[医药卫生—护理学]