癌症患者自我感受负担量表的结构效度、反应度及可行性评价  

The structural validity,responsiveness and feasibility evaluation of the self-perceived burden scale for cancer patients

作　　者：任延艳[1] 刘化侠 REN Yanyan;LIU Huaxia(Department of Midwifery,Taishan Vocational College of Nursing,Shandong,Tai’an 271000,China;Archives,Shandong First Medical University,Shandong,Jinan 250000,China)

机构地区：[1]泰山护理职业学院助产系,山东泰安271000 [2]山东第一医科大学档案馆,山东济南250000

出　　处：《中国医药科学》2023年第7期186-189,共4页China Medicine And Pharmacy

摘　　要：目的对癌症患者自我感受负担量表(SPBS-CP)的结构效度、反应度和可行性进行分析。方法于2021年6—12月用SPBS-CP对430例癌症患者自我感受负担进行测量,采用因子分析、配对t检验、变化率(CR)、效应大小(ES)和标准化反应均数(SRM)等指标以及可行性分析方法进行分析。结果SPBS-CP包含经济/家庭负担、照护负担、情感负担和治疗负担4个维度、21个条目。因子分析累计贡献率为69.23%;情感负担和治疗负担差异无统计学意义(P>0.05),其余维度和总量表差异有统计学意义(P<0.05);四个维度和总量表SRM分别为0.50,1.16,0.70,1.25,0.69;大多数患者能够理解量表条目的含义,且能在4~6 min内完成,问卷发放450份,回收430份,回收有效率为95.5%,具有较好的内部反应度和外部反应度,且不存在地板天花板效应。结论SPBS-CP具有较好的结构效度和反应度,能够测出患者自我感受负担的真实情况,可行性好。Objective To analyze the structural validity,responsiveness and feasibility of the self-perceived burden scale for cancer patients(SPBS-CP).Methods The self-perceived burden for a total of 430 cancer patients from June to December 2021 was measured by SPBS-CP.Indices such as factor analysis,paired T test,change rate(CR),effect size(ES)and standardized response mean(SRM)and feasibility analysis methods were used to analyze.Results SPBS-CP contained 4 dimensions and 21 entries,such as economic/family burden,nursing burden,emotional burden and medication burden.The cumulative contribution rate of factor analysis was 69.23%.There were no statistically significant differences in terms of emotional burden and medication burden(P>0.05),while there were statistically significant differences in other dimensions and total scales(P<0.05).SRMs of the four dimensions and total scales were 0.50,1.16,0.70,1.25 and 0.69 respectively.Most patients could understand the meaning of the entries in the scale,and they could complete them within 4-6 minutes.450 questionnaires were distributed,and 430 questionnaires were received,with a recovery rate of 95.5%,suggesting good internal and external responsiveness,an d there was no floor-ceiling effect.Conclusion SPBS-CP has relatively better structural validity and responsiveness,which can measure the true situation of patients’self-perceived burden.Therefore,it is feasible.

关 键 词：自我感受负担 癌症 量表 结构效度 反应度 

分 类 号：R473.73[医药卫生—护理学]