乳腺癌患者性健康教育需求评估量表的编制和信效度研究  

Development,reliability and validity of the Sexual Health Education Needs Assessment Scale for Breast Cancer Patients

作　　者：邾萍[1] 杨秀秀[2] 王梅香[3] 程芳[4] 裴义[1] 师凌云[5] 刘鑫鑫 廖妍妍 朱文博 张柳柳[3] Zhu Ping;Yang Xiuxiu;Wang Meixiang;Cheng Fang;Pei Yi;Shi Lingyun;Liu Xinxin;Liao Yanyan;Zhu Wenbo;Zhang Liuliu(Medical Oncology Department,Jiangsu Cancer Hospital,Jiangsu Institute of Cancer Research,the Affiliated Cancer Hospital of Nanjing Medical University,Nanjing 210009,China;Nursing Department,Sanmenxia Central Hospital,Sanmenxia 472000,China;Nursing Department,Jiangsu Cancer Hospital,Jiangsu Institute of Cancer Research,the Affiliated Cancer Hospital of Nanjing Medical University,Nanjing 210009,China;Breast Surgery Department,Jiangsu Cancer Hospital,Jiangsu Institute of Cancer Research,the Affiliated Cancer Hospital of Nanjing Medical University,Nanjing 210009,China;Radiotherapy Department,Jiangsu Cancer Hospital,Jiangsu Institute of Cancer Research,the Affiliated Cancer Hospital of Nanjing Medical University,Nanjing 210009,China;Breast Lymphedema Clinic,Tianjin Cancer Hospital,Tianjin 300000,China;Breast Department,General Surgery,Jiangsu Province Hospital,Nanjing 210000,China;Drug Clinical Trial Institution,Jiangsu Cancer Hospital,Jiangsu Institute of Cancer Research,the Affiliated Cancer Hospital of Nanjing Medical University,Nanjing 210009,China)

机构地区：[1]江苏省肿瘤医院,江苏省肿瘤防治研究所,南京医科大学附属肿瘤医院肿瘤内科,南京210009 [2]三门峡市中心医院护理部,三门峡472000 [3]江苏省肿瘤医院,江苏省肿瘤防治研究所,南京医科大学附属肿瘤医院护理部,南京210009 [4]江苏省肿瘤医院,江苏省肿瘤防治研究所,南京医科大学附属肿瘤医院乳腺外科,南京210009 [5]江苏省肿瘤医院,江苏省肿瘤防治研究所,南京医科大学附属肿瘤医院放疗科,南京210009 [6]天津市肿瘤医院乳腺淋巴水肿门诊,天津300000 [7]江苏省人民医院普外乳腺病科,南京210000 [8]江苏省肿瘤医院,江苏省肿瘤防治研究所,南京医科大学附属肿瘤医院药物临床试验机构,南京210009

出　　处：《中华现代护理杂志》2023年第28期3815-3822,共8页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金(71904090);江苏省卫生健康委员会科研项目(M2021114)。

摘　　要：目的编制乳腺癌患者性健康教育需求评估量表并检验其信效度。方法以马斯洛需求层次理论和知信行理论为指导,通过文献回顾、半结构化访谈、德尔菲专家函询形成初始量表。通过对9例患者的认知性访谈进一步修订完善量表,形成临床测试版量表。采用便利抽样法,选取2021年12月—2022年9月在6个省、直辖市、自治区的9所三级甲等医院的397例乳腺癌患者进行问卷调查,检验量表信效度并划分等级。结果乳腺癌患者性健康教育需求评估量表包含4个维度,共32个条目。探索性因子分析共提取4个公因子,累计方差贡献率为72.258%。量表内容效度指数为0.865,各条目的内容效度指数为0.929~1.000;量表各维度与总量表相关系数为0.789~0.956,维度间相关系数为0.635~0.863;总量表的Cronbach'sα系数为0.979,各维度Cronbach'sα系数为0.897~0.969,总量表的折半信度系数为0.941,各维度的折半信度系数为0.851~0.946。量表总分为32~160分,其中32~77分为低水平、78~117分为中等水平、118~160分为高水平。结论编制的乳腺癌患者性健康教育需求评估量表具有良好的信效度,适用于乳腺癌患者性健康教育需求评估。Objective To develop the Sexual Health Education Needs Assessment Scale for Breast Cancer Patients and test its reliability and validity.Methods Guided by Maslow's hierarchy of needs theory and knowledge,belief,and practice theory,an initial scale was formed through literature review,semi-structured interviews and Delphi expert consultation.Through cognitive interviews with 9 patients,the scale was further revised and improved to form a clinical trial version.From December 2021 to September 2022,397 breast cancer patients from 9 ClassⅢhospitals in 6 provinces,municipalities and autonomous regions were selected by convenience sampling to conduct a questionnaire survey,test the reliability and validity of the scale and grade it.Results The Sexual Health Education Needs Assessment Scale for Breast Cancer Patients included four dimensions and 32 items in total.Exploratory factor analysis extracted a total of four common factors,with a cumulative variance contribution rate of 72.258%.The content validity index of the scale was 0.865,and the content validity index of each item was 0.929 to 1.000.The correlation coefficients between each dimension of the scale and the total scale were 0.789 to 0.956,and the correlation coefficients between dimensions were 0.635 to 0.863.The Cronbach'sαcoefficient of the total scale was 0.979,and the Cronbach'sαcoefficients of each dimension were 0.897 to 0.969.The half reliability of the total scale was 0.941,and the half reliability of each dimension was 0.851 to 0.946.The total score of the scale was 32 to 160,with 32 to 77 being at a low level,78 to 117 being at a medium level,and 118 to 160 being at a high level.Conclusions The developed Sexual Health Education Needs Assessment Scale for Breast Cancer Patients has good reliability and validity,and is suitable for breast cancer patients'sexual health education needs assessment.

关 键 词：乳腺肿瘤 性健康 健康教育 需求 量表编制 信度 效度 

分 类 号：R473.73[医药卫生—护理学]