中文版工作角色功能量表2.0在乳腺癌患者中的信效度检验  

Reliability and validity of Chinese version of Work Role Functioning Questionnaire 2.0 in breast cancer patients

作　　者：李玲 赵小芹 陈玉琴[1] 孔双春 Li Ling;Zhao Xiaoqin;Chen Yuqin;Kong Shuangchun(Department of Nail and Breast Surgery,Kunshan Second People's Hospital,Kunshan 215300,China)

机构地区：[1]昆山市第二人民医院甲乳外科,昆山215300

出　　处：《中国实用护理杂志》2023年第31期2446-2451,共6页Chinese Journal of Practical Nursing

摘　　要：目的汉化工作角色功能量表2.0(WRFQ 2.0)并在乳腺癌患者中检验其信效度,为准确的测评乳腺癌患者工作需求方面的感知困难提供测评工具。方法采用横断面调查研究,根据Brislin模型及2轮德尔菲专家咨询对WRFQ 2.0进行汉化,选取2020年1月至2021年6月昆山市第二人民医院甲乳外科200例乳腺癌患者进行问卷调查,检验其信度与效度。结果中文版WRFQ 2.0共提取5个因子,累计贡献率为79.995%,总量表的Cronbach α系数为0.923,总量表的折半信度为0.908;重测信度为0.904。S-CVI为0.913,I-CVI为0.798~1.000。验证性因子分析结果显示,27个条目在其对应的载荷值:0.542~0.943(P<0.01),最终模型的拟合指标:卡方自由度比为2.013,拟合优度指数为0.908,残差均方和平方根为0.041,渐进残差均方和平方根为0.037,比较拟合指数为0.903,规范拟合指数为0.904,模型拟合效果理想。结论中文版WRFQ2.0的信度、效度良好,可作为评估我国乳腺癌患者工作角色功能的有效量表。Objective The Chinese version of the Work Role Functioning Questionnaire 2.0(WRFQ2.0)was translated and tested for reliability and validity in breast cancer patients in order to provide an assessment tool for accurately assessing perceived difficulties in breast cancer patients'work need.Methods This study was a cross-sectional study.According to Brislin model and two rounds of Delphi expert consultation,the WRFQ2.0 was sinicized.From January 2020 to June 2021,200 patients with breast cancer in the Department of Nail and Breast Surgery of Kunshan Second People's Hospital were selected for investigation,and test its reliability and validity.Results The Chinese version of WRFQ2.0 extracted five factors,with a cumulative contribution rate of 79.995%.Cronbach's α coefficient of the total questionnaire was 0.923,and the half-reliability of the total questionnaire was 0.908;the retest reliability was 0.904.The S-CVI value of the total questionnaire was 0.913,and the I-CVI value of each item was 0.798-1.000.The result of confirmatory factor analysis showed that the fitting index of the final model was:χ^(2)/df=2.013,Goodness of Fit Index=0.908,Root Mean Square Residual=0.041,Root Mean Square Error of Approximation=0.077,Comparative Fit Index=0.903,Normed Fit Index=0.904,suggesting that the model fitting effect was ideal.Conclusions The Chinese version of WRFQ2.0 is reliable and valid,and can be used as an effective questionnaire to evaluate the working function of breast cancer patients in China.

关 键 词：乳腺肿瘤 工作角色功能 信度 效度 

分 类 号：R473.73[医药卫生—护理学]