乳腺癌患者及一级亲属遗传风险知信行问卷的编制与信度效度检验  

Development and psychometric properties assessment of the questionnaire of knowledge,attitude,and behavior on genetic risk for breast cancer in patients and their first-degree relatives

作　　者：胡子馨 黎丽 何文斌 陈抒婕 彭莎[1] 徐然 张京慧[1] HU Zixin;LI Li;HE Wenbin;CHEN Shujie;PENG Sha;XU Ran;ZHANG Jinghui(Teaching and Research Section of Clinical Nursing,Xiangya Hospital,Central South University,Changsha,Hunan,410008,China)

机构地区：[1]中南大学湘雅医院临床护理学教研室,长沙市410008 [2]江西萍乡卫生职业学院 [3]中信湘雅生殖与遗传专科医院

出　　处：《中国护理管理》2024年第7期983-987,共5页Chinese Nursing Management

基　　金：国家自然科学基金面上项目(72174210);中南大学教改项目(2023JGB062);湖南省中医药管理局一般课题(D2022002)。

摘　　要：目的:科学编制适用于乳腺癌患者及一级亲属的遗传风险知信行问卷,为乳腺癌患者及一级亲属遗传风险知识、态度、行为的测评提供科学的评价工具。方法:以知信行理论为框架,通过文献查阅、半结构化访谈、课题组讨论、专家函询及预调查形成问卷。采用方便抽样法,于湖南省长沙市某专科医院招募313名参与者(乳腺癌患者或其一级亲属)进行测试,并检验问卷的效度、信度。结果:乳腺癌患者及一级亲属遗传风险知信行问卷包含知识、态度、行为3个维度,共有34个条目。问卷的内容效度指数为0.969,各条目内容效度指数为0.800~1.000,Cronbach’sα系数为0.872,分半系数为0.720,重测系数为0.905。结论:乳腺癌患者及一级亲属遗传风险知信行问卷具有良好的效度及信度,可用于测量乳腺癌患者及一级亲属遗传风险知识、态度、行为水平。Objective:To develop and assess the psychometric properties of the questionnaire of knowledge,attitude,and behavior on genetic risk for breast cancer in patients and their first-degree relatives.Methods:Based on the Knowledge-Attitude-Practice,the questionnaire of knowledge,attitude,and behavior on genetic risk for breast cancer in patients and their first-degree relatives was developed through literature review,semi-structured interviews,group discussions,two rounds of expert consultation and pilot survey.The psychometric properties of the questionnaire were assessed in 313 patients with breast cancer and their first-degree relatives who were recruited by convenience sampling.Results:The questionnaire involved 3 dimensions:knowledge,belief and behavior,with 34 items totally.The content validity index S-CVI/Ave was 0.969.The Cronbach'sαwas 0.872,the split half reliability was 0.720,the test-retest reliability was 0.905.Conclusion:The questionnaire of Knowledge-Attitude-Practice on genetic risk for breast cancer in patients and their first-degree relatives has good reliability and validity,and can be used to assess the knowledge,attitude and behavior of genetic risk for breast cancer in patients and their relatives.

关 键 词：遗传性乳腺癌 知信行 问卷编制 信度 效度 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]