沃里克爱丁堡积极心理健康量表在癌症病人心理健康评价中的适用性研究  

Study on the application value of the Warwick-Edinburgh mental well-being scalein the evaluation of cancer patients′ mental health

作　　者：朱蕊 张艳芳 陈姿伊 丁京 朱庆庆 于园园 ZHU Rui;ZHANG Yanfang;CHEN Ziyi;DING Jing;ZHU Qingqing;YU Yuanyuan(School of Nursing,Bengbu Medical University,Bengbu Anhui 233030,China)

机构地区：[1]蚌埠医科大学护理学院,安徽蚌埠233030

出　　处：《蚌埠医学院学报》2024年第8期1067-1070,1075,共5页Journal of Bengbu Medical College

基　　金：蚌埠医学院人文社科重点研究项目(2021byzd240sk);蚌埠医学院校级质量工程项目(2022jyxm28);蚌埠医学院护理学院大学生创新训练项目(bydc2023075)。

摘　　要：目的:检验中文版沃里克-爱丁堡积极心理健康量表在癌症病人群体中的信效度。方法:选取1105例癌症病人为研究对象,采用沃里克-爱丁堡积极心理健康量表、中文版疲劳量表和幸福感指数量表进行问卷调查。结果:WEMWBS-14和WEMWBS-7为单维度量表,分别有14和7个条目,临界比值分别介于20.813~29.173和21.278~30.338,各条目得分与量表总分的相关系数分别介于0.756~0.829和0.790~0.829,各条目共同性得分分别介于0.565~0.687和0.616~0.700;探索性因素分析提取出1个公因子,总解释率分别为62.155%和65.496%;验证性因素分析显示模型基本适配;内部一致性系数分别为0.953和0.911,两周后重测信度分别为0.733和0.710,折半信度系数为0.806和0.712。结论:中文版WEMWBS-14和WEMWBS-7在癌症病人群体中均有良好的信效度,WEMWBS-7可以作为癌症病人可行性高、耗时少、效率高的积极心理健康评估工具。Objective:To test the reliability and validity of the Chinese Version of Warwick-Edinburgh mental well-being scale(WEMWBS)in cancer patients.Methods:A total of 1105 cancer patients were investigated using WEMWBS,fatigue scale-14 and well-being index.Results:Both WEMWBS-14 and WEMWBS-7 were single-dimensional scales,with 14 and 7 items,and the critical ratios ranged from 20.813 to 29.173 and 21.278 to 30.338,respectively.The correlation coefficients between the scores of each item and total score of the scale ranged from 0.756 to 0.829 and 0.790 to 0.829,respectively.The similarity scores of all items ranged from 0.565 to 0.687 and 0.616 to 0.700,respectively.One common factor was extracted from exploratory factor analysis,and the total interpretation rates were 62.155%and 65.496%,respectively.The results of confirmatory factor analysis showed that the model was basically fit,the internal consistency coefficients were 0.953 and 0.911,the test-retest reliability after two weeks were 0.733 and 0.710,and the split-half reliability coefficient were 0.806 and 0.712,respectively.Conclusions:Both WEMWBS-14 and WEMWBS-7 have good reliability and validity in cancer patients,and WEMWBS-7 can be used as a mental well-being assessment tool with high feasibility,less time and high efficiency for cancer patients.

关 键 词：心理健康 癌症 沃里克-爱丁堡积极心理健康量表 

分 类 号：R473.73[医药卫生—护理学]