癌症歧视感量表在中国华东地区头颈癌患者中的应用及信效度检验  

Application and Reliability and Validity Test of Cancer Discrimination Scale in Patients with Head and Neck Cancer in East China

作　　者：万方云 刘智金 章健 徐骏 甘琳[1] 卢致辉[2] WAN Fangyun;LIU Zhijin;ZHANG Jian;XU Jun;GAN Lin;LU Zhihui(Department of Oncology,the Third Affiliated Hospital of Nanchang University-the First Hospital of Nanchang,Nanchang 330008,Jiangxi,China;Department of Oncology,the First Affiliated Hospital of Nanchang University Jiangxi Medical College,Nanchang 330000,Jiangxi,China)

机构地区：[1]南昌大学第三附属医院暨南昌市第一医院肿瘤科,江西南昌330008 [2]南昌大学江西医学院第一附属医院肿瘤科,江西南昌330000

出　　处：《医学信息》2025年第5期113-118,131,共7页Journal of Medical Information

基　　金：2022年云南省哲学社会科学规划项目(编号:QN202214);2023年江西省卫生健康委科技计划项目(编号:202311199)。

摘　　要：目的将癌症自我感知歧视量表(CSPDS)应用于头颈癌患者,检验其信效度及适用性,并分析患者自我感知歧视与生活质量的相关性。方法采用癌症自我感知歧视量表(CSPDS)和欧洲癌症研究与治疗组织生存质量量表(EORTC QLQ-C30)对2023年8月-2024年1月中国华东地区256例头颈癌患者进行问卷调查,采用经典测量理论检验CSPDS的信效度和适用性;采用多元逐步线性回归分析患者自我感知歧视的影响因素,采用Pearson相关系数分析自我感知歧视与生活质量的相关性。结果CSPDS在头颈癌患者中具有良好的结构效度(χ^(2)/df=2.470,RMSEA=0.076,GFI=0.914,CFI=0.947,NFI=0.915,IFI=0.947,TLI=0.933)、内容效度(Pearson内容相关性均>0.3,P<0.01)、校标效度(CSPDS与QLQ-C30的Pearson相关系数为0.387>0.3,P<0.01)、信度(Cronbach’sα系数为0.921,分半信度为0.901,重测信度为0.866)和适用性[平均完成时间(14.62±1.927)min和91.43%的有效应答率]。256例头颈癌患者的自我感知歧视得分为20~60分,中位得分为39分,经济负担和肿瘤分期是患者自我感知歧视的独立影响因素(P<0.01),自我感知歧视与生活质量呈负相关。结论头颈癌患者普遍存在较强的歧视感,CSPDS在我国华东地区头颈癌患者自我感知歧视测量中信效度及适用性良好,可用于预防和缓解患者自我感知其实,减少心理疾病发生,提高患者身心健康和生活质量。Objective To test the reliability,validity and applicability of the Cancer Self-perceived Discrimination Scale(CSPDS)in patients with head and neck cancer,and to analyze the correlation between self-perceived discrimination and quality of life.Methods A total of 256 patients with head and neck cancer in East China from August 2023 to January 2024 were investigated by the Cancer Self-perceived Discrimination Scale(CSPDS)and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ C30).The reliability,validity and applicability of CSPDS were tested by classical measurement theory.Multiple stepwise linear regression was used to analyze the influencing factors of patients'self-perceived discrimination,and Pearson correlation coefficient was used to analyze the correlation between self-perceived discrimination and quality of life.Results CSPDS had good construct validity in patients with head and neck cancer(χ^(2)/df=2.470,RMSEA=0.076,GFI=0.914,CFI=0.947,NFI=0.915,IFI=0.947,TLI=0.933),content validity(Pearson content correlation>0.3,P<0.01),criterion validity(Pearson correlation coefficient between CSPDS and QLQ-C30 was 0.387>0.3,P<0.01),reliability(Cronbach'sαcoefficient was 0.921,split half reliability was 0.901,test-retest reliability was 0.866)and applicability[average completion time(14.62±1.927)min and effective completion rate of 91.43%].The self perceived discrimination scores of 256 patients with head and neck cancer ranged from 20 to 60 scores,with a median score of 39 scores.Economic burden and tumor stage were independent influencing factors of self-perceived discrimination(P<0.01).Self-perceived discrimination was negatively correlated with quality of life.Conclusion Patients with head and neck cancer generally have a strong sense of discrimination,CSPDS has good reliability,validity,and applicability in measuring self-perceived discrimination among head and neck cancer patients in East China.It can be used to prevent and alleviate patient self-perception,r

关 键 词：头颈癌 自我感知歧视 量表 验证 心理健康 

分 类 号：R739.91[医药卫生—肿瘤]