中文版父母用疾病不确定量表在肿瘤患儿父母中的重新修订及信效度检验

发布时间：2018-01-30 22:08

本文关键词： 疾病不确定感肿瘤信度效度　出处：《中华护理杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的翻译父母用疾病不确定量表(Parents'Perception Uncertainty in Illness Scale,PPUS)并进行信效度检验,确定其截断值。方法将英文版量表翻译成中文,采用便利抽样方法抽取420名某三级甲等医院接受治疗的肿瘤患儿的父母并随机分成探索性因子分析组(exploratory factor analysis,EFA)和验证性因子分析组(confirmatory factor analysis,CFA),同时采用社会支持量表、焦虑自评量表以及抑郁自评量表进行相关性检测并确定肿瘤患儿父母疾病不确定值的截断值。结果中文版的PPUS共保留14个条目,EFA共提取了2个因子,分别命名为"模糊"、"缺乏沟通",各维度的Cronbach'sα系数为0.830和0.877,累积方差解释量为54.56%;CFA验证了1个二阶二因子的结构模型,其中非范拟合指数(tucker-lewis index,TLI)=0.914,比较拟合指数(comparative fit index,CFI)=0.922,拟合优度指数(goodness of fit index,GFI)=0.915,规范拟合指数(normed fit index,NFI)=0.832,增值拟合指数(incremental fit index,IFI)=0.929,相对拟合指数(relative fit index,RFI)=0.887,平均方根残值(root mean square residual,PMR)=0.066,近似误差均方根(root mean square errorof approximation,RMSEA)=0.043;PPUS总分及相关维度与各其他量表的相关性强(P0.01),聚合效度好;肿瘤患儿父母疾病不确定感的截断值为42.5。结论修订后的PPUS更适合中国父母使用,具有良好的信效度且条目少,适合临床科室作为肿瘤患儿父母高危心理的初步筛查工具。
[Abstract]:Objective to use the disease uncertainty scale Parentsu exception Uncertainty in Illness Scale. Methods the English version of the scale was translated into Chinese. The parents of 420 children with cancer treated in a Grade 3A hospital were randomly divided into exploratory factor analysis group (. Exploratory factor analysis. EFAs) and confirmatory factor analysisCFAs were used in the confirmatory factor analysis group, and the social support scale was used at the same time. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to detect the correlation and determine the truncation value of parents' disease uncertainty. Results the Chinese version of PPUS retained 14 items. EFA extracted two factors, named "fuzzy" and "lack of communication". The Cronbach's 伪 coefficients of each dimension were 0.830 and 0.877 respectively. The cumulative variance was 54.56; CFA verifies a second-order two-factor structural model, in which the non-normed fitting exponent tucker-Lewis index is 0.914. The comparative fit index was 0.922, and the goodness of fit index was good. The standard fitting index was normed fit index (NFI) 0.832. The incremental fit index is 0.929, and the relative fitting index is relative fit index. The root mean square residuals were 0. 066 and 0. 887, and the mean square root residuals were 0. 066 and 0. 066 respectively. The approximate error of root mean square errorof approximation is 0.043; The correlation between the total score of PPUS and other scales was strong (P0.01), and the aggregation validity was good. Conclusion the modified PPUS is more suitable for Chinese parents and has good reliability and validity. It is suitable for clinical department as a primary screening tool for high-risk parents of cancer children.
【作者单位】：广州中医药大学;中山大学附属肿瘤医院;
【基金】：2011年广东省科技厅项目粤科规划字[2011]70号(2011B080701081)
【分类号】：R473.73
【正文快照】： 最新数据显示[1],中国每年有36.21/105的儿童被确诊为肿瘤(0~15岁),其中发病率为38.58/105,病死率为17.35/105。患儿确诊为肿瘤这一应激事件使父母的心理社会功能不能得到正常的实现[2],其中困扰着他们的1个重要的因素就是疾病不确定感[3],即一种持续的怀疑状态以及一种不断变

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