食管癌、结直肠癌患者特异性支持照护需求量表的编制与心理测量学属性检测

发布时间：2018-02-11 21:43

本文关键词： 食管癌结直肠癌特异性支持照护需求心理测量学属性　出处：《安徽医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的探讨食管癌、结直肠患者的特异性支持照护需求内容。编制适合我国食管癌、结直肠癌患者的特异性支持照护需求量表(Specific Supportive Care Needs Scale-Esophageal Cancer/Colorectal Cancer,以下简称SSCNS-E/SSCNS-CR),并检测其心理测量学属性。方法通过文献回顾和质性访谈形成食管癌、结直肠癌患者特异性支持照护需求条目池。通过专家内容效度评定和预实验初筛条目,形成两种量表的临床测试版本。通过便利抽样选取270名食管癌患者,250名结直肠癌患者,分别完成相应量表(临床测试版),有效回收问卷263份、244份。采用题总相关法、t检验法、Cronbach'sα系数法、离散趋势法、以及因子分析法再次筛选条目,并检验量表的内部一致性信度。同时运用癌症患者护理专业性社会支持需求量表(Nursing Professional Social Support Needs Scale,以下简称NPSSNS)共性模块、食管癌患者治疗功能评定量表(the Function Assessment of Cancer Therapy Esophageal Cancer Subscale,以下简称FACT-E)或结直肠癌患者治疗功能评定量表(the Function Assessment of Cancer Therapy Colorectal Cancer Subscale,以下简称FACT-CR)进行聚合效度评价。比较不同经济条件、距离确诊不同时间患者的特异性支持照护需求得分,评价量表的区分效度,最终形成食管癌、结直肠癌患者特异性支持照护需求量表临床应用版本。结果SSCNS-E(临床应用版本)共包含12个条目,Cronbanch’sα系数为0.799;SSCNS-CR(临床应用版本)共16个条目,Cronbanch’sα系数为0.776。两量表内容效度指标I-CVI与S-CVI/Ave均为1。聚合效度结果显示,SSCNS-E总分与NPSSNS共性模块、FACT-E总分及各维度得分呈显著相关(P0.05)。SSCNS-CR总分与NPSSNS共性模块、FACT-CR总分及各维度得分呈显著相关(P0.05)。区分效度结果显示,月收入较低的患者特异性需求得分显著高于月收入较高的患者;确诊时间不超过1个月的食管癌或结直肠癌患者,其特异性支持照护需求得分显著高于确诊时间超过1年的患者。结论新编制的食管癌、结直肠癌患者特异性支持照护需求量表经初步检验具有较好的心理测量学属性,可为医护人员针对性评估食管癌或结直肠癌患者的支持照护需求情况提供参考。
[Abstract]:Objective to investigate the specific support and care needs of patients with esophageal cancer and colorectal cancer. The specific Supportive Care Needs Scale-Esophageal Cancer/Colorectal canvas (SSCNS-E / SSCNS-CRN) was used to measure the psychometric properties of patients with colorectal cancer. Methods esophageal carcinoma was formed by literature review and qualitative interviews. The item pool of specific support care needs of patients with colorectal cancer was collected. The clinical test versions of the two scales were formed through the evaluation of expert content validity and preliminary screening of items in pre-experiment. 270 patients with esophageal cancer were selected by convenience sampling, 250 patients with colorectal cancer were selected. The corresponding scales were completed (clinical test version), 263 questionnaires were collected and 244 questionnaires were effectively collected. Cronbach's 伪 coefficient method, discrete trend method and factor analysis method were used to screen items again, and the total correlation method was used to test Cronbach's 伪 coefficient, and factor analysis method was used to screen the items again. At the same time, using the Nursing Professional Social Support Needs scale (NPSS NSN) commonality module, we used the Nursing Professional Social Support Needs scale, and used the Nursing Professional Social Support Needs scale to test the internal consistency reliability of the scale, meanwhile, we used the Nursing Professional Social Support Needs scale. The Function Assessment of Cancer Therapy Esophageal Cancer subscale (FACT-E) or the Function Assessment of Cancer Therapy Colorectal Cancer subscale (FACT-CRE) were used to evaluate the aggregation validity. The scores of specific support and care needs of the patients at different time points were evaluated, and the distinguishing validity of the scale was evaluated to form esophageal cancer. Results the clinical application version of SSCNS-E (clinical application version) included 12 items: the coefficient of Cronbanchchus 伪 was 0.799 and the coefficient of Cronbanchchus 伪 of 16 items in SSCNS-CRs was 0.7766.Content validity of the two scales was obtained. The index I-CVI and S-CVI / Ave were 1.The results of aggregation validity showed that the total score of SSCNS-E was significantly correlated with the total score of FACT-E of NPSSNS commonality module and the scores of each dimension. The total score of SSCNS-E was significantly correlated with the total score of FACT-CR and the score of each dimension of NPSSNS commonality module (P 0.05), and the result of distinguishing validity showed that there was significant correlation between the total score of SSCNS-E and the total score of FACT-E and the score of each dimension of SSCNS-E. The patients with lower monthly income scored significantly higher specific needs than those with higher monthly income, and those with esophageal or colorectal cancer who had been diagnosed for less than one month, The score of specific support care requirement was significantly higher than that of the patients who had been diagnosed for more than one year. Conclusion the newly compiled demand table for specific support care for patients with esophageal and colorectal cancer has good psychometric properties after preliminary examination. It can be used as a reference for health care providers to evaluate the support and care needs of patients with esophageal or colorectal cancer.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.73

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