肺癌生存者自我管理行为评估量表的编制及信效度检验

doi:10.3761/j.issn.0254-1769.2022.21.009

摘要/Abstract

摘要：

目的编制肺癌生存者自我管理行为评估量表，并检验其信效度。方法以自我管理理论为指导，在文献分析及半结构式访谈的基础上，通过德尔菲专家函询、小组讨论和预调查形成量表初稿，便利选取2021年4月— 10月浙江省某三级甲等综合医院和肿瘤专科医院564例肺癌生存者进行问卷调查，检验量表的信效度。结果正式量表共包括日常生活管理、症状管理、随访管理、信息与资源管理、情绪管理和希望管理6个维度，47个条目。量表总的Cronbach’s α系数为0.950，分半信度系数为0.756。内容效度指数为0.966，结构效度KMO值为0.926，共提取6个公因子，累计方差贡献率为63.546%。结论构建的肺癌生存者自我管理行为评估量表具有良好的信效度，适用于肺癌生存者自我管理行为的评估。

关键词: 肺癌, 生存者, 自我管理, 量表, 信度, 效度, 护理

Abstract:

Objective To develop a Self-Management Behavior Assessment Scale for Lung Cancer Survivors in China，and to test its reliability and validity. Methods Guided by the self-management theory，on the basis of literature analysis and semi-structured interviews，the first draft of the scale was formed through the Delphi expert enquiry，group discussion and preliminary investigation. From April to October 2021，564 lung cancer survivors from a tertiary A hospital and a tumor hospital in Zhejiang province were selected to conduct the questionnaire survey，in order to test the reliability and validity of the scale. Results The formal scale includes 6 dimensions and 47 items in daily life management，symptom management，follow-up management，information and resource management，emotional management and hope management. The total Cronbach’s α coefficient of the scale was 0.950，and the split-half reliability was 0.756. The content validity score was 0.966，and the structure validity KMO was 0.926，and a total of 6 common factors were extracted，which could explain 63.546% of the total variation. Conclusion The Self-Management Behavior Assessment Scale of Lung Cancer Survivors developed in this study has good reliability and validity，and it is suitable for the assessment of self-management behavior of lung cancer survivors.

Key words: Lung Cancer, Survivors, Self-Management, Scale, Reliability, Validity, Nursing Care

项佳莲, 宁丽, 陈雨静, 蔡灵芝, 王莉, 夏云, 檀亚玲. 肺癌生存者自我管理行为评估量表的编制及信效度检验[J]. 中华护理杂志, 2022, 57(21): 2615-2621.

XIANG Jialian, NING Li, CHEN Yujing, CAI Lingzhi, WANG Li, XIA Yun, TAN Yaling. Development and reliability and validity test of Self-Management Behavior Assessment Scale for Lung Cancer Survivors[J]. Chinese Journal of Nursing, 2022, 57(21): 2615-2621.

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参考文献 20

[1]	Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3):209-249. DOI URL
[2]	岳东升, 王长利. 非小细胞肺癌的手术标准及预后分析[J]. 中华肿瘤杂志, 2014, 36(7):532-535.
	Yue DS, Wang CL. Surgical resection standard and prognostic analysis of non-small cell lung cancer[J]. Chin J Oncol, 2014, 36(7):532-535.
[3]	Somayaji D, Blok AC, Hayman LL, et al. Enhancing behavioral change among lung cancer survivors participating in a lifestyle risk reduction intervention:a qualitative study[J]. Support Care Cancer, 2019, 27(4):1299-1308. DOI PMID
[4]	Peddle-Mcintyre CJ, Baker MK, Lee YCG, et al. The feasibility of a pragmatic distance-based intervention to increase physical activity in lung cancer survivors[J]. Eur J Cancer Care(Engl), 2018, 27(1):e12722.
[5]	Pongthavornkamol K, Lekdamrongkul P, Pinsuntorn P, et al. Phy-sical symptoms,unmet needs,and quality of life in Thai cancer survivors after the completion of primary treatment[J]. Asia Pac J Oncol Nurs, 2019, 6(4):363-371. DOI URL
[6]	Henshall CL, Allin L, Aveyard H. A systematic review and narrative synthesis to explore the effectiveness of exercise-based interventions in improving fatigue,dyspnea,and depression in lung cancer survivors[J]. Cancer Nurs, 2019, 42(4):295-306. DOI URL
[7]	D’Silva A, Gardiner PA, Boyle T, et al. Associations of objectively assessed physical activity and sedentary time with health-related quality of life among lung cancer survivors:a quantile regression approach[J]. Lung Cancer, 2018, 119:78-84. DOI URL
[8]	Shay LA, Schmidt S, Dioun SI, et al. Receipt of a survivorship care plan and self-reported health behaviors among cancer survivors[J]. J Cancer Surviv, 2019, 13(2):180-186. DOI PMID
[9]	Lorig K. Self-management education:more than a nice extra[J]. Med Care, 2003, 41(6):699-701. PMID
[10]	Ory MG, Ahn S, Towne SD Jr, et al. Chronic disease self-management education:program success and future directions[M]// Geriatrics Models of Care. Cham: Springer International Publishing, 2015:147-153.
[11]	钱会娟, 袁长蓉. 中文版癌症自我管理效能感量表的信效度测评[J]. 中华护理杂志, 2011, 46(1):87-89.
	Qian HJ, Yuan CR. The reliability and validity of Chinese version of Strategies Used by People to Promote Health[J]. Chin J Nurs, 2011, 46(1):87-89.
[12]	万崇华, 张灿珍, 宋元龙, 等. 肺癌患者生存质量测定量表FACT-L中文版[J]. 中国肿瘤, 2000, 9(3):109-110.
	Wan CH, Zhang CZ, Song YL, et al. FACT-L Chinese version of lung cancer quality of life scale[J]. Chin J Oncol, 2000, 9(3):109-110.
[13]	程玲灵, 孙玉倩. 癌症患者自我管理测评量表的编制及信效度检验[J]. 中华护理杂志, 2017, 52(9):1082-1087.
	Cheng LL, Sun YQ. Development and validation of Cancer Pa-tient Self-Management Assessment Scale[J]. Chin J Nurs, 2017, 52(9):1082-1087.
[14]	Eberhardt WE, Mitchell A, Crowley J, et al. The IASLC lung cancer staging project:proposals for the revision of the M descriptors in the forthcoming eighth edition of the TNM classification of lung cancer[J]. J Thorac Oncol, 2015, 10(11):1515-1522. DOI PMID
[15]	黄小夏, 张丽萍, 陈艳, 等. 新生儿医用粘胶剂相关性皮肤损伤风险评估量表的编制与信效度检验[J]. 中华护理杂志, 2019, 54(3):380-384. DOI
	Huang XX, Zhang LP, Chen Y, et al. Development of Neonate Medical Adhesive Related Skin Injury Risk Assessment Scale and assessment of its validity and reliability[J]. Chin J Nurs, 2019, 54(3):380-384. DOI
[16]	王雨卢, 倪志宏. 痛风患者治疗依从性量表的编制及信效度检验[J]. 护理学杂志, 2021, 36(17):9-12.
	Wang YL, Ni ZH. Development and validation of the Gout Treatment Adherence Scale[J]. J Nurs Sci, 2021, 36(17):9-12.
[17]	谭蓉, 胡德英, 刘义兰, 等. 住院患者自杀风险评估量表的编制及信效度检验[J]. 中华护理杂志, 2018, 53(9):1096-1099.
	Tan R, Hu DY, Liu YL, et al. Development of an indicator system for evaluating mental health in inpatients[J]. Chin J Nurs, 2018, 53(9):1096-1099.
[18]	张虹, 林李琼, 陈元生, 等. 中文版本LEE量表预测家庭成员情感表达模式的验证性因素分析[J]. 中华全科医学, 2016, 14(10):1699-1702.
	Zhang H, Lin LQ, Chen YS, et al. Confirmatory factor analysis of the Level of Expressed Emotion Scale in Chinese version[J]. Chin J Gen Pract, 2016, 14(10):1699-1702.
[19]	Boland L, Bennett K, Connolly D. Self-management interventions for cancer survivors:a systematic review[J]. Support Care Cancer, 2018, 26(5):1585-1595.
[20]	Krebs P, Coups EJ, Feinstein MB, et al. Health behaviors of early-stage non-small cell lung cancer survivors[J]. J Cancer Surviv, 2012, 6(1):37-44. DOI PMID