癌症患者健康行为量表的汉化及测量不变性检验

doi:10.3761/j.issn.0254-1769.2025.04.010

摘要/Abstract

摘要：

目的汉化癌症患者健康行为量表（Health Behavior Scale for Cancer Patients，HBSCP），并进行信效度检验及测量中文版量表在不同癌症患者中的不变性，形成适合测评国内癌症患者的健康行为量表。方法采用Brislin翻译模型对原量表进行翻译与回译，经文化调适及预调查后，形成中文版HBSCP。采用便利抽样法，选取2024年2月—7月天津市和南昌市2所三级甲等医院的600例癌症患者进行问卷调查，以检验中文版HBSCP的信效度及跨癌症类型的测量不变性。结果回收有效问卷567份。中文版HBSCP包含9个条目，共2个维度。验证性因子分析结果显示，各指标均达到理想的拟合标准。量表各条目因子载荷为0.697~0.815，2个维度的组合信度分别为0.815、0.874，平均方差变异分别为0.656、0.526。中文版HBSCP与健康促进生活方式量表-Ⅱ呈正相关（r=0.760，P<0.001）。条目水平的内容效度为0.930~1.000，平均量表水平的内容效度为0.993。量表总的Cronbach’s α系数为0.900，2个维度的Cronbach’s α系数分别为0.849、0.873。量表在肺癌、消化道癌症、妇科癌症3个群组的等值检验中具有测量不变性。结论中文版HBSCP具有良好的信效度及跨癌症类型的测量不变性，可用于癌症患者健康行为水平的测量。

关键词: 癌症, 健康行为, 信度, 效度, 测量不变性, 护理

Abstract:

Objective To translate the Health Behavior Scale for Cancer Patients（HBSCP） into Chinese and conduct reliability and validity tests. The measurement invariance of the Chinese version of the scale among different cancer patients was measured to form a health behavior scale suitable for assessing cancer patients in China. Methods The original scale was translated and translated back according to the Brislin translation model. The Chinese version of the HBSCP was formed through cross-cultural adaptation and pre-test. A questionnaire survey was conducted on 600 cancer patients from 2 tertiary A hospitals in Tianjin and Nanchang from February to July 2024 by convenience sampling method to test the reliability，validity，and measurement invariance of the Chinese version of the HBSCP. Results 567 valid questionnaires were collected. The Chinese version of the HBSCP includes 9 items with 2 factors. Confirmatory factor analysis supported the 2-factor model，and all indexes meet the ideal fitting standard. The factor load of each item on the scale ranged from 0.697 to 0.815. The composite reliability of the 2 dimensions was 0.815 and 0.874. Average variance extracted was 0.656 and 0.526. The Chinese version of the HBSCP was positively correlated with Health Promoting Lifestyle Profile-Ⅱ（r=0.760，P<0.001）. The content validity index of items ranges of the scales from 0.930 to 1.000，and the content validity index/average of the scales was 0.993. The total Cronbach’s alpha coefficient of the scale was 0.900，and the two-factor Cronbach’s alpha coefficient was 0.849 and 0.873，respectively. The scale has measurement invariance in the equivalence test for 3 clusters of lung，gastrointestinal，and gynecologic cancers. Conclusion The Chinese version of the HBSCP has good reliability and validity and measurement invariance across cancer types，and can be used to measure the health behavior level of cancer patients.

Key words: Cancer, Health Behavior, Reliability, Validity, Measurement Invariance, Nursing Care

胡肖肖, 李洋, 熊丽娜, 耿庆春, 金燕飞. 癌症患者健康行为量表的汉化及测量不变性检验[J]. 中华护理杂志, 2025, 60(4): 453-459.

HU Xiaoxiao, LI Yang, XIONG Lina, GENG Qingchun, JIN Yanfei. Sinicization and measurement invariance testing of the Health Behavior Scale for Cancer Patients[J]. Chinese Journal of Nursing, 2025, 60(4): 453-459.

图/表 3

表1 调查对象一般资料（n=567）

Table 1 General information of the research subjects（n=567）

表2 中文版癌症患者健康行为量表各条目因子载荷（n=567）

Table 2 The factor loading of the Chinese version of the HBSCP（n=567）

表3 各等值模型的模型拟合指标（n=567）

Table 3 Model fitting indicators for each equivalent model（n=567）

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