晚期癌症患者阿片类药物自我管理量表的汉化及信效度检验

doi:10.3761/j.issn.0254-1769.2026.12.013

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (12): 1681-1687.DOI: 10.3761/j.issn.0254-1769.2026.12.013

晚期癌症患者阿片类药物自我管理量表的汉化及信效度检验

杨光宇¹(), 朱培摇², 李珍³^,^*(), 刘星歌², 胡恒瑜⁴, 曲瑞杰⁵, 陈云霞⁶, SHIORI Yoshida⁷, 李海芹¹

¹ 河南省人民医院疼痛科郑州市 450003
² 河南大学护理与健康学院开封市 475001
³ 河南省人民医院乳腺外科郑州市 450003
⁴ 河南省人民医院老年医学科郑州市 450003
⁵ 深圳市人民医院消化科深圳市 518020
⁶ 河南省人民医院神经内科重症监护室郑州市 450003
⁷ 日本东北大学肿瘤护理科日本宫城县仙台市 980-8576

收稿日期:2026-02-12 出版日期:2026-06-20 发布日期:2026-06-12
*通讯作者: 李珍，E-mail：653852519@qq.com
作者简介:杨光宇：女，本科，主管护师，E-mail：hnsrmyyttk@163.com
第一联系人：作者贡献声明
杨光宇：文献回顾、数据分析、撰写论文、获取研究经费；朱培摇：资料采集、统计分析、论文修改；李珍：研究指导与设计、质量控制；刘星歌、胡恒瑜：预调查的实施、数据收集与整理；曲瑞杰、陈云霞、李海芹：专家函询的组织与实施；SHIORI Yoshida：量表内容校对
基金资助:
河南省医学教育研究项目(WJLX2024024)

Sinicization and psychometric validation of the Opioid Self-Management Scale for Advanced Cancer Patients with Pain

YANG Guangyu¹(), ZHU Peiyao², LI Zhen³^,^*(), LIU Xingge², HU Hengyu⁴, QU Ruijie⁵, CHEN Yunxia⁶, SHIORI Yoshida⁷, LI Haiqin¹

¹ Department of Pain Management， Henan Provincial People’s Hospital， Zhengzhou 450003， China
² School of Nursing and Health， Henan University， Kaifeng 475001， China
³ Department of Breast Surgery， Henan Provincial People’s Hospital， Zhengzhou 450003， China
⁴ Department of Geriatrics， Henan Provincial People’s Hospital， Zhengzhou 450003， China
⁵ Department of Gastroenterology， Shenzhen People’s Hospital， Shenzhen 518020， China
⁶ Department of Neurology Intensive Care Unit， Henan Provincial People’s Hospital， Zhengzhou 450003， China
⁷ Department of Oncology Nursing， Tohoku University，Sendai， Miyagi prefecture 980-8576， Japan

Received:2026-02-12 Online:2026-06-20 Published:2026-06-12
* Corresponding author: LI Zhen，E-mail：653852519@qq.com
Funding program:
Henan Medical Education Research Project(WJLX2024024)

摘要/Abstract

摘要：

目的汉化晚期癌症患者阿片类药物自我管理量表（Opioid Self-Management Scale for Advanced Cancer Patients with Pain，OSSA），并在国内晚期癌症患者中检验其信效度，旨在为评估此类患者的阿片类药物自我管理能力提供可靠工具。方法以Brislin翻译模型为基础，对OSSA进行翻译、跨文化调适及预调查，形成中文版OSSA。于2025年3—12月，采用便利抽样法，在河南省郑州市2所三级甲等综合医院肿瘤中心和疼痛科招募576例接受阿片类药物治疗的晚期癌症患者，对量表进行项目分析和信效度检验。结果最终形成的中文版OSSA包括6个维度、33个条目。条目水平的内容效度指数为0.916~1.000，平均量表水平的内容效度指数为0.990。探索性因子分析提取出6个特征值>1的因子，累计方差贡献率为77.578%。验证性因子分析证实模型拟合良好。量表总的Cronbach’s α系数为0.969，重测信度为0.958。结论中文版OSSA具有良好的信度和效度，可作为国内晚期癌症患者阿片类药物自我管理能力的有效评估工具。

关键词: 晚期癌症, 癌性疼痛, 阿片类药物, 自我管理, 量表, 信度, 效度, 肿瘤护理

Abstract:

Objective To translate the Opioid Self-Management Scale for Advanced Cancer Patients with Pain （OSSA） into Chinese and validate its reliability and validity among Chinese advanced cancer patients，aiming to provide a reliable tool for assessing opioid self-management capabilities in this patient population. Methods Based on the Brislin translation model，the OSSA underwent translation，cultural adaptation，and pre-survey to develop the Chinese version of the OSSA. From March to December 2025，576 patients with advanced cancer receiving opioid therapy were recruited through convenience sampling at the oncology centers and pain management departments of 2 tertiary A general hospitals in Zhengzhou，Henan Province. Item analysis，reliability，and validity testing of the scale were conducted. Results The final Chinese version of the OSSA comprises 6 dimensions and 33 items. The item-level content validity index ranged from 0.916 to 1.000，while the scale-level average content validity index was 0.990. Exploratory factor analysis extracted 6 factors with eigenvalues greater than 1，accounting for 77.578% of the cumulative variance. Confirmatory factor analysis indicated good model fit. The scale demonstrated a Cronbach’s α coefficient of 0.969，test-retest reliability of 0.958. Conclusion The Chinese version of the OSSA demonstrated good reliability and validity，making it an effective tool for assessing the opioid self-management capabilities of late-stage cancer patients in China.

Key words: Advanced Cancer, Cancer Pain, Opioids, Self-Management, Scale, Reliability, Validity, Oncology Nursing

杨光宇, 朱培摇, 李珍, 刘星歌, 胡恒瑜, 曲瑞杰, 陈云霞, SHIORI Yoshida, 李海芹. 晚期癌症患者阿片类药物自我管理量表的汉化及信效度检验[J]. 中华护理杂志, 2026, 61(12): 1681-1687.

YANG Guangyu, ZHU Peiyao, LI Zhen, LIU Xingge, HU Hengyu, QU Ruijie, CHEN Yunxia, SHIORI Yoshida, LI Haiqin. Sinicization and psychometric validation of the Opioid Self-Management Scale for Advanced Cancer Patients with Pain[J]. Chinese Journal of Nursing, 2026, 61(12): 1681-1687.

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晚期癌症患者阿片类药物自我管理量表的汉化及信效度检验

Sinicization and psychometric validation of the Opioid Self-Management Scale for Advanced Cancer Patients with Pain

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