Abstract:

Objective To develop an Exercise Behavior Perception Scale for Lung Cancer Patients in China，and to test its reliability and validity. Methods According to the health belief model，the first draft of the scale was formed through literature review，semi-structured interview，research group discussion，2 rounds of expert correspondence and pre-survey. A total of 842 patients with lung cancer who received treatment in a tertiary A hospital in Zhengzhou City from October 2022 to April 2023 were selected for investigation，and item analysis，validity analysis，and reliability analysis were applied to adjust the items to form a formal scale. Results The Exercise Behavior Perception Scale for Lung Cancer Patients contained 24 items，and exploratory factor analysis generated 6 common factors，including physical rehabilitation benefits，emotional and mental benefits，information disorders，disease symptom disorders，condition disorders，and psychological disorders. The cumulative variance contribution rate reached 73.916%，and the results of confirmatory factor analysis showed that the model fit was good，the χ²/df was 2.371，the root mean square error of approximation was 0.057，the normed fit index was 0.924，and the comparative fit index was 0.954，the scale score was moderately positively correlated with the total score of the Frenchay activities index （r=0.529，P<0.001）. The Cronbach’s α，coefficient，half reliability，and retest reliability of the scale were 0.884，0.741，and 0.889，respectively. Conclusion The Exercise Behavior Perception Scale for Lung Cancer Patients had good reliability and validity，and it can be used to effectively evaluate the exercise behavior perception status of lung cancer patients.

Key words: Lung Cancer, Exercise, Behavior Perception, Reliability, Validity, Rehabilitation Nursing

摘要：

目的 编制肺癌患者运动训练行为感知量表并检验其信效度。方法 依据健康信念模型，通过查阅文献、半结构式访谈、课题组讨论、2轮专家函询和预调查，形成量表初稿。选取2022年10月—2023年4月在郑州市某三级甲等医院就诊且符合条件的842例肺癌患者进行调查，应用项目分析、效度分析及信度分析对条目进行调整，形成正式量表。结果 肺癌患者运动训练行为感知量表包含24个条目，探索性因子分析产生身体康复益处、情绪与心态益处、信息障碍、疾病症状障碍、条件障碍、心理障碍等6个公因子，累计方差贡献率为73.916%，验证性因子分析结果显示，卡方/自由度为2.371，近似误差均方根为0.057，规范拟合指数为0.924，比较拟合指数为0.954，模型拟合度较好。量表得分与法兰查活动量表总分呈正相关（r=0.529，P<0.001）；量表总的Cronbach’s α系数、折半信度及重测信度分别为0.884、0.741、0.889。结论 构建的肺癌患者运动训练行为感知量表具有良好的信效度，可用于评估肺癌患者运动训练行为的感知状况。

关键词: 肺癌, 运动训练, 行为感知, 信度, 效度, 康复护理