Development and reliability and validity test of Self-Management Behavior Assessment Scale for Lung Cancer Survivors

doi:10.3761/j.issn.0254-1769.2022.21.009

Abstract

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

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

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.

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.

Figures/Tables 2

References 20

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