癌症患者心理调节问卷的编制与测评

Development and Evaluation of the Psychological Adjustment Scale for Cancer Patients

目的：研制癌症患者心理调节问卷（PASCP）.方法：以严谨的程序编制问卷,随机抽取557例癌症患者进行测定,请患者、183位亲属和96位医护人员做重要性评分,并对问卷进行筛选和信度、效度检验.结果：（1）问卷共有36个条目,包括患癌症后对情绪/自尊、主观感受、日常生活、人际关系/社会生活、其他等五个维度和一项总的心理调节自我评价条目.（2）问卷具有较好的内容效度,结构与设计的理论构思相符,5个因子负荷范围和方差分析分别为0.63～0.79和7.44,0.67～0.76和5.42,0.69～0.88和4.77,0.66～0.91和4.77,0.63～0.80和4.38,参照于HAD和FLIC两个问卷的效标效度分别为0.78和0.69.（3）五个维度和总分的重测信度分别为0.83、0.82、0.86、0.78、0.76和0.89,Cronbach α系数分别为0.83、0.86、0.80、0.78、0.69和0.89.结论：PASCP有较好的效度、信度和灵敏度,问卷能较敏感地反映治疗及康复前后患者心理调节的变化.

Objectives： To develop and evaluate the Psychological Adjustment Scale for Cancer Patients （PAS- CP） . Methods： A self-report rating scale was developed with structured methods. A total of 557 cancer patients were asked to complete the scale and evaluate the importance of each item. And 183 relatives and 96 doctors and nurses were also asked to evaluate the importance of each item. The scale was refined and its reliability, validity and respon- siveness were evaluated. Results： （ 1 ） PASCP was finally refined as a scale with 36-item, 5 dimensions including the impact on emotion/self-esteem, self-perception, daily life, relationship with others/social life, others, and an item to value the general psychological adjustment after the patients were diagnosed with cancer. （2） The scale had good content validity. Its construct was consistent with the concept designed. The factor loading spectrum and ANOVA are 0. 63 -0.79 and 7.44, 0.67 -0.76 and 5.42, 0.69 -0.88 and 4. 77, 0.66-0.91 and 4. 77, 0.63 -0.80 and 4. 38 respectively. The criterion validity with HAD and FLIC were 0. 78 and 0.69 respectively. （3） The test-retest coefficients for the 5 dimensions and the total score were 0. 83, 0. 82, 0. 86, 0. 78, 0. 76 and 0. 89 respectively; Cronbach α for them were 0. 83, 0. 86, 0. 80, 0. 78, 0. 69 and 0. 89 respectively. The split-half reliability for the scale was 0. 93. 4. The scale could reflect the changes of the patients＇psychological adjustment before and after treatment and recovery. Conclusion： PASCP has high validity, reliability and responsiveness. It is applicable in clinical practice in China.