乳腺癌患者心理社会适应问卷的研制

Development of the psychosocial adaptation questionnaire for breast cancer patients

目的研制科学、实用、有较好信度和效度的乳腺癌患者心理社会适应问卷。方法通过大量文献回顾和对10例乳腺癌患者的半结构式访谈及对4位专家的咨询，形成初始化问卷，并通过对228例乳腺癌术后患者的调查，对问卷进行条目分析和信效度检验。结果乳腺癌患者心理社会适应问卷共有44个条目，包括焦虑胂郁、自尊和自我接纳、态度、归属感、自我控制和自我效能感5个维度。该问卷具有较好的内容效度，主成分分析提取出5个因子，累积贡献率54．578％，绝大多数条目在相应因子上的负荷达到0．4以上，结构与理论构想基本一致；参照于焦虑自评量表、一般自我效能感量表和自我接纳问卷的效标关联效度分别为-0．757、0．505、0．691。问卷的Cronbaeh’s a系数为0．945，重测信度为0．961。结论乳腺癌患者心理社会适应问卷具有较好的信度和效度，能客观、有效地评估乳腺癌患者的心理社会适应状况，具有较高的实用性和推广价值。

Objective To develop a Chinese version questionnaire of psychosocial adaptation for breast cancer patients with good reliability and validity. Methods The preliminary questionnaire was formed by extensive literature review, semi-structured interview for 10 breast cancer patients and consulta- tion for 4 experts. In order to analyze items and test reliability and validity, 228 postoperative breast cancer patients were selected. Results Psychosocial adaptation questionnaire included 44 items and 5 dimen- sions. It had good content validity and construct validity. With the method of principle components analysis, and five factors were extracted, the cumulative contribution rate was 54.578%, loading for most factors was over 0.4. The result indicated that the structure of the questionnaire was similar to the theory construction. The criterion-related validity with self-rating anxiety scale, the general self-efficacy scale, and self-accep- tance questionnaire was-0.757, 0.505, 0.691. Crenbach＇s a coefficient of the overall questionnaire was 0.945,retest correlation coefficient was 0.961. Conclusions The developed questionnaire showed good reliability and validity. It can objectively and effectively evaluate psychosocial adaptation of breast cancer patients, so it has practicality and popularization value.