肿瘤护理质量量表的汉化及信效度检验

Translation,revision and assessment of reliability and validity of the Quality of Oncology Nursing Care Scale

目的翻译并修订肿瘤护理质量量表,对修订后的量表进行信效度评价。方法采用Brislin翻译模式进行正译和回译;通过专家组讨论和预调查对翻译的量表进行跨文化调适;采用便利抽样方法对612例晚期肿瘤患者进行调查,评价量表信效度。结果中文版肿瘤护理质量量表包含5个维度:支持与确认(16个条目),灵性关怀(6个条目),归属感(5个条目),重视(4个条目),尊重(3个条目)。总量表的Cronbach’s α系数为0.946,各维度的Cronbach’s α系数为0.735~0.928。总量表的折半信度为0.879,各维度的折半信度为0.683~0.864。总量表的重测信度为0.867,各维度的重测信度为0.837~0.889。量表中各条目的内容效度指数均>0.86,总量表的内容效度指数为0.97。结论修订后的中文版肿瘤护理质量量表在中国文化背景下具有良好的信度和效度,可作为肿瘤护理质量的评估工具。

Objective To translate and revise the Quality of Oncology Nursing Care Scale(QONCS) into Chinese,then to assess the reliability and validity of the Chinese version of the Quality of Oncology Nursing Care Scale(C-QONCS).Methods Standard forward-back translation techniques were used in the translation of the QONCS according to the Brislin translation model. Cross-cultural revision of the translated QONCS was carried out through group discussion and pilot test. Totally 612 patients with advanced cancer were recruited and investigated using general information questionnaire and the C-QONCS by convenient sampling,and its reliability and validity were assessed.Results The C-QONCS had 5 dimensions:being supported and confirmed(16 items),spiritual caring(6 items),sense of belonging(5 items),being valued(4 items),being respected(3 items). The Cronbach’s a coefficient for the overall scale was 0.946,and ranging from 0.735 to 0.928 for each domain. Split-half reliability was 0.879 for the overall scale,and 0.683~0.864 for each domain. Test-retest reliability was 0.867 for the overall scale,and 0.837~0.889 for each domain. Analysis of content validity of the C-QONCS indicated that I-CVl was at least 0.86,S-CVl was 0.97.Conclusion The reliability and validity of C-QONCS are satisfactory and well meet the requirements of psychological measurement,indicating C-QONCS is a reliable and valid instrument in the context of Chinese culture,and can be used to assess the quality of oncology nursing care.