癌症患者安宁疗护需求问卷的编制及信效度检验

Development and validation of cancer patients′ palliative care needs questionnaire

目的研制符合中国文化的癌症患者安宁疗护需求问卷,并检验其信效度.方法参考《安宁疗护实践指南(试行)》,以奥马哈问题分类系统为理论框架,通过文献研究、小组讨论、德尔菲专家函询得到初始问卷;采用方便取样法调查198例癌症患者对编制的问卷行信效度检验.结果最终形成包含28个条目的问卷;探索性因子分析共产生6个因子,累计方差贡献率为70.563%.问卷内容效度为0.933,各条目内容效度为0.813~1.000.问卷Cronbach'sα系数为0.934,重测信度为0.907.结论癌症患者安宁疗护需求问卷具有良好的信效度,可作为癌症患者安宁照护需求的评价工具.

Objective To develop a questionnaire measuring cancer patients′palliative care needs in accordance with Chinese culture,and to test its reliability and validity.Methods The Guidelines for the Practice of Hospice Care(Trial)was referred to and the Omaha problem classification system was used as the theoretical framework to develop an initial questionnaire through literature research,group discussion and Delphi experts consultation,then 198 cancer patients were investigated utilizing convenience sampling to test its reliability and validity.Results A questionnaire containing 28 items was formed finally,a total of 6 factors were yield according to exploratory factor analysis,the cumulative variance contribution rate was 70.563%.The content validity of the questionnaire was 0.933,and the content validity of each item was 0.813-1.000.The Cronbach′sαcoefficient of the questionnaire was 0.934,and its test-retest reliability was 0.907.Conclusion The questionnaire of palliative care needs of cancer patients has good reliability and validity,and it can be used as an evaluation tool measuring cancer patients′palliative care needs.