中文版欧洲癌症治疗与研究生命质量-灵性健康量表的信度效度评定

The reliability and validity of the Chinese version of the European Quality of Life-Spiritual Health Scale for Cancer Therapy and Research in patients with advanced cancer

目的:翻译、修订欧洲癌症治疗与研究生命质量-灵性健康量表(the European Organisation for Research and Treatment for Cancer Quality of Life Questionnaire-spiritual well-being 32,EORTC QLQ-SWB32),并对其信度、效度进行检验。方法:严格按照跨文化调适步骤进行EORTC QLQ-SWB32量表的修订,形成中文版EORTC QLQ-SWB27评估量表。采用便利取样法,选取沈阳市某三级甲等医院符合纳入与排除标准的270例晚期癌症患者,使用中文版EORTC QLQ-SWB27对晚期癌症患者进行评估。结果:中文版EORTC QLQ-SWB27量表的Cronbach’sα系数为0.792,4个维度的Cronbach’sα系数为0.606~0.862;重测信度0.886;I-CVI为0.83~1.00,S-CVI为0.97;采用主成分分析法提取了特征根>1的4个因子,累积贡献率为51.7%。结论:中文版EORTC QLQ-SWB27灵性健康量表具有较好的信度、效度,可作为中国文化背景下晚期癌症患者灵性健康的测量工具。

Objective:To translate the European Organization for Research and Treatment for Cancer Quality of Life Questionnaire-spiritual well-being 32(EORTC QLQ-SWB32)into Chinese,and to assess its reliability and validity.Methods:The EORTC QLQ-SWB32 was translated strictly by the steps of cross-cultural adjustment to form the Chinese version of EORTC QLQ-SWB27 scale.A total of 270 patients with advanced cancer meeting the inclusion and exclusion criteria in a tertiary hospital in Shenyang were recruited by convenience sampling and investigated using the Chinese version of EORTC QLQ-SWB27.Results:The Cronbach's alpha coefficient of the Chinese version of EORTC QLQ-SWB27 scale was 0.792,and it was 0.606 to 0.862 for each sub-dimensions.Its test-retest reliability was 0.886;I-CVI was 0.83-1 and S-CVI was 0.97.Four factors with characteristic root>1 were extracted by principal component analysis,and the cumulative contribution rate was 51.7%.Conclusion:The Chinese version of EORTC QLQ-SWB27 scale has good reliability and validity,and can be used as a instrument to measure spiritual health of patients with advanced cancer in the context of Chinese culture.