中文版基于患者报告结局测量信息系统的症状管理自我效能感量表在鼻咽癌患者中的信效度检验

Reliability and validity testing of the Chinese version of Self-Efficacy for Managing Symptoms Scale based on patient reported outcome measurement information system among patients with nasopharyngeal carcinoma

目的汉化基于患者报告结局测量信息系统(PROMIS)的症状管理自我效能感量表(SEMSX),并在我国鼻咽癌患者中进行信效度检验。方法遵循FACIT翻译法对英文版PROMIS-SEMSX进行翻译及文化调适,形成中文版PROMIS-SEMSX。2021年1—4月在浙江省肿瘤医院采用便利抽样法对205例鼻咽癌患者进行调查,评价量表的信效度。结果中文版PROMIS-SEMSX量表包含4个维度,28个条目,分别为信心水平(7个条目)、症状管理(5个条目)、症状对生活的影响(9个条目)、寻求与领悟支持(7个条目)。量表的校标关联效度为0.935;总量表的Cronbachα系数为0.966,分半信度为0.891。各维度的Cronbachα系数为0.910~0.938,总量表的重测信度为0.757。结论中文版PROMIS-SEMSX用于评价鼻咽癌患者具有良好的信效度,为测评鼻咽癌患者症状管理自我效能感水平提供了新工具。

Objective To translate the Efficacy of Self-Efficacy for Managing Symptoms(SEMSX)based on the Patient-Reported Outcomes Measurement Information System(PROMIS)into Chinese,and to test the reliability and validity of the scale among Chinese patients with nasopharyngeal carcinoma.Methods The English version of PROMIS-SEMSX was translated into Chinese according to the FACIT translation method.The reliability and validity of the scale were evaluated.From January to April in 2021,the convenient sampling method was adopted to select 205 patients with nasopharyngeal cancer in Zhejiang Cancer Hospital for investigation.Results The Chinese version of PROMIS-SEMSX scale consisted of 28 items in 4 dimensions,which were consistent with confidence level(with 7 items),symptom management(with 5 items),the impact of symptoms on life(9 items),seeking and understanding support(7 items).The calibration correlation validity was 0.935.The total Cronbachαcoefficient of the scale was 0.966,and the half-reliability of the total scale was 0.891.The Cronbachαcoefficient of each dimension was 0.910-0.938,and the total retest reliability coefficient of the scale was 0.757.Conclusions The Chinese version of PROMIS-SEMSX has good reliability and validity in patients with nasopharyngeal carcinoma,and provides a new tool for patients with nasopharyngeal carcinoma to evaluating self-efficacy symptom management.