癌症照顾者健康素养量表的汉化及信效度检验

Chinese-version and reliability and validity of the Health Literacy of Caregivers Scale-Cancer

目的对癌症照顾者健康素养量表(HLCS-C)进行汉化及信效度检验。方法采用Brislin翻译模型对英文量表进行翻译和回译,通过专家咨询和预试验对中文版量表进行初步验证和修订。采用便利抽样法,选取2021年6—9月山东省肿瘤医院收治的242名宫颈癌患者照顾者为研究对象。采用修订后的中文版HLCS-C对其进行调查,检验中文版HLCS-C的信效度。本研究共发放问卷242份,回收有效问卷226份。结果中文版HLCS-C共44个条目,探索性因子分析结果显示量表包括癌症信息的收集、癌症信息的掌握、社会支持、与患者进行癌症相关交流、对患者需求和偏好的了解、健康和医疗保健服务使用、处理健康信息、和医务人员一起积极参与8个维度,累计方差贡献率73.448%。量表水平的内容效度指数(S-CVI)为0.981,条目水平的内容效度指数(I-CVI)为0.833~1.000;量表总Cronbach'sα系数为0.946,各维度Cronbach'sα系数为0.700~0.945;量表总的折半信度系数为0.791,各维度折半信度系数为0.635~0.867。结论中文版HLCS-C信效度良好,可作为宫颈癌照顾者健康素养水平的评估工具。

Objective To translate the Health Literacy of Caregivers Scale-Cancer(HLCS-C)into Chinese and test its reliability and validity.Methods The British translation model was used to translate and back translate the English version scale,and the Chinese version scale was initially verified and revised through expert consultation and pre-test.From June to September 2021,242 caregivers of cervical cancer patients admitted to Shandong Cancer Hospital were selected by convenient sampling.The revised Chinese version of HLCS-C was used to investigate the caregivers for reliability and validity test.A total of 242 questionnaires were distributed and 226 valid questionnaires were recovered.Results There were 44 items in the Chinese version of HLCS-C.The exploratory factor analysis showed that the scale included 8 dimensions,namely cancer information collection,cancer information mastery,social support,cancer related communication with patients,understanding of patients'needs and preferences,health and healthcare service use,health information processing,and active participation with medical and nursing staff,with a cumulative variance contribution rate of 73.448%.The scale-level content validity index(S-CVI)was 0.981,and the item-level content validity index(I-CVI)was 0.833 to 1.000.The total Cronbach'sαcoefficient of the scale was 0.946,and Cronbach'sαcoefficient of each dimension was 0.700 to 0.945.The total half-reliability coefficient of the scale was 0.791,and the half-reliability coefficient of each dimension was 0.635 to 0.867.Conclusions The Chinese version of HLCS-C has good reliability and validity,and can be used as an assessment tool for the health literacy of cervical cancer caregivers.