终末期癌症患者自我报告安宁疗护照护质量问卷的编制及信效度检验

Development and reliability and validity of a self-reported palliative care quality scale for terminal cancer patients

目的 编制、检验终末期癌症患者自我报告安宁疗护照护质量问卷,为评价照护质量提供适用性工具。方法 通过文献分析、小组讨论、德尔菲法、预调查形成问卷初稿;先后选取终末期癌症患者238例、254例进行问卷信效度检验与验证分析。结果 问卷包括5个维度共39个条目,探索性因子分析提取5个因子,累积方差贡献率为74.433%;验证性因子分析显示χ~2/df=1.721,GFI=0.921,NFI=0.925,CFI=0.963,TLI=0.943,RMSEA=0.054。问卷总Cronbach′s α系数为0.950,折半信度为0.927,重测信度为0.830,内容效度指数为0.950。结论 该问卷具有良好的信效度,可用于评估终末期癌症患者安宁疗护照护质量。

Objective To develop and validate a self-reported palliative care quality scale for terminal cancer patients,and to provide a suitable tool for evaluating quality of care.Methods The initial draft of the scale was formed through literature review,group discussions,Delphi expert consultation,and pilot survey.A total of 238 and 254 terminal cancer patients were surveyed for testing reliability and validity of the scale and for validation the scale.Results The scale consisted of 39 items across 5 dimensions.Explo-ratory factor analysis identified five factors,contributing to a cumulative variance of 74.433%.Model fit indices for the confirmatory factor analysis demonstrated a well-fitting model(χ2/df=1.721,GFI=0.921,NFI=0.925,CFI=0.963,TLI=0.943,and RMSEA=0.054).The overall Cronbach′sαcoefficient of the scale was 0.950,split-half reliability was 0.927,test-retest reliability was 0.830,and content validity index was 0.950.Conclusion The scale exhibits favorable reliability and validity and can be used to assess the quality of palliative care for terminal cancer patients.