摘要
目的编制适用于中国文化背景的直肠癌保肛术后患者肠道症状自我管理行为问卷并检验其信效度。方法依据自我管理的定义，在综述现有文献的基础上，拟定问卷条目池。通过专家内容效度评价形成测试问卷，采用该问卷对172例直肠癌保肛术后患者进行调查．测定问卷的信效度。结果直肠癌保肛术后患者肠道症状自我管理行为问卷包括20个条目，各条目内容效度指数为0．80～1．00，问卷总体的内容效度为0．98；探索性因子分析提取出6个因子．累计方差贡献率为56．77％；自我管理行为采用频率与肠道症状严重程度呈正相关。整体问卷Cronbach’s仪系数为0．781．重测信度为0．843。结论该问卷具有良好的信度和效度，可作为评估直肠癌保肛术后患者肠道症状自我管理行为的研究工具。
Objective To develop the Bowel Symptoms Self-management Behaviors Questionnaire（BSSBQ） for Chinese rectal cancer patients after sphincter-preserving surgery and to test its psychometric properties. Methods Based on the definition of self-management,an item pool was developed after a comprehensive literature review. The items were selected and modified by an expert panel,and then totally 172 patients were investigated with the questionnaire to test its psychometric properties. Results The BSSBQ consisted of 20 items. The I-CVI （hem-level content validity index） ranged from 0.80 to 1.00,and the S-CVI/Ave （Scale-level CVI,averaging calculation） was 0.98. The exploratory factor analysis identified six principal factors which could explain 56.77% of the variance. The frequency of using self-management behaviors showed a significant positive relationship with the severity of the bowel symptoms. The Cronbaeh＇s α coefficient of the overall questionnaire was 0.781 and the test-retest reliability was 0.843. Conclusion The BSSBQ has good validity and reliability. It can be used as a tool to assess the selfmanagement behaviors of Chinese rectal cancer patients after sphincter-preserving surgery.
出处
《中华护理杂志》
CSCD
北大核心
2016年第9期1059-1064,共6页
Chinese Journal of Nursing
关键词
直肠肿瘤
消化系统外科手术
肠道症状
自我管理
Rectal Neoplasms
Digestive System Surgical Procedures
Bowel Symptom
Self-management
