摘要
背景个体健康信念特征的正确有效评价是对其进行有效干预的前提,国内已发展了对高血压、乳腺癌等疾病的健康信念水平评价的成熟量表,结直肠癌作为一种常见、国家重点防控的恶性肿瘤,暂无信效度较好且成熟的关于结直肠癌健康信念的中文评估量表。目的引进并汉化结直肠癌健康信念量表,并进行信度和效度检验,探索其在中国人群中的适用性,以提供测量中国人群结直肠癌健康信念的有效工具。方法采用Brislin翻译模式进行正译和回译结直肠癌健康信念量表;通过专家组讨论和预调查对翻译的量表进行跨文化调适,形成中文版量表初稿。采用便利抽样法,选择2017年在中山大学肿瘤防治中心结直肠科住院的患者亲属200例进行调查,评价量表信效度。结果中文版结直肠癌健康信念量表包含6个维度,分别为感知到结直肠癌的易感性、感知到罹患结直肠癌的严重性、感知到接受结直肠癌筛查的益处、感知到接受结直肠癌筛查的障碍、健康动力和接受结直肠癌筛查的自我效能,共36个条目。总分与各条目之间的相关系数为0.349~0.726,量表内容效度指数(S-CVI)为0.98,各条目内容效度指数(I-CVI)为0.84~1.00。探索性因子分析提取出了6个公因子,能够解释总变异的66.645%,且各条目在其公因子上的载荷值均>0.400。量表的重测信度为0.848,Cronbach'sα系数为0.881,量表6个维度的Cronbach'sα系数为0.801~0.944。结论中文版结直肠癌健康信念量表适用于我国文化背景,具有良好的信度和效度。
Background Accurate and effective evaluation of individual health belief characteristics is the premise of effective intervention.Mature scales for evaluating health belief of hypertension,breast cancer and other diseases has been developed in China.As a common malignant tumor,colorectal cancer is a national focus in terms of prevention and control.However,there is no reliable,valid and mature Chinese evaluation scale for health belief of colorectal cancer.Objective To introduce and translate Colorectal Cancer Health Belief Scale and examine its reliability and validity in Chinese population in order to provide an effective scale for measuring the health belief in patients with colorectal cancer in China.Methods According to Brislin translation model,we translated the English Colorectal Cancer Health Belief Scale into Chinese version following the forward-translation and back-translation and the Chinese version of Colorectal Cancer Health Belief Scale was cross-culturally adjusted by expert review and a pilot study.A total of 200 relatives of patients with colorectal cancer from the Department of Colorectal Surgery,Cancer Center of Sun Yat-sen University in 2017 completed the scale and we tested its reliability and validity.Results Six dimensions(36 items),the severity of colorectal cancer,knowledge of the susceptibility to colorectal cancer,the benefits of colorectal cancer screening,the obstacles in colorectal cancer screening,health motivation and self-efficacy of colorectal cancer screening,were included in the Chinese version of Colorectal Cancer Health Belief Scale.The Pearson correlation between item and total score of the scale ranged from 0.349-0.726.T he content validity index of the scale(S-CVI)was 0.98.Content validity index of each item(I-CVI)ranged from 0.84 to 1.00.S ix common factors were abstracted by principal component analysis and they explained 66.645%of total variance,and each item had a high rotated component matrix(>0.400).The test-retest reliability was 0.848.The Cronbach'sαcoefficient o
作者
吴晓丹
张美芬
郑美春
潘志忠
陈镜羽
贾书敏
覃惠英
WU Xiaodan;ZHANG Meifen;ZHENG Meichun;PAN Zhizhong;CHEN Jingyu;JIA Shumin;QIN Huiying(Department of Colorectal Surgery,Cancer Center of Sun Yat-sen University,Guangzhou 510060,China;School of Nursing,Sun Yat-sen University,Guangzhou 510080,China;Department of Nursing,Cancer Center of Sun Yat-sen University,Guangzhou 510060,China)
出处
《中国全科医学》
CAS
北大核心
2020年第2期155-160,共6页
Chinese General Practice
基金
国家重点研发计划资助项目(2017YFC0908202)
关键词
结直肠肿瘤
健康信念
信度
效度
方法学研究
Colorectal neoplasms
Health Belief
Reliability
Validity
Methodology research
