摘要
目的:编制肝癌患者肝动脉化疗栓塞(TACE)术后栓塞综合征症状评估问卷,为TACE术后症状管理提供评估工具。方法:2020年3月至2021年6月,经文献回顾、质性访谈及德尔菲专家咨询编制TACE术后栓塞综合征症状评估问卷的初稿,对复旦大学附属中山医院肝肿瘤内科200例接受TACE治疗的肝癌患者进行问卷调查,检验问卷的信效度。结果:根据德尔菲专家咨询形成包含了9个条目生理症状和6个条目心理及社会症状的初稿,项目分析显示各条目具有较好的区分度;各条目与问卷总分具有显著相关性;探索性因子分析提取出3个公因子,因子1心理社会症状群、因子2躯体不适症状群、因子3胃肠道反应症状群,累计方差贡献率为62.592%;问卷与安德森症状评估量表的Spearman相关系数为0.855(P<0.05);总问卷的Cronbachα系数为0.898,3个因子的Cronbachα系数分别为0.885、0.771、0.870。结论:本研究编制的肝癌患者TACE术后栓塞综合征症状评估问卷具有良好的信效度,可作为TACE术后栓塞综合征症状管理的评估工具。
Objective To establish a questionnaire to assess symptom of embolization syndrome after transcatheter hepatic arterial chemoembolization(TACE)in patients with liver cancer,so as to provide a tool of assessing and managing symptom management after TACE.Methods From March 2020 to June 2021,through literature review,qualitative interview and Delphi expert consultation,the first draft of symptom assessment questionnaire for TACE post-operative embolism syndrome was prepared.The reliability and validity of the questionnaire were tested in 200 patients with liver cancer treated by TACE in department of Liver Oncology,Zhongshan Hospital affiliated to Fudan University.Results According to the feedback from Delphi expert consultation a draft questionnaire with 9 items of physiological symptoms and 6 items of psychological and social symptoms was formed.Item analysis showed that each item in the questionnaire had a good degree of differentiation.There was significant correlation between each item and the total score of the questionnaire.Three factors were extracted by exploratory factor analysis,naming psychosocial symptom group as factor 1,somatic discomfort symptom group as factor 2 and gastrointestinal reaction symptom group as factor 3,and the cumulative variance contribution rate was 62.592%.Spearman correlation coefficient between this questionnaire and the Anderson Symptom Assessment Scale was 0.855(P<0.05).The Cronbachαof the total questionnaire was 0.898,and.The Cronbachαof the three factors were 0.885,0.771 and 0.870 respectively.Conclusions The symptom assessment questionnaire of embolization syndrome after TACE in liver cancer patients prepared in this study has good reliability and validity,which can provide an evaluation basis for the symptom management of TACE.
作者
郭燕
贾守梅
王安妮
俞静娴
朱英娥
Guo Yan;Jia Shoumei;Wang Anni;Yu Jingxian;Zhu Ying′e(Department of Liver Oncology,Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,China;School of Nursing,Fudan University,Shanghai 200032,China;Department of Nursing,Zhongshan Hospital affiliated to Fudan University,Shanghai 200032,China)
出处
《中国实用护理杂志》
2022年第22期1721-1727,共7页
Chinese Journal of Practical Nursing
基金
复旦大学附属中山医院青年基金(2020ZSQN07)。
关键词
肝肿瘤
肝动脉化疗栓塞
德尔菲法
信度
栓塞综合征
效度
Liver neoplasms
Transcatheter hepatic arterial chemoembolization
Delphi method
Reliability
Embolization syndrome
Validity
