本文關(guān)鍵詞： 食管癌 結(jié)直腸癌 特異性支持照護(hù)需求 心理測量學(xué)屬性　出處：《安徽醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的探討食管癌、結(jié)直腸患者的特異性支持照護(hù)需求內(nèi)容。編制適合我國食管癌、結(jié)直腸癌患者的特異性支持照護(hù)需求量表(Specific Supportive Care Needs Scale-Esophageal Cancer/Colorectal Cancer,以下簡稱SSCNS-E/SSCNS-CR),并檢測其心理測量學(xué)屬性。方法通過文獻(xiàn)回顧和質(zhì)性訪談形成食管癌、結(jié)直腸癌患者特異性支持照護(hù)需求條目池。通過專家內(nèi)容效度評定和預(yù)實驗初篩條目,形成兩種量表的臨床測試版本。通過便利抽樣選取270名食管癌患者,250名結(jié)直腸癌患者,分別完成相應(yīng)量表(臨床測試版),有效回收問卷263份、244份。采用題總相關(guān)法、t檢驗法、Cronbach'sα系數(shù)法、離散趨勢法、以及因子分析法再次篩選條目,并檢驗量表的內(nèi)部一致性信度。同時運用癌癥患者護(hù)理專業(yè)性社會支持需求量表(Nursing Professional Social Support Needs Scale,以下簡稱NPSSNS)共性模塊、食管癌患者治療功能評定量表(the Function Assessment of Cancer Therapy Esophageal Cancer Subscale,以下簡稱FACT-E)或結(jié)直腸癌患者治療功能評定量表(the Function Assessment of Cancer Therapy Colorectal Cancer Subscale,以下簡稱FACT-CR)進(jìn)行聚合效度評價。比較不同經(jīng)濟條件、距離確診不同時間患者的特異性支持照護(hù)需求得分,評價量表的區(qū)分效度,最終形成食管癌、結(jié)直腸癌患者特異性支持照護(hù)需求量表臨床應(yīng)用版本。結(jié)果SSCNS-E(臨床應(yīng)用版本)共包含12個條目,Cronbanch’sα系數(shù)為0.799;SSCNS-CR(臨床應(yīng)用版本)共16個條目,Cronbanch’sα系數(shù)為0.776。兩量表內(nèi)容效度指標(biāo)I-CVI與S-CVI/Ave均為1。聚合效度結(jié)果顯示,SSCNS-E總分與NPSSNS共性模塊、FACT-E總分及各維度得分呈顯著相關(guān)(P0.05)。SSCNS-CR總分與NPSSNS共性模塊、FACT-CR總分及各維度得分呈顯著相關(guān)(P0.05)。區(qū)分效度結(jié)果顯示,月收入較低的患者特異性需求得分顯著高于月收入較高的患者;確診時間不超過1個月的食管癌或結(jié)直腸癌患者,其特異性支持照護(hù)需求得分顯著高于確診時間超過1年的患者。結(jié)論新編制的食管癌、結(jié)直腸癌患者特異性支持照護(hù)需求量表經(jīng)初步檢驗具有較好的心理測量學(xué)屬性,可為醫(yī)護(hù)人員針對性評估食管癌或結(jié)直腸癌患者的支持照護(hù)需求情況提供參考。
[Abstract]:Objective to investigate the specific support and care needs of patients with esophageal cancer and colorectal cancer. The specific Supportive Care Needs Scale-Esophageal Cancer/Colorectal canvas (SSCNS-E / SSCNS-CRN) was used to measure the psychometric properties of patients with colorectal cancer. Methods esophageal carcinoma was formed by literature review and qualitative interviews. The item pool of specific support care needs of patients with colorectal cancer was collected. The clinical test versions of the two scales were formed through the evaluation of expert content validity and preliminary screening of items in pre-experiment. 270 patients with esophageal cancer were selected by convenience sampling, 250 patients with colorectal cancer were selected. The corresponding scales were completed (clinical test version), 263 questionnaires were collected and 244 questionnaires were effectively collected. Cronbach's 偽 coefficient method, discrete trend method and factor analysis method were used to screen items again, and the total correlation method was used to test Cronbach's 偽 coefficient, and factor analysis method was used to screen the items again. At the same time, using the Nursing Professional Social Support Needs scale (NPSS NSN) commonality module, we used the Nursing Professional Social Support Needs scale, and used the Nursing Professional Social Support Needs scale to test the internal consistency reliability of the scale, meanwhile, we used the Nursing Professional Social Support Needs scale. The Function Assessment of Cancer Therapy Esophageal Cancer subscale (FACT-E) or the Function Assessment of Cancer Therapy Colorectal Cancer subscale (FACT-CRE) were used to evaluate the aggregation validity. The scores of specific support and care needs of the patients at different time points were evaluated, and the distinguishing validity of the scale was evaluated to form esophageal cancer. Results the clinical application version of SSCNS-E (clinical application version) included 12 items: the coefficient of Cronbanchchus 偽 was 0.799 and the coefficient of Cronbanchchus 偽 of 16 items in SSCNS-CRs was 0.7766.Content validity of the two scales was obtained. The index I-CVI and S-CVI / Ave were 1.The results of aggregation validity showed that the total score of SSCNS-E was significantly correlated with the total score of FACT-E of NPSSNS commonality module and the scores of each dimension. The total score of SSCNS-E was significantly correlated with the total score of FACT-CR and the score of each dimension of NPSSNS commonality module (P 0.05), and the result of distinguishing validity showed that there was significant correlation between the total score of SSCNS-E and the total score of FACT-E and the score of each dimension of SSCNS-E. The patients with lower monthly income scored significantly higher specific needs than those with higher monthly income, and those with esophageal or colorectal cancer who had been diagnosed for less than one month, The score of specific support care requirement was significantly higher than that of the patients who had been diagnosed for more than one year. Conclusion the newly compiled demand table for specific support care for patients with esophageal and colorectal cancer has good psychometric properties after preliminary examination. It can be used as a reference for health care providers to evaluate the support and care needs of patients with esophageal or colorectal cancer.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.73

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