Stoma Acceptance and Valuable Actions Scale for Colorectal Cancer Patients With Permanent Stomas: A Reliability and Validity Study

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-05-21 DOI:10.1111/ijn.70023

Guopeng Li, Rui Qin, Xiangyu Zhao, Di Zhao, Meiling Qi, Ping Li

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引用次数: 0

Abstract

Aims

This study aimed to develop and evaluate the psychometric properties of the Stoma Acceptance and Valuable Actions Scale (SAVAS), which measures the degree of stoma acceptance and the extent of personal actions aligned with values among colorectal cancer (CRC) patients with permanent stomas.

Background

Acceptance of a stoma and the enactment of actions consistent with personal values are crucial for psychosocial adaptation following stoma formation. However, these aspects have not been adequately explored, largely due to the lack of valid and reliable measurement tools.

Design

This is an instrument development and validation study with a cross-sectional design.

Methods

Items were created through a literature review and guided by Acceptance and Commitment Therapy (ACT) theory. Content validity was evaluated using two rounds with a consensus panel of 12 experts. The psychometric properties of the SAVAS were tested using two separate convenience samples (Ns = 201 and 213). Key aspects assessed included content validity, internal consistency, test–retest reliability, convergent validity, discriminant validity and concurrent validity.

Results

The content validity of the SAVAS was high at 0.921, and a two-factor solution emerged from the final 12 items: stoma acceptance and valuable actions. The Cronbach's alpha for the overall scale and its factors was strong (0.888 for the total scale, 0.879 for stoma acceptance and 0.872 for valuable actions). Acceptable test–retest reliability was demonstrated, with values of 0.939, 0.872 and 0.864, respectively. The study also confirmed good convergent, concurrent and discriminant validity for the SAVAS.

Conclusion

The SAVAS demonstrated good validity and reliability for assessing stoma acceptance and valuable actions among CRC patients with permanent stomas. Future observational and interventional studies are needed to further assess and refine the psychometric properties of the SAVAS.

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结直肠癌永久性造口患者造口接受度和价值行为量表：信度和效度研究

目的研究结直肠癌（CRC）永久性造口患者的造口接受和价值行为量表（SAVAS）的心理测量特性，该量表测量患者的造口接受程度和个人行为与价值一致的程度。接受造口并采取与个人价值观一致的行动对于造口形成后的社会心理适应至关重要。然而，由于缺乏有效可靠的测量工具，这些方面还没有得到充分的探讨。这是一项采用横断面设计的仪器开发和验证研究。方法以接受与承诺治疗（ACT）理论为指导，通过文献查阅编制问卷。内容效度评估采用两轮与共识小组的12位专家。使用两个单独的方便样本（Ns = 201和213）对SAVAS的心理测量特性进行测试。评估的主要方面包括内容效度、内部一致性、重测信度、收敛效度、区别效度和并发效度。结果SAVAS的内容效度较高，为0.921，最终的12个项目：造口接受度和有价值行为出现了双因子解。总体量表及其因子的Cronbach's alpha值较强（总量表0.888，造口接受度0.879，有价值行为0.872）。重测信度可接受，分别为0.939、0.872和0.864。研究还证实了SAVAS具有良好的收敛效度、并发效度和判别效度。结论SAVAS在评估结直肠癌永久性造口患者的造口接受度和有价值的行动方面具有良好的效度和可靠性。未来的观察性和干预性研究需要进一步评估和完善SAVAS的心理测量特性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.