简体中文版癌症幸存者未满足需要量表(CaSUN)的有效性和可靠性。

IF 3.3 2区 医学 Q2 ONCOLOGY
Xiaojingyuan Xu, Xiaoyun Liang, Shiquan Yin
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引用次数: 0

摘要

目的将癌症幸存者未满足需要量表(CaSUN)翻译成简体中文,并在中国癌症幸存者中评估该翻译版本的有效性和可靠性:根据跨文化适应指南,将原版 CaSUN 量表从英文翻译成简体中文。为了提高每个项目的可读性和可理解性,对 40 名癌症患者进行了试点研究。随后,324 名癌症幸存者在中国北京的一家肿瘤医院参加了随访,完成了简体中文版的 CaSUN。量表的有效性通过因子分析进行了评估。构建效度采用的指标包括萨托拉-本特勒(Satorra-Bentler)标度方差与自由度比(χ2/df)、比较拟合指数(CFI)、均方根近似误差(RMSEA)和标准化均方根残差(SRR)。每个类别的平均方差提取(AVE)反映了收敛效度。用 Cronbach's α 和 Guttman 分半系数确认了信度:因子分析结果表明,CaSUN 的三级分层结构(4 个一阶因子、9 个二阶因子和所有 35 个未满足需要评估项目)能够很好地拟合我们的数据(χ2/df = 2.833,CFI = 0.902,RMSEA = 0.076,SRMR = 0.066),表明该模型具有充分的建构效度。在收敛效度方面,每个二阶类别的 AVE 均大于 0.5。在信度方面,35 个项目的 Cronbach's α 为 0.968,Guttman 分半系数为 0.984。这两个系数均高于 0.8:本简体中文版 CaSUN 具有良好的文化适应性、适当的效度和信度,可用于评估中国大陆不同癌症幸存者群体的未满足需求。简体中文版的CaSUN可以帮助医护人员满足幸存者的个人需求,缩小患者经历与期望之间的差距,从而提高癌症幸存者护理的质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Validity and Reliability of a Simplified Chinese Version of Cancer Survivors' Unmet Needs Scale (CaSUN).

Objective: To translate Cancer Survivors' Unmet Needs scale (CaSUN) into Simplified Chinese, and to assess the validity and reliability of this translated version among Chinese cancer survivors.

Methods: Following the cross-cultural adaptation guidelines, the original CaSUN scale was translated from English into Simplified Chinese. To enhance the readability and comprehension of each item, a pilot study involving 40 cancer patients was carried out. Subsequently, 324 cancer survivors participating in follow-up appointments at a cancer hospital in Beijing, China completed the Simplified Chinese version of the CaSUN. The scale's validity was assessed through factor analysis. Indices including Satorra-Bentler scaled chi-square to degree of freedom ratio (χ2/df), comparative fit index (CFI), root mean square error of approximation (RMSEA), and standardized root mean squared residual (SRMR) were employed for construct validity. Average variance extracted (AVE) of each category reflected the convergent validity. Reliability was confirmed with both Cronbach's α and Guttman split-half coefficient.

Results: Factor analysis suggested that a three-level hierarchical structure of the CaSUN with four first-order factors, nine second-order factors and all the 35 items assessing unmet need could fit our data well (χ2/df = 2.833, CFI = 0.902, RMSEA = 0.076, SRMR = 0.066), indicating sufficient construct validity for this model. For convergent validity, AVE of each second-order category were greater than 0.5. Regarding reliability, Cronbach's α of the 35 items was 0.968, and the Guttman split-half coefficient was 0.984. Both of these coefficients were higher than 0.8.

Conclusions: The present Simplified Chinese version of CaSUN had good cultural adaptability, appropriate validity and reliability for assessing unmet needs in different cancer survivor groups in Chinese mainland. This Simplified Chinese version of CaSUN can assist health professionals in addressing individual survivor needs and bridge the gap between patients' experiences and their expectations, thereby improving the quality of cancer survivorship care.

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来源期刊
Psycho‐Oncology
Psycho‐Oncology 医学-心理学
CiteScore
6.30
自引率
8.30%
发文量
220
审稿时长
3-8 weeks
期刊介绍: Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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