Guopeng Li, Rui Qin, Xiangyu Zhao, Di Zhao, Meiling Qi, Ping Li
{"title":"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","authors":"Guopeng Li, Rui Qin, Xiangyu Zhao, Di Zhao, Meiling Qi, Ping Li","doi":"10.1111/ijn.70023","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aims</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Background</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>This is an instrument development and validation study with a cross-sectional design.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Stoma Acceptance and Valuable Actions Scale for Colorectal Cancer Patients With Permanent Stomas: A Reliability and Validity Study\",\"authors\":\"Guopeng Li, Rui Qin, Xiangyu Zhao, Di Zhao, Meiling Qi, Ping Li\",\"doi\":\"10.1111/ijn.70023\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aims</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>This is an instrument development and validation study with a cross-sectional design.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>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.</p>\\n </section>\\n </div>\",\"PeriodicalId\":14223,\"journal\":{\"name\":\"International Journal of Nursing Practice\",\"volume\":\"31 3\",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-05-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/ijn.70023\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ijn.70023","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Stoma Acceptance and Valuable Actions Scale for Colorectal Cancer Patients With Permanent Stomas: A Reliability and Validity Study
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.
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.
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