摘要
目的编制女性乳腺癌患者配偶需求评估量表,并检测其信度和效度,以便更好地评估乳腺癌患者配偶的需求。方法以马斯洛需求理论为依据,通过文献分析、质性访谈和专家咨询,形成"女性乳腺癌患者配偶需求评估量表"的初始量表,并进行两轮专家咨询。采用便利抽样方法选取169名乳腺癌患者配偶进行调查,对量表的信度与效度进行评价。结果本研究两轮专家咨询均发出15份咨询表,收回15份,专家的积极系数为100.0%;两轮专家权威系数Cr均为0.877。通过克伦巴赫a系数、相关分析、项目区分度、因子分析等方法分析后,最终形成了包括"生理需求、安全需求、爱与归属需求、尊重需求,自我实现需求"5个维度的23个条目的量表,量表总内容效度指数(content validity index,CVI)为0.99;提取特征值>1的全部5个公因子,累积贡献率为68.317%;量表总体的克伦巴赫α系数为0.931,各维度的克伦巴赫α系数为0.684~0.925;量表总体的分半信度为0.877,各维度的分半信度系数为0.669~0.883。结论本研究基于马斯洛的需求层次理论编制的女性乳腺癌患者配偶需求评估量表,具有较好的信度与效度,可用于评估乳腺癌患者配偶的需求。
Objective To develop a needs assessment scale of female breast cancer patients' spouses and test its reliability and validity. Method Based on Maslow's hierarchy of needs theory and extensive literature,we established an initial needs assessment scale of female breast cancer patients' spouses through literature analysis,qualitative interviews and experts' consultation. Convenient sampling was used to do the pilot survey,followed by evaluating the reliability and validity of the scale. Results The initial needs assessment scale was developed with 35 items after two rounds of pilot studies by way of assigning consultation forms to 15 experts. All the 15 forms for the two rounds were recovered,with the positive coefficient of 100% and the expert authority coefficient of 0.877. Through internal consistency,correlation analysis,item discrimination and factor analysis methods,the final scale with 23 items was finished with five factors covering physiological needs,safety needs,belongingness and love needs,esteem needs and self-actualization needs,with average CVI of 0.99 across all the items. The total cumulative of the five factors with feature extraction value >1 reached 68.317%. The overall coefficient of Cronbach's α was 0.931 and that for all the dimensions was between 0.684 and 0.925. The split half reliability was 0.877 and that for all the dimensions was between 0.669 and 0.883. Conclusions Based on Maslow's hierarchy of needs theory,the needs assessment scale of the spouses of female breast cancer patients has good reliability and validity. It can be used to assess the different hierarchy needs of their spouses.
作者
万永慧
方鹏骞
邱艳茹
刘甜
沈月
Wan Yonghui;Fang Pengqian;Qiu Yanru;Liu Tian;Shen Yue(Oncology Department,Renmin Hospital,Wuhan University,Wuhan,430060;Tongji Medical College,Huazhong University of Science&Technology School of Medicine and Health Management,Wuhan,430030,China)
出处
《现代临床护理》
2019年第8期20-27,共8页
Modern Clinical Nursing
基金
2015年湖北省卫计委护理专项课题，项目编号WJ2015HB017
关键词
乳腺癌
信度
效度
配偶
需求评估
breast cancer
reliability validity
spouse
needs assessment
