中文版成年癌症幸存者生活质量量表在宫颈癌患者中的应用研究

doi:10.12183/j.scjpm.2023.0568

华南预防医学 ›› 2023, Vol. 49 ›› Issue (5): 568-572.doi: 10.12183/j.scjpm.2023.0568

中文版成年癌症幸存者生活质量量表在宫颈癌患者中的应用研究

时文琳^1,2, 钱韦韦³

1.徐州医科大学护理学院,江苏徐州 221004;
2.南京医科大学第一附属医院;
3.徐州医科大学附属医院

收稿日期:2022-11-18 出版日期:2023-05-20 发布日期:2023-08-10
通讯作者: 钱韦韦,E-mail:373225219@qq.com
作者简介:时文琳（1987—）,女,在读硕士研究生,主管护师,从事护理工作
基金资助:
徐州市卫生健康委科技项目（XWKYHT20220148）

Application of the Chinese version of the Quality of Life Scale for Adult Cancer Survivors in patients with cervical cancer

SHI Wenlin^1,2, QIAN Weiwei³

1. School of Nursing, Xuzhou Medical University, Xuzhou 221004, China;
2. The First Affiliated Hospital of Nangjing Medical University;
3. Affiliated Hospital of Xuzhou Medical University

Received:2022-11-18 Online:2023-05-20 Published:2023-08-10

摘要/Abstract

摘要： 目的探讨中文版成年癌症幸存者生活质量量表（quality of life scale for adult cancer survivors,QLACS）在宫颈癌患者中运用的信效度。方法采用便利抽样方法选取2021年5月至2022年8月在江苏省某三甲医院就诊的宫颈癌患者为研究对象,采用中文版QLACS量表对其进行问卷调查,使用Cronbach's α和折半系数评价量表内部一致性,使用各条目得分与总分的相关系数、组内相关系数评价量表的内容效度并运用专家评定方法对其进行检验,使用探索性因子分析评价量表的结构效度。结果中文版QLACS量表共47个条目12个维度,分为一般方面和癌症特异性2个方面。探索性因子分析结果显示47个评估条目提取12个公因子,中文版QLACS量表的KMO值为0.854,Bartlett球形检验达到显著性检验水平（P<0.01）。内容效度指数中I-CVI为0.84~1.00,S-CVI/UA为0.84,S-CVI/Ave为0.94。中文版QLACS量表的Cronbach's α为0.924,折半系数为0.904;12个维度的Cronbach's α为0.801~0.924,折半系数为0.826~0.934。结论中文版QLACS量表在宫颈癌患者中应用信效度良好,可用于评价宫颈癌幸存者生活质量。

关键词: 癌症幸存者, 生活质量, 宫颈癌, 信度, 效度

Abstract: Objective To explore the reliability and validity of the Chinese version of the Quality of Life Scale for Adult Cancer Survivors （QLACS） in patients with cervical cancer. Methods Cervical cancer patients treated at a tertiary hospital in Jiangsu Province from May 2021 to August 2022 were selected for the study using a convenient sampling method. The Chinese version of the QLACS scale was used for the questionnaire survey. Cronbach's α and half-fold coefficient were used to evaluate the internal consistency of the scale. The content validity of the scale was evaluated by the correlation coefficient between the score of each item and the total score and the intra-group correlation coefficient, which was tested using the expert evaluation method. The structural validity of the scale was evaluated by exploratory factor analysis. Results The Chinese version of the QLACS scale contains 47 items and 12 dimensions, which are divided into general aspects and cancer-specific aspects. The results of the exploratory factor analysis showed that 12 common factors were extracted from the 47 evaluated items. The KMO value of the Chinese version of the QLACS scale was 0.854, and the Bartlett test of sphericity reached the significance test level （P <0.01）. In the content validity index, I-CVI was 0.84-1.00, S-CVI/UA was 0.84, and S-CVI/Ave was 0.94. The Cronbach's α of the Chinese version of the QLACS scale was 0.924, and the half-fold coefficient was 0.904. The Cronbach's α of the 12 dimensions ranged from 0.801 to 0.924, and the half-fold coefficient ranged from 0.826 to 0.934. Conclusion The Chinese version of the QLACS scale has shown good reliability and validity in cervical cancer patients and can be used to evaluate the quality of life of cervical cancer survivors.

Key words: Cancer survivors, Quality of life, Cervical cancer, Reliability, Validity

中图分类号:

R195

时文琳, 钱韦韦. 中文版成年癌症幸存者生活质量量表在宫颈癌患者中的应用研究[J]. 华南预防医学, 2023, 49(5): 568-572.

SHI Wenlin, QIAN Weiwei. Application of the Chinese version of the Quality of Life Scale for Adult Cancer Survivors in patients with cervical cancer[J]. South China Journal of Preventive Medicine, 2023, 49(5): 568-572.

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中文版成年癌症幸存者生活质量量表在宫颈癌患者中的应用研究

Application of the Chinese version of the Quality of Life Scale for Adult Cancer Survivors in patients with cervical cancer

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中文版成年癌症幸存者生活质量量表在宫颈癌患者中的应用研究

​Application of the Chinese version of the Quality of Life Scale for Adult Cancer Survivors in patients with cervical cancer

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Application of the Chinese version of the Quality of Life Scale for Adult Cancer Survivors in patients with cervical cancer