临终癌症患者家庭照顾者安宁疗护需求评定简明量表的编制

Development of a Concise Scale for Assessing Hospice Care Needs of Family Caregivers of Terminal Cancer Patients

摘要: 目的：编制一份信效度良好的临终癌症患者家庭照顾者安宁疗护需求评定简明量表。方法：以舒适理论为理论指导，经文献回顾、质性研究、德尔菲专家函询法编制量表，对潍坊市某三甲医院的160名临终癌症患者家庭照顾者开展调查，对量表进行信效度检验。结果：量表包含6个维度25个条目。探索性因子分析提取特征值 > 1的公因子4个，累计方差贡献率为66.86%。量表的内容效度(S-CVI)为0.9，量表内部一致性信度Cronbach’s α系数为0.958，分半信度为0.918，各维度的Cronbach’s α系数在0.760~0.878之间，分半信度在0.798~0.894之间。结论：本量表结构合理，信效度良好，可作为评估临终癌症患者家庭照顾者安宁疗护需求的调查工具。

Abstract: Objective: To develop a simple scale with good reliability and validity for hospice care needs assessment of family caregivers of terminal cancer patients. Methods: Under the guidance of comfort theory, 160 family caregivers of terminally ill cancer patients in a grade A hospital in Weifang were investigated by literature re-view, qualitative study and Delphi expert letter consultation to compile the scale, and the reliability and validity of the scale were tested. Results: The scale contained 25 items in 6 dimensions. Explor-atory factor analysis extracted 4 common factors with characteristic values > 1, and the cumulative variance contribution rate was 66.86%. The content validity (S-CVI) of the scale was 0.9, the Cronbach’s α coefficient of internal consistency of the scale was 0.958, and the split reliability was 0.918. The Cronbach’s α coefficient of each dimension was between 0.760 and 0.878, and the split reliability was between 0.798 and 0.894. Conclusions: The scale has a reasonable structure and good reliability and validity, which can be used as an investigation tool to evaluate hospice care needs of family caregivers of terminal cancer patients.