癌症患者照护评估量表的汉化与信效度评价
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摘要
目的汉化癌症患者照护评估量表(the Care Evaluation Scale 2.0,CES 2.0),检验中文版量表的适用性。方法经原作者同意获取CES 2.0,进行翻译、回译和文化调适,形成中文版癌症患者照护评估量表,再行项目分析、信度和效度检验。结果中文版癌症患者照护评估量表为10个维度共28个条目,累积方差贡献率为68.351%。量表的内容效度指数(CVI)为0.925;量表总的Cronbach'sα系数为0.819,10个维度Cronbach'sα系数为0.631～0.795,奇偶折半信度r为0.870;重测信度相关系数r为0.886。结论中文版癌症患者照护评估量表具有良好的信效度,可用于评价我国癌症患者临终关怀服务质量的结构和过程。
Objective To assess psychometric properties for the simplified Chinese version of the Care Evaluation Scale Version 2.0(CES2.0) in cancer patients.Methods Translation,back translation and cultural adaptation were performed to develop the simplified Chinese version of the CES2.0 after obtaining authorization of the creator,then survey was conducted to test the reliability and validity of the scale.Results The simplified Chinese version of the CES2.0 included 10 dimensions and 28 items,accounting for 68.351% of the total variance.The content validity index was 0.925.The Cronbach' s alpha coefficient for the scale was 0.819 and for 10 dimensions ranged from 0.631 to 0.795.The odd-even split-half reliability was 0.870 and the test-retest reliability was 0.886.Conclusion The simplified Chinese version of the CES2.0 can be used to measure structure and process quality of hospice care for cancer patients with good validity and reliability.
Objective To assess psychometric properties for the simplified Chinese version of the Care Evaluation Scale Version 2.0(CES2.0) in cancer patients.Methods Translation,back translation and cultural adaptation were performed to develop the simplified Chinese version of the CES2.0 after obtaining authorization of the creator,then survey was conducted to test the reliability and validity of the scale.Results The simplified Chinese version of the CES2.0 included 10 dimensions and 28 items,accounting for 68.351% of the total variance.The content validity index was 0.925.The Cronbach' s alpha coefficient for the scale was 0.819 and for 10 dimensions ranged from 0.631 to 0.795.The odd-even split-half reliability was 0.870 and the test-retest reliability was 0.886.Conclusion The simplified Chinese version of the CES2.0 can be used to measure structure and process quality of hospice care for cancer patients with good validity and reliability.
引文
[1]Chen W,Zheng R,Baade P D,et al.Cancer statistics in China,2015[J].CA Cancer J Clin,2016,66(2):115-132.
[2]Donabedian A.The quality of care,how can it be assessed?[J].JAMA,1988,260(12):1743-1748.
[3]崔静.癌症患者临终阶段生存质量研究[D].上海:第二军医大学,2011.
[4]闫敏.上海市晚期癌患者姑息照护质量评估及其影响因素的研究[D].上海:第二军医大学,2013.
[5]Morita T,Hirai K,Sakaguchi Y,et al.Measuring the quality of structure and process in end-of-life care from the bereaved family perspective[J].J Pain Symptom Manage,2004,27(6):492-501.
[6]Shin D W,Choi J E,Miyashita M,et al.Measuring the structure and process of end-of-life care in Korea:validation of the Korean version of the Care Evaluation Scale(CES)[J].J Pain Symptom Manage,2012,44(4):615-625.
[7]Benitez-Rosario M A,Caceres-Miranda R,Aguirre-Jaime A.Spanish validation of the Care Evaluation Scale for measuring the quality of structure and process of palliative care from the family perspective[J].J Pain Symptom Manage,2016,51(3):609-614.
[8]Miyashita M,Aoyama M,Nakahata M,et al.Development the Care Evaluation Scale Version 2.0:a modified version of a measure for bereaved family members to evaluate the structure and process of palliative care for cancer patient[J].BMC Palliat Care,2017,16(1):8.
[9]李峥,刘宇.护理学研究方法[M].北京:人民卫生出版社,2012:88-91.
[10]Brislin R W.Back-translation for cross-cultural research[J].J Cross Cult Psychol,1970,1(3):185-216.
[11]张晶,孙建萍,张璐,等.中文版自我超越量表在老年人群中的信效度检验[J].中国老年学杂志,2014,34(7):1910-1911.
[12]唐鲁,张玲,李玉香,等.中文版死亡态度描绘量表用于护士群体的信效度分析[J].护理学杂志,2014,29(14):64-66.
[13]李会仿,朱雪梅,马晓波,等.高尿酸血症及痛风患者饮食控制知信行量表的编制及验证[J].护理学杂志,2018,33(3):31-35.
[14]Sandoval Garrido F A,Tamiya N,Kashiwagi M,et al.Relationship between structural characteristics and outcome quality indicators at health care facilities for the elderly requiring long-term care in Japan from a nationwide survey[J].Geriatr Gerontol Int,2014,14(2):301-308.
[15]Malhotra C,Chan A,Do Y K,et al.Good end-of-life care:perspectives of middle-aged and older Singaporeans[J].J Pain Symptom Manage,2012,44(2):252-263.
[16]Heyland D K,Cook D J,Rocker G M,et al.Defining priorities for improving end-of-life care in Canada[J].CMAJ,2010,182(16):747-752.
[17]Dy S M,Kiley K B,Ast K,et al.Measuring what matters:top-ranked quality indicators for hospice and palliative care from the American Academy of Hospice and Palliative Medicine and Hospice and Palliative Nurses Association[J].JPain Symptom Manage,2015,49(4):773-781.
[18]Cheng S Y,Dy S,Hu W Y,et al.Factors affecting the improvement of quality of dying of terminally ill patients with cancer through palliative care:a ten-year experience[J].JPalliat Med,2012,15(8):854-862.
[19]Yamaguchi T,Maeda I,Hatano Y,et al.Effects of end-oflife discussions on the mental health of bereaved family members and quality of patient death and care[J].J Pain Symptom Manage,2017,54(1):17-26.
[20]Miyashita M,Morita T,Sato K,et al.A nationwide survey of quality of end-of-life cancer care in designated cancer centers,inpatient palliative care units,and home hospices in Japan:The J-HOPE Study[J].J Pain Symptom Manage,2015,50(1):38-47.
[21]郑日昌,孙大强.心理测量与测验[M].北京:中国人民大学出版社,2013:125-148.
[22]靳荣秀,田俊,何鹏飞,等.中文版气管切开术后患者生活质量量表的信效度检验[J].护理学杂志,2017,32(8):22-24.
[2]Donabedian A.The quality of care,how can it be assessed?[J].JAMA,1988,260(12):1743-1748.
[3]崔静.癌症患者临终阶段生存质量研究[D].上海:第二军医大学,2011.
[4]闫敏.上海市晚期癌患者姑息照护质量评估及其影响因素的研究[D].上海:第二军医大学,2013.
[5]Morita T,Hirai K,Sakaguchi Y,et al.Measuring the quality of structure and process in end-of-life care from the bereaved family perspective[J].J Pain Symptom Manage,2004,27(6):492-501.
[6]Shin D W,Choi J E,Miyashita M,et al.Measuring the structure and process of end-of-life care in Korea:validation of the Korean version of the Care Evaluation Scale(CES)[J].J Pain Symptom Manage,2012,44(4):615-625.
[7]Benitez-Rosario M A,Caceres-Miranda R,Aguirre-Jaime A.Spanish validation of the Care Evaluation Scale for measuring the quality of structure and process of palliative care from the family perspective[J].J Pain Symptom Manage,2016,51(3):609-614.
[8]Miyashita M,Aoyama M,Nakahata M,et al.Development the Care Evaluation Scale Version 2.0:a modified version of a measure for bereaved family members to evaluate the structure and process of palliative care for cancer patient[J].BMC Palliat Care,2017,16(1):8.
[9]李峥,刘宇.护理学研究方法[M].北京:人民卫生出版社,2012:88-91.
[10]Brislin R W.Back-translation for cross-cultural research[J].J Cross Cult Psychol,1970,1(3):185-216.
[11]张晶,孙建萍,张璐,等.中文版自我超越量表在老年人群中的信效度检验[J].中国老年学杂志,2014,34(7):1910-1911.
[12]唐鲁,张玲,李玉香,等.中文版死亡态度描绘量表用于护士群体的信效度分析[J].护理学杂志,2014,29(14):64-66.
[13]李会仿,朱雪梅,马晓波,等.高尿酸血症及痛风患者饮食控制知信行量表的编制及验证[J].护理学杂志,2018,33(3):31-35.
[14]Sandoval Garrido F A,Tamiya N,Kashiwagi M,et al.Relationship between structural characteristics and outcome quality indicators at health care facilities for the elderly requiring long-term care in Japan from a nationwide survey[J].Geriatr Gerontol Int,2014,14(2):301-308.
[15]Malhotra C,Chan A,Do Y K,et al.Good end-of-life care:perspectives of middle-aged and older Singaporeans[J].J Pain Symptom Manage,2012,44(2):252-263.
[16]Heyland D K,Cook D J,Rocker G M,et al.Defining priorities for improving end-of-life care in Canada[J].CMAJ,2010,182(16):747-752.
[17]Dy S M,Kiley K B,Ast K,et al.Measuring what matters:top-ranked quality indicators for hospice and palliative care from the American Academy of Hospice and Palliative Medicine and Hospice and Palliative Nurses Association[J].JPain Symptom Manage,2015,49(4):773-781.
[18]Cheng S Y,Dy S,Hu W Y,et al.Factors affecting the improvement of quality of dying of terminally ill patients with cancer through palliative care:a ten-year experience[J].JPalliat Med,2012,15(8):854-862.
[19]Yamaguchi T,Maeda I,Hatano Y,et al.Effects of end-oflife discussions on the mental health of bereaved family members and quality of patient death and care[J].J Pain Symptom Manage,2017,54(1):17-26.
[20]Miyashita M,Morita T,Sato K,et al.A nationwide survey of quality of end-of-life cancer care in designated cancer centers,inpatient palliative care units,and home hospices in Japan:The J-HOPE Study[J].J Pain Symptom Manage,2015,50(1):38-47.
[21]郑日昌,孙大强.心理测量与测验[M].北京:中国人民大学出版社,2013:125-148.
[22]靳荣秀,田俊,何鹏飞,等.中文版气管切开术后患者生活质量量表的信效度检验[J].护理学杂志,2017,32(8):22-24.