本文關(guān)鍵詞： 疾病不確定感 腫瘤 信度 效度　出處：《中華護(hù)理雜志》2016年04期 　論文類型：期刊論文

【摘要】：目的翻譯父母用疾病不確定量表(Parents'Perception Uncertainty in Illness Scale,PPUS)并進(jìn)行信效度檢驗(yàn),確定其截?cái)嘀�。方法將英文版量表翻譯成中文,采用便利抽樣方法抽取420名某三級(jí)甲等醫(yī)院接受治療的腫瘤患兒的父母并隨機(jī)分成探索性因子分析組(exploratory factor analysis,EFA)和驗(yàn)證性因子分析組(confirmatory factor analysis,CFA),同時(shí)采用社會(huì)支持量表、焦慮自評(píng)量表以及抑郁自評(píng)量表進(jìn)行相關(guān)性檢測(cè)并確定腫瘤患兒父母疾病不確定值的截?cái)嘀�。結(jié)果中文版的PPUS共保留14個(gè)條目,EFA共提取了2個(gè)因子,分別命名為"模糊"、"缺乏溝通",各維度的Cronbach'sα系數(shù)為0.830和0.877,累積方差解釋量為54.56%;CFA驗(yàn)證了1個(gè)二階二因子的結(jié)構(gòu)模型,其中非范擬合指數(shù)(tucker-lewis index,TLI)=0.914,比較擬合指數(shù)(comparative fit index,CFI)=0.922,擬合優(yōu)度指數(shù)(goodness of fit index,GFI)=0.915,規(guī)范擬合指數(shù)(normed fit index,NFI)=0.832,增值擬合指數(shù)(incremental fit index,IFI)=0.929,相對(duì)擬合指數(shù)(relative fit index,RFI)=0.887,平均方根殘值(root mean square residual,PMR)=0.066,近似誤差均方根(root mean square errorof approximation,RMSEA)=0.043;PPUS總分及相關(guān)維度與各其他量表的相關(guān)性強(qiáng)(P0.01),聚合效度好;腫瘤患兒父母疾病不確定感的截?cái)嘀禐?2.5。結(jié)論修訂后的PPUS更適合中國(guó)父母使用,具有良好的信效度且條目少,適合臨床科室作為腫瘤患兒父母高危心理的初步篩查工具。
[Abstract]:Objective to use the disease uncertainty scale Parentsu exception Uncertainty in Illness Scale. Methods the English version of the scale was translated into Chinese. The parents of 420 children with cancer treated in a Grade 3A hospital were randomly divided into exploratory factor analysis group (. Exploratory factor analysis. EFAs) and confirmatory factor analysisCFAs were used in the confirmatory factor analysis group, and the social support scale was used at the same time. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to detect the correlation and determine the truncation value of parents' disease uncertainty. Results the Chinese version of PPUS retained 14 items. EFA extracted two factors, named "fuzzy" and "lack of communication". The Cronbach's 偽 coefficients of each dimension were 0.830 and 0.877 respectively. The cumulative variance was 54.56; CFA verifies a second-order two-factor structural model, in which the non-normed fitting exponent tucker-Lewis index is 0.914. The comparative fit index was 0.922, and the goodness of fit index was good. The standard fitting index was normed fit index (NFI) 0.832. The incremental fit index is 0.929, and the relative fitting index is relative fit index. The root mean square residuals were 0. 066 and 0. 887, and the mean square root residuals were 0. 066 and 0. 066 respectively. The approximate error of root mean square errorof approximation is 0.043; The correlation between the total score of PPUS and other scales was strong (P0.01), and the aggregation validity was good. Conclusion the modified PPUS is more suitable for Chinese parents and has good reliability and validity. It is suitable for clinical department as a primary screening tool for high-risk parents of cancer children.
【作者單位】： 廣州中醫(yī)藥大學(xué);中山大學(xué)附屬腫瘤醫(yī)院;
【基金】：2011年廣東省科技廳項(xiàng)目粵科規(guī)劃字[2011]70號(hào)(2011B080701081)
【分類號(hào)】：R473.73
【正文快照】： 最新數(shù)據(jù)顯示[1],中國(guó)每年有36.21/105的兒童被確診為腫瘤(0~15歲),其中發(fā)病率為38.58/105,病死率為17.35/105�；純捍_診為腫瘤這一應(yīng)激事件使父母的心理社會(huì)功能不能得到正常的實(shí)現(xiàn)[2],其中困擾著他們的1個(gè)重要的因素就是疾病不確定感[3],即一種持續(xù)的懷疑狀態(tài)以及一種不斷變

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