摘要
[目的]评价“晚期癌症病人需求评估体系”问卷的科学性。[方法]采用问卷调查法,以作者研究构建的“晚期癌症病人需求评估问卷”和英国圣克利斯多弗医院“临终关怀结果评估量表——病人问卷”为调查工具,选取西安地区两所三级甲等医院7个临床科室中住院癌症病人96例和非癌症病人40例为调查对象,进行问卷调查。[结果]①本次调查问卷回收率为98.0%,重复测量回收率87.5%(35/40),完成率为97.9%,完成问卷时间为13.0min±3.5min,调查对象对调查问卷的评估认为好的占82.0%。②两次测量总分值相关系数为r=0.827,生理、心理、精神和社会4个方面的相关系数分别为0.823、0.636、0.796、0.875。③问卷在4个领域的Cronbach’sα系数分别为:生理需求0.7219,心理需求0.6412,精神需求0.7502,社会需求0.8275。④经主成分及因子分析,得到载荷较大的12个因子,基本涵盖了生理、心理、精神、社会4个方面。⑤与“临终关怀结果评估量表——病人问卷”的相关系数为0.87。⑥该问卷在社会需求方面有较好的区分度。[结论]“晚期癌症病人需求评估问卷”有较好的可行性,较高的信度和效度,可以用于晚期癌症病人需求评估。
Objective： To evaluate the scientific characteristic of the evaluation system of demand in terminal cancer patients. Method： A total of 96 cases inpatients with cancer and another 40 cases of noncancer inpatients from 7 clinical departments of two third- grade class- A hospitals of Xi＇an area were investigated by filling out self- established questionnaire of “evaluation questionnaire on demand of terminal cancer patients” and “the palliative care outcome scale, patient questionnaire” of St. Christepher hospital. Result： ① Questionnaire recovery rate of this investigation was 98.0%. Repeated measuring recovery rate was 87.5 %. And completion rate was 97.9%. Average time of completing questionnaire was 13.0 min ＋ 3.5 min. And 82.0 % of who were investigated thought the evaluation of questionnaire good. ②The correlation coefficient of total score of the two measurement was r = 0. 827, correlation coefficients in the four aspects of physiological, psychological, mental and sodal were 0. 823,0. 636, 0. 796, and 0. 875 respectively. ③The Cronbach＇s α coefficient in the 4 fields of questionnaire were 0. 721 9 in physiological demand, 0. 641 2 in psychological demand, 0. 750 2 in mental demand, and 0. 827 5 in social demand. ④Through principal constituent and factors analysis, 12 factors of heavy load were gained which including basically the 4 aspects of physiological, psychological, mental and social. ⑤The correlation coefficient of “hospitalpice evaluation scale” with “evaluation questionnaire on demand of terminal cancer patients” was 0.87. ⑥The questionnaire has better distinguishing degree in social demand. Conclusion： “Evaluation questionnaire on demand of terminal cancer patients” has better feasibility, higher reliability and validity. And it can be used to evaluate the demand of terminal cancer patients.
出处
《护理研究（上旬版）》
2005年第11期2274-2277,共4页
Chinese Nursing Researsh
基金
2005年西京医院临床高新技术项目资助
项目编号:XJGX0539H01。
关键词
癌症病人
晚期
问卷
需求
评估
信度
效度
反应度
cancer patient, advanced stage
questionnaire
demand
evaluation
reliability
validity
reactive degree
作者简介
付菊芳（1964-），女，陕西省榆林人，副主任护师，硕士，从事肿瘤护理研究。
