目的 基于乳腺癌患者的特定特征和情景修订养育胜任感量表,检验其信效度,为乳腺癌患者养育胜任感的研究提供可靠的测量工具。方法 在中文版养育胜任感量表的基础上,通过文献研究、半结构访谈、课题组讨论、德尔菲专家函询、预调查,形成乳腺癌患者养育胜任感量表。2024年6—8月,便利抽取533例乳腺癌患者为研究对象,检验量表的信度及效度。结果 修订后的乳腺癌患者养育胜任感量表中,各条目的高低分组的临界比值为3.191~12.075（均P<0.01）,条目与总分的相关系数为0.422~0.640（P<0.01）;内容效度结果显示,单条目内容效度指数为0.857~1.000,全体一致性水平内容效度指数为0.982;探索性因子分析提取2个公因子,累积方差贡献率为61.393%;验证性因子结果显示模型拟合度良好;聚合效度和组合信度均达到良好标准;校标关联效度结果显示,该量表得分与医院焦虑维度得分呈负相关（r=-0.399,P<0.01）;与医院抑郁维度得分呈负相关（r=-0.396,P<0.01）;总量表的Cronbach α系数为0.871,各维度的Cronbach α系数分别为0.907、0.920,分半信度为0.908,总量表的重测信度为0.848。结论 修订后的乳腺癌患者养育胜任感量表信效度良好,可用于我国内地乳腺癌患者养育胜任感水平的评估。
Abstract
Objective To revise the Parenting Competence Scale based on the specific characteristics and context of patients with breast cancer, to test its reliability and validity, and to provide a reliable measurement tool for research on parenting competence in patients with breast cancer. Methods Based on the Chinese version of the Parenting Competence Scale, the Parenting Competence Scale for Breast Cancer Patients was developed after literature review, semi-structured interviews, group discussions, Delphi expert consultation, and a pilot survey. A convenience sample of 533 breast cancer patients was selected between June and August 2024 to test the reliability and validity of the revised scale. Results The revised scale showed that the critical ratio value of the high and low groups of each item ranged from 3.191 to 12.075 (all P<0.01). The correlation coefficients between each item and the total score were 0.422 to 0.640 (P<0.01). The content validity results showed that the content validity index for individual items ranged from 0.857 to 1.000, and the overall content validity index for consistency was 0.982. Exploratory factor analysis extracted two common factors, with a cumulative variance contribution rate of 61.393%. Confirmatory factor analysis demonstrated good model fit. Convergent validity and composite reliability both reached good standards. Criterion-related validity showed that the score of the scale was negatively correlated with that of anxiety (r=-0.399, P<0.01) and depression of the hospital (r=-0.396, P<0.01). The Cronbach’s α coefficient for the total scale was 0.871, and the Cronbach’s α coefficients for each dimension were 0.907 and 0.920, respectively. The split-half reliability was 0.908, and the test-retest reliability of the total scale 0.848. Conclusion The revised Parenting Competence Scale for Breast Cancer Patients has good reliability and validity, and it can be used to assess the parenting competence of breast cancer patients in the Chinese mainland.
关键词
乳腺肿瘤 /
养育胜任感 /
信度 /
效度
Key words
breast neoplasm /
parenting competence /
reliability /
validity
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基金
吴阶平医学基金会临床研究专项资助基金（320.6750.2023-18-121）
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