汉化版癌症赋权量表在老年恶性肿瘤患者应用中的跨文化适应和信效度检验

doi:10.3969/j.issn.1003-9198.2025.12.020

摘要/Abstract

摘要： 目的编制符合我国文化特色的老年恶性肿瘤患者赋权量表,并进行信效度检验。方法对癌症患者赋权量表(Cancer Empowerment Questionnaire, CEQ)进行翻译、回译和文化调试,并请48名专家进行内容效度评价,形成汉化版CEQ(C-CEQ)。选取江苏省人民医院老年医学科306例老年恶性肿瘤患者进行C-CEQ问卷调查来评估量表信效度。结果项目分析各条目临界比值均值后,共得到具有统计学意义的32个条目的C-CEQ。探索性因子分析提取到4个因子,KMO值为0.949,累计方差贡献率为64.73%;验证性因子分析显示模型适配度和信度良好,且平均方差提取值(AVE)均达到0.5以上。C-CEQ量表的Cronbach’s α系数为0.941,折半信度系数分别为0.895和0.944。结论 C-CEQ在中国老年恶性肿瘤患者中显示出良好的信效度,可作为临床评估老年恶性肿瘤患者赋权水平的工具。C-CEQ对于测评恶性肿瘤患者的健康赋权水平、评估健康赋权干预效果具有重要作用,对于完善健康赋权理论、了解老年恶性肿瘤患者需求有着重要意义。

关键词: 老年人, 恶性肿瘤, 患者赋权, 信度, 效度, 汉化版

Abstract: Objective To develop an empowerment scale for older adults with malignant tumors in line with Chinese cultural characteristics, and to test its reliability and validity. Methods The Cancer Empowerment Questionnaire (CEQ) was translated, back-translated, and culturally adjusted, and 48 experts were invited to evaluate its content validity, finally developed the Chinese CEQ (C-CEQ). A total of 306 elderly patients with malignant tumors in Department of Geriatrics of Jiangsu Province Hospital were selected for the C-CEQ questionnaire survey to evaluate the reliability and validity of the scale. Results After analyzing the mean value of the critical ratio of each item, 32 items of the C-CEQ with statistical significance were obtained. Four factors were extracted by exploratory factor analysis, and the Kaiser-Meyer-Olkin (KMO) value was 0.949, and the cumulative variance contribution rate was 64.73%. Confirmatory factor analysis showed that the model had good fitness and reliability, and the average variance extracted (AVE) values were all above 0.5. The Cronbach’s α coefficient of the C-CEQ scale was 0.941, and the split-half reliability coefficients were 0.895 and 0.944, respectively. Conclusions The C-CEQ shows good reliability and validity in the elderly patients with malignant tumors with Chinese cultural characteristics and can be used as a tool for the clinical evaluation of the empowerment level. The C-CEQ plays an important role in evaluating the health empowerment level of the patients with malignant tumors and the effect of health empowerment interventions. It is of great significance to improve the theory of health empowerment and understand the needs of elderly patients with malignant tumors.

Key words: aged, malignant tumor, patient empowerment, reliability, validity, Chinese version

中图分类号:

R 730

李金花, 徐伈, 李娜, 桑妮, 朱玲. 汉化版癌症赋权量表在老年恶性肿瘤患者应用中的跨文化适应和信效度检验[J]. 实用老年医学, 2025, 39(12): 1289-1293.

LI Jinhua, XU Xin, LI Na, SANG Ni, ZHU Ling. Reliability and validity of the Chinese version of Cancer Empowerment Questionnaire in elderly patients with malignant neoplasms[J]. Practical Geriatrics, 2025, 39(12): 1289-1293.

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