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目的:编制一套适合测评中国宫颈癌患者的生命质量评价量表(quality of life scale for cervical cancer patients,QLS-CCP),并评价其信度和效度。方法:通过文献查阅法、访谈法和专家咨询等方法确定条目池,形成初始量表。采用变异度法、t检验法、相关系数法和逐步回归法对初始量表进行条目筛选,形成最终的测试量表;采用新编制的QLS-CCP对136例子宫颈癌患者进行调查,并对其信度和效度进行评价。结果:最终QLS-CCP包含躯体功能、心理、社会及与疾病症状4个维度,共32个条目。量表的重测相关系数、Cronbach’α系数和分半信度系数分别为0.96、0.93和0.85。效标效度较好(rS=0.591,P=0.000)。因子分析找到4个公因子,可以解释总变异的57.22%,显示量表的结构效度良好,量表结构与理论构想相符,具有较好的区分效度。结论:新编制的QLS-CCP具有良好的信度和效度,可用于中国宫颈癌患者生存质量的测评。
Objective: To prepare a set of quality of life scale for cervical cancer patients (QLS-CCP), and evaluate the reliability and validity of QLS-CCP. Methods: Through the literature review, interview and expert advice and other methods to determine the entry pool, the formation of the initial scale. The initial scale was screened by the method of variation degree, t-test, correlation coefficient and stepwise regression to form the final test scale. A total of 136 cases of cervical cancer patients were investigated by QLS-CCP. Reliability and validity evaluation. Results: The final QLS-CCP contains four dimensions of physical function, psychology, social and disease symptoms, a total of 32 items. The retest correlation coefficient, Cronbach’α coefficient and half-reliability coefficient were 0.96, 0.93 and 0.85 respectively. Validity of the validity of the standard (rS = 0.591, P = 0.000). Four common factors were found by factor analysis, which could explain 57.22% of the total variance, indicating that the scale validity of the scale was good. The structure of the scale was consistent with the theoretical conception and had good discrimination validity. Conclusion: The newly constructed QLS-CCP has good reliability and validity and can be used to evaluate the quality of life of cervical cancer patients in China.