《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (2): 203-207.doi: 10.3969/j.issn.1006-9771.2018.02.016

• 临床研究 • 上一篇    下一篇

中文版疾病认知问卷在乳腺癌患者中的信度和效度检验

韩静1, 邱慧1, 聂志红1, 苏娅丽2, 刘均娥1   

  1. 1.首都医科大学护理学院,北京市 100069;
    2.首都医科大学附属北京天坛医院,北京市 100050
  • 收稿日期:2017-11-16 修回日期:2018-01-12 出版日期:2018-02-25 发布日期:2018-03-02
  • 通讯作者: 刘均娥。E-mail: liujune66@163.com
  • 作者简介:韩静(1984-),女,汉族,江苏徐州市人,博士研究生,讲师,主要研究方向:乳腺癌患者心理社会康复。通讯作者:刘均娥(1966-),女,博士,教授,博士生导师,主要研究方向:癌症心理社会康复。
  • 基金资助:
    1.国家自然科学基金项目(No. 81573016); 2.北京市属高等学校高层次人才引进与培养计划项目(No. CIT&TCD20140328)

Reliability and Validity of Chinese Version of Illness Cognition Questionnaire in Women with Breast Cancer

HAN Jing1, QIU Hui1, NIE Zhi-hong1, SU Ya-li2, LIU Jun-e1   

  1. 1. Capital Medical University School of Nursing, Beijing 100069, China;
    2. Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing 100050, China
  • Received:2017-11-16 Revised:2018-01-12 Published:2018-02-25 Online:2018-03-02
  • Contact: LIU Jun-e. E-mail:liujune66@163.com
  • Supported by:
    ; Supported by National Natural Science Foundation of China (No. 81573016) and Importation and Development of High-Caliber Talents Project of Beijing Municipal Institutions (No. CIT&TCD20140328)

摘要: 目的 评价疾病认知问卷(ICQ)在乳腺癌患者中应用的信度和效度,为评估乳腺癌患者心理康复水平提供有效工具。方法 2016年10月至2017年5月,采用ICQ、疾病感知问卷(简化版)(B-IPQ)对北京天坛医院乳腺科和北京抗癌乐园的297例乳腺癌患者进行问卷调查,分析问卷的信度和效度。结果 ICQ 3个维度(无助感、接纳、感知益处)的Cronbach α 信度系数分别为0.855、0.857、0.878;重测信度分别为0.946、0.963、0.901 (P<0.001);验证性因子分析显示模型拟合指数χ2/df=2.5000,SRMR=0.063,CFI=0.920,3个维度各条目的 因子载荷为0.37~0.84,各维度之间的相关系数为-0.49~0.81 (P<0.001)。ICQ 3个维度中的无助感维度得分与B-IPQ总分的Pearson相关系数为0.727 (P<0.001)。结论 ICQ具有较好的信度和效度,适合在乳腺癌患者人群中应用。

关键词: 疾病认知问卷, 乳腺癌, 信度, 效度

Abstract: Objective To test the reliability and validity of Chinese version of Illness Cognition Questionnaire (ICQ) in women with breast cancer.Methods From October, 2016 to May, 2017, 297 women with breast cancer were investigated with the Chinese version of the ICQ and Brief Illness Perception Questionnaire (B-IPQ). The reliability and validity of the Chinese version of ICQ were tested.Results The Cronbach's α of three subscales of ICQ (helplessness, acceptance and perceive benefits) were 0.855, 0.857, 0.878, and the test-retest reliability of three subscales were 0.946, 0.963, 0.901 (P<0.001). A confirmatory factor analysis was tested, χ2/df=2.500,SRMR=0.063, CFI=0.920. The factor load capacity of each subscales was 0.37 to 0.84 and the correlation of helplessness, acceptance and perceive benefits was -0.49 to 0.81 (P<0.001). The correlation coefficient of criterion-related validity of the helplessness subscale of ICP with B-IPQ was 0.727 (P<0.001).Conclusion The Chinese version of ICQ has good reliability and validity, which is a valuable research tool in clinical studies of psychological cognition of patients with breast cancer.

Key words: Illness Cognition Questionnaire, breast cancer, reliability, validity

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