开发和验证甲状腺癌自我感知歧视尺度,以识别患有心理问题高风险的患者
Zhi-Jin Liu1, Lin-Sen Feng2,3, Feng Li1
1Department of Geriatric Oncology, The Third Affiliated Hospital of Kunming Medical University - Yunnan Cancer Hospital, Kunming, China.
Frontiers in oncology
|August 3, 2023
概括
一个新的尺度,甲状腺癌自我认知歧视尺度 (TCSPDS),有效地识别了甲状腺癌患者面临心理痛苦风险. 这种经过验证的工具有助于评估歧视和改善心理社会支持.
科学领域:
- 心理瘤学 心理瘤学
- 健康心理学 心理健康心理学
- 癌症的生存率 癌症的生存率
背景情况:
- 甲状腺癌患者经常经历心理痛苦和歧视.
- 现有的工具可能无法充分捕捉这一群体的自我感知歧视.
- 早期识别风险患者对于及时干预至关重要.
研究的目的:
- 开发和验证甲状腺癌自我认知歧视量表 (TCSPDS).
- 评估TCSPDS的可靠性,有效性和可接受性.
- 为了确定患有心理问题的高风险的甲状腺癌患者.
主要方法:
- 使用古典测试理论与176名甲状腺癌患者开发TCSPDS.
- 使用项目分析,探索和确认因素分析 (EFA,CFA) 和结构方程建模 (SEM) 来构建有效性.
- 通过对EORTC QLQ-C30进行评估的与标准相关的有效性 (CRV),以及通过Cronbach的alpha,split-half和test-retest措施的可靠性.
主要成果:
- 20项的TCSPDS,包括耻辱,自我低和社会回避子表,显示出良好的有效性和可靠性.
- 关键有效性指标包括0.767的有效率系数;可靠性得到了克伦巴赫的alpha0.867和0.981.98的测试-重新测试可靠性证实.
- 该尺度显示了高可接受性,有效响应率为95.14%,平均完成时间约为15分钟.
结论:
- 甲状腺癌患者的TCSPDS是一个可靠和有效的工具,用于评估甲状腺癌患者的自我歧视.
- 它可以帮助早期识别和管理心理痛苦.
- 研究结果支持其用于开发有针对性的健康教育和心理瘤服务,特别是在中国西南地区.
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