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土耳其女性乳腺癌筛查信念量表的信度与效度

Reliability and validity of the breast cancer screening belief scale among Turkish women.

作者信息

Secginli Selda, Nahcivan Nursen O

机构信息

Florence Nightingale School of Nursing, Department of Public Health Nursing, Istanbul University, 80270 Sisli-Istanbul, Turkey.

出版信息

Cancer Nurs. 2004 Jul-Aug;27(4):287-94. doi: 10.1097/00002820-200407000-00005.

Abstract

Breast cancer is the second leading cause of cancer deaths in Turkish women, and the use of breast self-examination (BSE) and mammography remains low in Turkey. Therefore, we need to identify the beliefs, influencing BSE and mammography, and a valid and reliable tool to measure constructs. The Champion's health belief model scale (CHBMS) is a valid and reliable tool to measure beliefs about breast cancer, BSE, and mammography in an English culture. The purpose of this study was to assess the psychometric characteristics of a Turkish version of the CHBMS related to breast cancer, BSE, and mammography. A convenience sample of 656 women was recruited from 3 health centers and 2 maternal and child health centers in Istanbul. The CHBMS was translated to Turkish, validated by professional judges, back translated, and tested. Factor analysis yielded 7 factors for BSE: confidence, seriousness, barriers-BSE, health motivation 1 and 2, susceptibility, and benefits-BSE. For mammography scale, 6 factors were identified: seriousness, benefits-mammography, barriers-mammography, health motivation 1 and 2, and susceptibility. All items on each factor were from the same construct. Cronbach alpha reliability coefficients ranged from.75 to.87 for the subscales. The Turkish version of the CHBMS showed adequate reliability and validity for use in Turkish women. It could easily be used to evaluate the health beliefs about breast cancer, BSE, and mammography. Further refinement is required to study Turkish women's health beliefs and breast cancer screening behaviors in various settings.

摘要

乳腺癌是土耳其女性癌症死亡的第二大主要原因,而土耳其女性进行乳房自我检查(BSE)和乳房X光检查的比例仍然很低。因此,我们需要确定影响BSE和乳房X光检查的信念,以及一个有效且可靠的工具来衡量这些构念。冠军健康信念模型量表(CHBMS)是一种在英国文化中用于衡量有关乳腺癌、BSE和乳房X光检查信念的有效且可靠的工具。本研究的目的是评估土耳其语版CHBMS与乳腺癌、BSE和乳房X光检查相关的心理测量特征。从伊斯坦布尔的3个健康中心和2个母婴健康中心招募了656名女性作为便利样本。CHBMS被翻译成土耳其语,由专业评判员进行验证,回译并进行测试。因子分析得出BSE的7个因子:信心、严重性、BSE障碍、健康动机1和2、易感性以及BSE益处。对于乳房X光检查量表,确定了6个因子:严重性、乳房X光检查益处、乳房X光检查障碍、健康动机1和2以及易感性。每个因子上的所有项目都来自相同的构念。各子量表的Cronbach α信度系数在0.75至0.87之间。土耳其语版CHBMS在土耳其女性中显示出足够的信度和效度。它可以很容易地用于评估有关乳腺癌、BSE和乳房X光检查的健康信念。需要进一步完善以研究土耳其女性在各种环境下的健康信念和乳腺癌筛查行为。

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