Erci Behice
Department of Public Health Nursing, School of Nursing, Atatürk University, Erzurum, Turkey.
J Clin Nurs. 2007 Oct;16(10):1927-35. doi: 10.1111/j.1365-2702.2007.01825.x.
The issue of self-assessed support needs of women with breast cancer has not been studied enough although it is an important subject for women's health in Turkey. Most of the studies concerning breast cancer patients are about quality of life and life satisfaction. This study aimed to adapt an English version of the Self-Assessed Support Needs of women with breast cancer Scale for Turkish women with breast cancer and to evaluate its psychometric properties.
A descriptive study.
The sample consisted of 143 women with breast cancer who attended the outpatient and inpatient oncology clinics. Data were collected by a structured questionnaire including demographic characteristics and the Self-Assessed Support Needs of women with breast cancer Scale. Item analysis, principal components analysis, internal consistency reliability and Cronbach's alpha were used to measure the psychometric properties of the 54-item scale.
In the assessment of construct validity, the principal components method of factor analysis was performed. Seven factors were identified with eigenvalues >1 explained 52.1% of the total variance (diagnosis, treatment, support, femininity and body image, family and friends, information and after care). Internal reliability coefficients of these seven factor-based scales were found to be substantial, ranging from 0.71 to 0.84.
The present study provides evidence of the Self-Assessed Support Needs of women with breast cancer Scale's validity, reliability and acceptability. This scale should be further evaluated; with a large enough sample size, in different regions in Turkey and diverse populations of world.
The scale has potential applications. It can be used both as a research or a regular screening tool with clinical settings. The use of the scale in clinics will enable identification of self-management activities in patients with breast cancer. Assessment of the self-assessed support needs of women with breast cancer should be an essential part of nursing practice.
尽管乳腺癌女性自我评估的支持需求问题对土耳其女性健康而言是一个重要课题,但相关研究尚不充分。大多数关于乳腺癌患者的研究都围绕生活质量和生活满意度展开。本研究旨在将英文版乳腺癌女性自我评估支持需求量表改编用于土耳其乳腺癌女性,并评估其心理测量特性。
描述性研究。
样本包括143名在门诊和住院肿瘤科就诊的乳腺癌女性。通过一份包含人口统计学特征和乳腺癌女性自我评估支持需求量表的结构化问卷收集数据。采用项目分析、主成分分析、内部一致性信度和克朗巴哈系数来测量这个54项量表的心理测量特性。
在结构效度评估中,采用了主成分法进行因子分析。识别出七个特征值大于1的因子,它们解释了总方差的52.1%(诊断、治疗、支持、女性气质和身体形象、家人和朋友、信息及后续护理)。发现这七个基于因子的量表的内部信度系数较高,范围在0.71至0.84之间。
本研究为乳腺癌女性自我评估支持需求量表的效度、信度和可接受性提供了证据。该量表应进一步评估,在土耳其不同地区以及世界不同人群中采用足够大的样本量进行评估。
该量表具有潜在应用价值。它既可以用作研究工具,也可以在临床环境中作为常规筛查工具。在诊所使用该量表将有助于识别乳腺癌患者的自我管理活动。评估乳腺癌女性的自我评估支持需求应成为护理实践的重要组成部分。