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癌症患者的生活意义:修订版生活态度量表的验证

Meaning in life for patients with cancer: validation of the Life Attitude Profile-Revised Scale.

作者信息

Erci Behice

机构信息

Department of Public Health Nursing, School of Nursing, Atatürk University, Erzurum, Turkey.

出版信息

J Adv Nurs. 2008 Jun;62(6):704-11. doi: 10.1111/j.1365-2648.2008.04658.x.

Abstract

AIM

This paper is a report of a study to adapt the Life Attitude Profile-Revised Scale for Turkish patients with cancer and to evaluate its psychometric properties.

BACKGROUND

Cancer is a life-threatening illness that can challenge the experience of meaning in life. Meaning in life is a multidimensional concept involving meaning and purpose in life, as well as the motivation to find meaning and purpose in life. As meaning in life may be influenced by culture, a culture-sensitive tool is needed for its measurement.

METHODS

A convenience sample of 199 patients with cancer at a Turkish university hospital completed a structured questionnaire including demographic characteristics and the Life Attitude Profile-Revised Scale for Patients with Cancer in 2006. Item analysis, principal components analysis, internal consistency reliability and Cronbach's alpha were used to measure the psychometric properties of the items of the scale.

FINDINGS

In the assessment of construct validity, identified four factors with eigenvalues greater than 1 explained 46.91% of the total variance. Internal reliability coefficients of these four factor-based scales were 0.73 and 0.82 respectively.

CONCLUSIONS

The present study provides evidence of the Life Attitude Profile-Revised Scale's validity, reliability and acceptability. This scale should be further evaluated with a larger sample, in different regions in Turkey and diverse populations of world. The scale has potential applications for use both in research and as a screening tool in clinical settings.

摘要

目的

本文报告一项针对土耳其癌症患者改编《修订版生活态度量表》并评估其心理测量特性的研究。

背景

癌症是一种危及生命的疾病,可能会对生命意义的体验构成挑战。生命意义是一个多维概念,涉及生活中的意义和目的,以及寻找生活意义和目的的动机。由于生命意义可能受文化影响,因此需要一种对文化敏感的工具来进行测量。

方法

2006年,在一所土耳其大学医院选取了199名癌症患者作为便利样本,他们完成了一份结构化问卷,其中包括人口统计学特征以及《癌症患者修订版生活态度量表》。采用项目分析、主成分分析、内部一致性信度和克朗巴赫α系数来测量该量表项目的心理测量特性。

结果

在结构效度评估中,提取出四个特征值大于1的因子,它们解释了总方差的46.91%。这四个基于因子的量表的内部信度系数分别为0.73和0.82。

结论

本研究为《修订版生活态度量表》的效度、信度和可接受性提供了证据。该量表应在土耳其不同地区和世界不同人群中使用更大样本进行进一步评估。该量表在研究和临床环境中作为筛查工具均具有潜在应用价值。

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