Chang Joseph Tung-chieh, Chang Chih-Hung, Juang Yeong-Yuh, Hsiao Jen-Chao, Lin Chien-Yu, Huang Shiang-Fu, Huang Yi-Chen, Kuan Katherine Hsin-yi, Liao Chun-Ta, Wang Hong Ming, Chen I-How
Department of Radiation Oncology, Chang Gung Memorial Hospital, No. 5, Fusing St., Gueishan Township, Taoyuan County 333, Taiwan (R.O.C.).
Chang Gung Med J. 2008 Jul-Aug;31(4):384-94.
This study investigated the internal consistency of the Functional Assessment of Cancer Therapy-Head and Neck (FACT-H&N) translated version in traditional Chinese characters (TChi). The FACT-H&N quality of life instrument is composed of the FACT-General (FACT-G) assessing four primary areas of well-being (physical, social/family, emotional, and functional) and 11 additional items specific to H&N cancer patients.
Two hundred and three patients with H&N cancer were recruited at a medical center in northwestern Taiwan. All completed the TChi FACT-H&N along with demographic and clinical questionnaires written in traditional Chinese characters. Several psychometric properties of the TChi FACT-H&N were examined, including Cronbach's alpha coefficients.
Most of the 203 enrolled patients were men (78%). The median age was 52.5 years (range 23-81 years) and the median number of years of education was 9. All patients had a Karnofsky score of 70 or higher. The results showed that the TChi FACT-H&N scales demonstrated acceptable internal consistency. Translation of the physical and functional concepts was most straightforward. Translation of emotional items, however, posed some difficulties. The social/family well-being subscale was problematic, as expected, based upon observations of cultural differences in social values and functioning. We also noted that concerns about hearing were different between patients with nasopharyngeal carcinoma (NPC) and those with other H&N cancers.
The TChi FACT-H&N is reliable. Items related to problems with hearing should be added to better evaluate the quality of life in patients with NPC.
本研究调查了繁体中文版癌症治疗功能评估量表-头颈版（FACT-H&N）的内部一致性。FACT-H&N生活质量量表由评估四个主要生活领域（身体、社会/家庭、情感和功能）的FACT-通用版（FACT-G）以及11个针对头颈癌患者的附加项目组成。
在台湾西北部的一家医疗中心招募了203名头颈癌患者。所有患者均完成了繁体中文版FACT-H&N量表以及用繁体中文书写的人口统计学和临床问卷。对繁体中文版FACT-H&N的几个心理测量学特性进行了检查，包括克朗巴哈系数。
203名入组患者中大多数为男性（78%）。中位年龄为52.5岁（范围23 - 81岁），中位受教育年限为9年。所有患者的卡氏评分均为70分或更高。结果表明，繁体中文版FACT-H&N量表显示出可接受的内部一致性。身体和功能概念的翻译最为直接。然而，情感项目的翻译存在一些困难。正如预期的那样，基于对社会价值观和功能方面文化差异的观察，社会/家庭幸福感子量表存在问题。我们还注意到，鼻咽癌（NPC）患者和其他头颈癌患者对听力问题的担忧有所不同。
繁体中文版FACT-H&N是可靠的。应增加与听力问题相关的项目，以更好地评估NPC患者的生活质量。
