Okuyama Toru, Akechi Tatsuo, Yamashita Hiroko, Toyama Tatsuya, Endo Chiharu, Sagawa Ryuichi, Uchida Megumi, Furukawa Toshiaki A
Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi, Japan.
Psychooncology. 2009 Sep;18(9):1003-10. doi: 10.1002/pon.1482.
Provision of supportive care to meet patients' individual needs is instrumental to enhancing their quality of life. We therefore need an appropriate assessment tool to measure such needs. The purpose of this study was to examine the psychometric property of the Japanese version of the Short-form Supportive Care Needs Survey questionnaire (SCNS-SF34-J).
The forward-backward translation method was used to develop the Japanese version of SCNS-SF34, originally developed by Boyes et al. in Australia. Randomly selected ambulatory female patients with breast cancer participated in this study. They were asked to complete the SCNS-SF34-J and the European Organization for Research and Treatment of Cancer QLQ-C 30. The validity and the reliability of SCNS-SF34-J were evaluated statistically.
Complete data were available from 408 patients. A five-factor solution that accounted for 74.6% of the total variance was reproduced. The results confirmed the five-factor structure found in the original SCNS development study, consisting of Health system and Information needs, Psychological needs, Physical needs, Care and Support needs, and Sexuality needs. Cronbach's alpha coefficients, which are the measures of the internal consistency, were above 0.85 for all of five subscales. Significant correlations were also found for corresponding subscales in each of the instruments. The anticipated differences in supportive care needs between groups divided by the patient characteristics, such as the disease stage, were found to be significant.
The results indicated that SCNS-SF34-J is a valid and reliable tool for assessing the supportive care needs of Japanese cancer patients.
提供支持性护理以满足患者的个体需求有助于提高其生活质量。因此，我们需要一种合适的评估工具来衡量此类需求。本研究的目的是检验日本版简明支持性护理需求调查问卷（SCNS-SF34-J）的心理测量特性。
采用前后翻译法开发日本版SCNS-SF34，该问卷最初由澳大利亚的博伊斯等人编制。随机选取门诊乳腺癌女性患者参与本研究。要求她们完成SCNS-SF34-J和欧洲癌症研究与治疗组织的QLQ-C 30问卷。对SCNS-SF34-J的效度和信度进行统计学评估。
408例患者提供了完整数据。重现了一个占总方差74.6%的五因素模型。结果证实了原始SCNS开发研究中发现的五因素结构，包括卫生系统与信息需求、心理需求、身体需求、护理与支持需求以及性需求。作为内部一致性度量的Cronbach's alpha系数在所有五个子量表中均高于0.85。在各量表的相应子量表之间也发现了显著相关性。按疾病阶段等患者特征划分的组间在支持性护理需求方面的预期差异显著。
结果表明，SCNS-SF34-J是评估日本癌症患者支持性护理需求的有效且可靠的工具。
