Psycho-Oncology Unit, Supportive Care Department, Institut Curie, Paris, France.
Eur J Cancer Care (Engl). 2012 Jul;21(4):450-9. doi: 10.1111/j.1365-2354.2012.01356.x. Epub 2012 May 10.
This study aimed to assess the psychometric robustness of the French version of the Supportive Care Needs Survey and breast cancer (BC) module (SCNS-SF34-Fr and SCNS-BR8-Fr). Breast cancer patients were recruited in two hospitals (in Paris, France and Lausanne, Switzerland) either in ambulatory chemotherapy or radiotherapy, or surgery services. They were invited to complete the SCNS-SF34-Fr and SCNS-BR8-Fr as well as quality of life and patient satisfaction questionnaires. Three hundred and eighty-four (73% response rate) BC patients returned completed questionnaires. A five-factor model was confirmed for the SCNS-SF34-Fr with adequate goodness-of-fit indexes, although some items evidenced content redundancy, and a one-factor was identified for the SCNS-BR8-Fr. Internal consistency and test-retest estimates were satisfactory for most scales. The SCNS-SF34-Fr and SCNS-BR8-Fr scales demonstrated conceptual differences with the quality of life and satisfaction with care scales, highlighting the specific relevance of this assessment. Different levels of needs could be differentiated between groups of BC patients in terms of age and level of education (P < 0.001). The SCNS-SF34-Fr and SCNS-BR8-Fr present adequate psychometric properties despite some redundant items. These questionnaires allow for the crucial endeavour to design appropriate care services according to BC patients' characteristics.
本研究旨在评估支持性护理需求调查和乳腺癌(BC)模块的法语版本(SCNS-SF34-Fr 和 SCNS-BR8-Fr)的心理测量稳健性。在巴黎和洛桑的两家医院(法国和瑞士)的门诊化疗或放疗或手术服务中招募了乳腺癌患者。他们被邀请填写 SCNS-SF34-Fr 和 SCNS-BR8-Fr 以及生活质量和患者满意度问卷。384 名(73%的回复率)BC 患者返回了完成的问卷。SCNS-SF34-Fr 的五因素模型得到了充分的拟合指数的证实,尽管一些项目存在内容冗余,而 SCNS-BR8-Fr 则确定为一个因素。大多数量表的内部一致性和重测信度估计都令人满意。SCNS-SF34-Fr 和 SCNS-BR8-Fr 量表与生活质量和护理满意度量表存在概念差异,突出了这种评估的特殊相关性。在年龄和教育水平方面,BC 患者群体之间可以区分不同的需求水平(P < 0.001)。SCNS-SF34-Fr 和 SCNS-BR8-Fr 尽管存在一些冗余项目,但具有足够的心理测量特性。这些问卷使我们能够根据 BC 患者的特点设计适当的护理服务。