Pop Florina, Iancu Mihaela, Achimas Cadariu Patriciu, Bodog Alin, Puscas Emil
The Oncology Institute "Prof. Dr. Ion Chiricuta", Department of Psychological Oncology, Cluj-Napoca, Romania.
J BUON. 2018 Nov-Dec;23(6):1606-1615.
Studies addressing the needs of cancer patients highlight the necessity to identify what types of informational and support needs are specific to women of reproductive age after primary treatment for breast cancer. We developed a questionnaire for evaluating informational and treatment decision, psychological and socio-familial needs in young breast cancer patients following treatment.
101 patients of reproductive age, treated for breast cancer at the Oncology Institute "Prof. Dr. Ion Chiricuta", Cluj-Napoca, between 2006 and 2013 were included. They all had completed surgery, chemo-radiotherapy, and were receiving hormone therapy. The questionnaire named Breast Cancer following Treatment Needs Assessment Scale (BCTNAS) consisted of 21 6-point Likert items. The validation procedures used were: construct validity performed by exploratory factor analysis (EFA), reliability and internal consistency analysis using ordinal Cronbach's alpha (α) and ordinal Omega (ω) correlation coefficients.
According to EFA, the questionnaire evidenced four factors: needs concerning medical information and treatment decisions (PA1), needs for psycho-spiritual support (PA2), needs for socio-familial support (PA3), needs concerning medical support/assistance (PA4). The items of BCTNAS reported factor loadings (λi) greater than 0.40 for PA1 factor, λi ≥0.31 for PA2, λi ≥0.53 for PA3 and λi ≥0.33 for PA4, respectively. Reliability analysis demonstrated that BCTNAS is reliable: ordinal Cronbach's alpha of 0.81 (95% IC: 0.75-0.86) and ordinal omega of 0.85 (95% IC: 0.68-0.82) for the total scale score, with very good internal consistency.
The BCTNAS questionnaire provides a potential instrument to identify and assess the needs of breast cancer patients in the post-treatment period, having a positive impact on the quality of patient care.
针对癌症患者需求的研究强调了识别乳腺癌初次治疗后育龄女性特有的信息和支持需求类型的必要性。我们开发了一份问卷，用于评估年轻乳腺癌患者治疗后的信息、治疗决策、心理和社会家庭需求。
纳入2006年至2013年间在克卢日-纳波卡市“伊翁·基里库塔教授博士”肿瘤研究所接受乳腺癌治疗的101名育龄患者。她们均已完成手术、放化疗，并正在接受激素治疗。名为“治疗后乳腺癌需求评估量表”（BCTNAS）的问卷由21个6点李克特量表项目组成。所采用的验证程序包括：通过探索性因素分析（EFA）进行结构效度分析，使用序数克伦巴赫α系数（α）和序数欧米伽系数（ω）进行信度和内部一致性分析。
根据探索性因素分析，该问卷证实了四个因素：医疗信息和治疗决策需求（PA1）、心理精神支持需求（PA2）、社会家庭支持需求（PA3）、医疗支持/援助需求（PA4）。BCTNAS的项目在PA1因素上的因子载荷（λi）大于0.40，PA2的λi≥0.31，PA3的λi≥0.53，PA4的λi≥0.33。信度分析表明BCTNAS是可靠的：总量表得分的序数克伦巴赫α系数为0.81（95%置信区间：0.75 - 0.86），序数欧米伽系数为0.85（95%置信区间：0.68 - 0.82），具有非常好的内部一致性。
BCTNAS问卷为识别和评估乳腺癌患者治疗后时期的需求提供了一种潜在工具，对患者护理质量有积极影响。
