Department of Breast Surgical Oncology, Fujian Medical University Cancer Hospital, Fujian Cancer Hospital, Fuzhou, China.
Department of Nursing, Fujian Medical University Cancer Hospital, Fujian Cancer Hospital, Fuzhou, China; .
Ann Palliat Med. 2021 Jul;10(7):7681-7688. doi: 10.21037/apm-21-1252.
The mental health of cancer patients is attracting increasing attention. Thus, an efficient mental health preliminary screening questionnaire (MHPSQ) for cancer patients is required. This study sought to develop an MHPSQ, test its reliability and validity, and administer it among cancer patients.
A literature review and interviews with 8 patients were conducted to determine the questionnaire item pool, and experts were consulted to confirm the first draft. Next, 150 cancer patients were selected for the project analysis and validity assessment to develop the final document; 400 patients were then selected for the reliability and validity tests. After which, 1,000 patients were assessed using the Self-Rating Anxiety Scale, Self-Rating Depression Scale (SDS), and MHPSQ, and the completion times for each scale were evaluated. Finally, the specificity and sensitivity of the MHPSQ were then determined.
Four factors (i.e., mood, sleep, social function, and interpersonal relationships) were ultimately retained as MHPSQ items. MHPSQ's Cronbach's α and test-retest reliability were 0.76 and 0.92, respectively. The time required to complete the MHPSQ was 83.90±19.00 s. Its sensitivity and specificity were 92.4% and 98.5%, respectively.
The MHPSQ has good reliability and validity. Comprising only 4 items, it is easy to operate and effectively identifies patients with psychological abnormalities.
癌症患者的心理健康越来越受到关注。因此，需要一种有效的癌症患者心理健康初步筛查问卷（MHPSQ）。本研究旨在开发一种 MHPSQ，检验其信度和效度，并在癌症患者中进行测试。
通过文献回顾和对 8 名患者的访谈，确定了问卷条目池，并咨询了专家以确认初稿。接下来，选择 150 名癌症患者进行项目分析和有效性评估，以制定最终文件；然后选择 400 名患者进行信度和效度测试。之后，使用自评焦虑量表、自评抑郁量表（SDS）和 MHPSQ 对 1000 名患者进行评估，并评估每个量表的完成时间。最后，确定 MHPSQ 的特异性和敏感性。
最终保留了四个因素（即情绪、睡眠、社会功能和人际关系）作为 MHPSQ 的项目。MHPSQ 的克朗巴赫 α 系数和重测信度分别为 0.76 和 0.92。完成 MHPSQ 所需的时间为 83.90±19.00 秒。其灵敏度和特异性分别为 92.4%和 98.5%。
MHPSQ 具有良好的信度和效度。仅包含 4 个项目，操作简便，能有效识别有心理异常的患者。
