韩国癌症幸存者慢性病照顾患者评估量表的心理计量学评估。

Psychometric evaluation of patient assessment of chronic illness care among Korean cancer survivors.

机构信息

Department of Nursing, Inha University, Incheon, South Korea.

College of Nursing, Research Institute of Nursing Science, Daegu Catholic University, Daegu, South Korea.

出版信息

PLoS One. 2021 Aug 12;16(8):e0256119. doi: 10.1371/journal.pone.0256119. eCollection 2021.

DOI:10.1371/journal.pone.0256119

PMID:34383868

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8360575/

Abstract

BACKGROUND

The Patient Assessment of Chronic Illness Care (PACIC) was developed in the United States to assess the implementation of the Chronic Care Model (CCM)-based intervention from the patient's perspective. Although the psychometric properties of the PACIC have been reported in other chronically ill patients, it has not been reported in cancer survivors. Our aim was to evaluate the acceptability, validity, and reliability of a Korean version of the PACIC among cancer survivors (K-PACIC-CS).

METHODS

Among 204 cancer survivors at a university-based hospital in South Korea, we performed psychometric evaluation of the K-PACIC-CS according to acceptability (descriptive statistics, missing values, and floor and ceiling effects), validity (confirmative factor analysis [CFA] and convergent validity), and reliability (internal consistency, i.e., Cronbach's alpha).

RESULTS

The item response was high (missing rate = 0.5%). The floor effect was 3.9%- 43.6% and the ceiling effect was 6.9%- 41.2%. The CFA revealed good indices of fit and confirmed the five structures predetermined in the original version of PACIC. The K-PACIC-CS scores had significant positive relationships with cancer survivors' self-efficacy and health-related quality of life. The total K-PACIC-CS showed excellent internal consistency (Cronbach's alpha = .94) and those of the subscales were acceptable (Cronbach's alpha = .76 -.86).

CONCLUSIONS

This study suggests that the K-PACIC-CS is a valid and reliable instrument for measuring implementation of CCM-based chronic care from the survivor's perspective.

摘要

背景

患者评估慢性病护理（PACIC）是在美国开发的，用于从患者角度评估基于慢性病护理模式（CCM）的干预措施的实施情况。尽管 PACIC 的心理测量特性已在其他慢性病患者中得到报告，但在癌症幸存者中尚未报告。我们的目的是评估韩国版 PACIC（K-PACIC-CS）在癌症幸存者中的可接受性、有效性和可靠性。

方法

在韩国一所大学附属医院的 204 名癌症幸存者中，我们根据可接受性（描述性统计、缺失值以及地板和天花板效应）、有效性（验证性因子分析 [CFA] 和收敛有效性）和可靠性（内部一致性，即 Cronbach's alpha）对 K-PACIC-CS 进行心理测量评估。

结果

项目反应较高（缺失率=0.5%）。地板效应为 3.9%-43.6%，天花板效应为 6.9%-41.2%。CFA 显示出良好的拟合指数，并证实了 PACIC 原始版本中预定的五个结构。K-PACIC-CS 评分与癌症幸存者的自我效能和健康相关生活质量呈显著正相关。总 K-PACIC-CS 具有极好的内部一致性（Cronbach's alpha=.94），各分量表的内部一致性也可接受（Cronbach's alpha=.76-.86）。