Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Department of Radiotherapy and Oncology, National Cancer Institute, Putrajaya, Malaysia.
PLoS One. 2021 Sep 29;16(9):e0256216. doi: 10.1371/journal.pone.0256216. eCollection 2021.
Cancer is a life-threatening disease, and the challenges in accepting the diagnosis can bring a devastating emotional impact on the patient's mental and psychological wellbeing. Issues related to illness acceptance among cancer patients are not well studied in Malaysia. To date, the Acceptance of Illness Scale has not been translated to the Malay language (Bahasa Malaysia) nor validated for use in the oncology setting. The objective of the study is to translate, validate and determine the reliability of the Bahasa Malaysia version of the Acceptance of Illness Scale among Malaysian patients with cancer. A total of 129 patients newly diagnosed with cancer were consecutively sampled and the scale was administered via face-to-face interviews. A pilot test (n = 30) was conducted and test-retest reliability was determined. The Bartlett Test of Sphericity was statistically significantly (p<0.001), while the Kaiser-Mayer-Olkin (KMO) measure of sampling adequacy was adequate at 0.84. Scale item mean scores ranged between 3.02 and 4.33, while the item-total correlation ranged between 0.50 to 0.66 (p<0.05). The internal reliability coefficient was 0.84. The test-retest reliability indicated a high correlation, r = 0.94 with p = 0.001. The Bahasa Malaysia version of the Acceptance of Illness Scale is a valid and reliable instrument that is appropriate for use in Malaysian patients with cancer. Use of this scale to assess illness acceptance among the Malay-speaking patients with cancer can act as a guide for delivery of psycho-oncological services to help patients have a better mental wellbeing and life adjustment in living with cancer.
癌症是一种危及生命的疾病，患者在接受诊断时所面临的挑战可能会对其心理和心理健康产生毁灭性的影响。在马来西亚，癌症患者对疾病的接受程度相关问题尚未得到充分研究。迄今为止，《疾病接受量表》尚未被译为马来语（Bahasa Malaysia），也未在肿瘤学领域进行验证。本研究的目的是翻译、验证并确定马来语版《疾病接受量表》在马来西亚癌症患者中的可靠性。共有 129 名新诊断为癌症的患者连续采样，并通过面对面访谈进行了量表评估。进行了预测试（n = 30），并确定了重测信度。巴特利特球形检验具有统计学意义（p<0.001），而凯泽-迈耶-奥尔金（KMO）样本充分性测量值为 0.84，充分。量表项目平均得分为 3.02 至 4.33，而项目总分相关性为 0.50 至 0.66（p<0.05）。内部信度系数为 0.84。重测信度表明相关性很高，r = 0.94，p = 0.001。马来语版《疾病接受量表》是一种有效且可靠的工具，适用于马来西亚癌症患者。使用该量表评估马来语癌症患者的疾病接受程度，可以作为提供心理肿瘤学服务的指南，帮助患者在癌症治疗中更好地保持心理健康和生活调整。
