Post-doctoral Researcher, Department of Medicine, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Professor, Center for Human-Caring Nurse Leaders for the Future by Brain Korea 21 (BK21) Four Project, College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Republic of Korea.
Semin Oncol Nurs. 2023 Oct;39(5):151486. doi: 10.1016/j.soncn.2023.151486. Epub 2023 Aug 1.
Breast cancer and its treatment result in drastic physical changes that can negatively affect a woman's body image. Body acceptance in women with breast cancer is crucial in enhancing their body image and overall quality of life. Despite its significance, there are currently no specific tools to measure body acceptance among cancer patients. This study aimed to develop a Body Acceptance Scale for Women with Breast Cancer (BAS-BC).
The scale's initial items were generated based on a conceptual framework of body acceptance and were reviewed by three clinical and five experiential experts. A preliminary instrument was developed through a content validity assessment by six clinical experts and a pilot test with 20 women with breast cancer. Validity and reliability were evaluated via an online survey of 411 women who had undergone breast cancer surgery.
The scale consists of 17 items across six factors (encountering, understanding, adaptation, return to daily life, successful transition, and leap into the future). The scale's validity-including construct validity, cross-validity, known-groups validity, and criterion validity-was satisfactory, exhibiting a Cronbach α of .91. The BAS-BC demonstrated good validity and reliability.
The BAS-BC will contribute to improving the quality of life of female breast cancer survivors by providing fundamental information for future research. The BAS-BC may enable nurses to provide tailored interventions to promote body acceptance.
乳腺癌及其治疗会导致身体发生剧烈变化，从而对女性的身体形象产生负面影响。乳腺癌患者的身体接受度对于增强其身体形象和整体生活质量至关重要。尽管其意义重大，但目前尚无专门用于衡量癌症患者身体接受度的工具。本研究旨在开发一种乳腺癌女性身体接受度量表（BAS-BC）。
该量表的初始项目基于身体接受度的概念框架生成，并由三位临床专家和五位经验专家进行了审查。通过六位临床专家进行内容有效性评估以及对 20 名乳腺癌女性进行的初步测试，开发了初步工具。通过对 411 名接受过乳腺癌手术的女性进行在线调查，对有效性和可靠性进行了评估。
该量表由六个因素的 17 个项目组成（遭遇、理解、适应、回归日常生活、成功过渡和迈向未来）。该量表的有效性，包括结构有效性、交叉有效性、已知组有效性和标准有效性，均令人满意，克朗巴赫α系数为.91。BAS-BC 具有良好的有效性和可靠性。
BAS-BC 将通过为未来的研究提供基本信息，提高女性乳腺癌幸存者的生活质量。BAS-BC 可以使护士能够提供量身定制的干预措施来促进身体接受度。
