癌症应对问卷编制与测评.docVIP

癌症应对问卷编制与测评 　　【摘 要】目的：研制和测评癌症应对问卷(CCMQ)。方法：以严谨的程序编制问卷，随机抽取557例癌症患者进行测定，请患者、183位亲属和96位医护人员做适切性评分，并对问卷进行筛选和信效度测评。结果：（1）最后问卷共有26个条目，包括面对、回避与压抑、屈服、幻想、发泄五个维度。（2）问卷具较好的内容效度，能较贴切地反映癌症患者的心理应对情况，结构与设计的理论构思相符，参照MCMQ的效标效度为0.72。（3）五个维度和总分的重测信度分别为0.85、0.80、0.75、0.78、0.76和0.86；Cronbach α系数分别为0.82、0.68、0.78、0.83、0.86和0.88。结论：CCMQ具较好的效度、信度，在临床上有一定的实用价值。 　　【关键词】 癌症患者；应对问卷；心理测量学研究 　　中图分类号：R395.1 文献标识码：A 文章编号：1000-6729(2007)08-00517-05 　　 　　Development and Evaluation of the Cancer Coping Modes Questionnaire 　　HUANG Xue－Wei?1, GUO Bao－Jiang?2, WANG Xiu－Li?3,et al. 　　Guangdong Pharmaceutical University,Guangzhou 510224 　　【Abstract】 Objectives: To develop and evaluate the Cancer Coping Modes Questionnaire (CCMQ). Methods:A self－report questionnaire was developed with structured methods. A total of 557 cancer patients were asked to complete the questionnaire and evaluate the importance of each item. And 183 relatives and 96 doctors and nurses were also asked to evaluate the pertinence of each item. The questionnaire was refined and its reliability and validity were evaluated.Results:(1)CCMQ was finally refined as a questionnaire with 26－item, 5 dimensions including confrontation, avoidance and suppression, resignation, fantasy and Catharses. (2)The questionnaire had good content validity and could well reflect the coping modes used by cancer patients. Its construct was consistent with the concept in design. The criterion validity with MCMQ was 0.72. (3)The test－retest coefficients for the 5 dimensions and the total score were0.85、0.80、0.75、0.78、0.76 and 0.86 respectively；Cronbach α for them were 0.82、0.68、0.78、0.83、0.86 and 0.88 respectively. The split－half reliability for the questionnaire was 0.92.Conclusion:CCMQ has high validity and reliability. It is applicable in clinical practice in China. 　　【Key words】 cancer patient;coping modes;questionnaire;psychometric;studies 　　 　　到目前为止，在全球范围内，对癌症临床治疗的整体效果仍欠满意，癌症仍被称为绝症，人们依然谈癌色变，绝大部分人在获知自己被确诊为癌症时非常恐惧甚至绝望［1-3］，无所适从。癌症患者的心理应对效果直接影响其疾