男性潮热信念行为量表中文版在前列腺癌患者中的应用

摘要

Objective To evaluate the reliability and validity of the Chinese version of the Hot Flush Beliefs and Behaviour Scale for Men (HFBBS-Men) in patients with prostate cancer. Methods The Original English HFBBS was translated into Chinese version and linguistically modified. Patients recruited from department of urology were scheduled for two-visits HFBBS questionnaire surveys with 4 weeks apart. Internal consistency reliability was assessed by Cronbach,s α test ; Test-retest reliability was examined among stable patients with prostate cancer using Spearman,s correlation statistical analyses. Content validity was estimated by Spearman,s correlation statistical analysis. A factor analysis was conducted to validate the underlying factor structure of the Chinese version of the HFBBS. Results A total of 53 patients with prostate cancer who recruited from department of urology and met the criteria participated the study, 50 patients completed the questionnaires at the beginning and 40 patients completed the questionnaires on the 4 weeks . All domains of the HFBBS showed high levels of internal consistency (Cronbach's α: 0.834~0.934),excellent test-retest reliability(r: 0.801~0.922, P<0.05),acceptable construct validity and good content validity(0.723~0.893 P<0.05).Conclusion The Chinese version of the HFBBS shows good reliability and validity in measurement of cognitive and behaviours reactions to hot flushes and night sweat for patients with prostate cancer. HFBBS increases understanding of hot flushes and night sweats, as well as outcomes of cognitive and behavioural therapy.%目的 评价中文版潮热信念行为量表(HFBSS)在前列腺癌患者中应用的效度.方法 引进HFBSS进行翻译及回译,修订为HFBSS简体中文版,在第0周和第4周对前列腺癌患者进行2次简体中文版HFBSS问卷调查.通过Cronbach's a系数评价问卷的内部一致性,用相关系数评价量表重测信度,计算各条目得分与所属维度得分的Spearman相关系数评价内容效度,用因子分析评价结构效度,并评估其与抑郁焦虑的关联效度.结果 53例符合纳入标准的前列腺癌患者参与本研究,50例完成初次调查,年龄(70.8±7.1)岁,40例完成2次调查.HFBSS各维度均具有较好的内部一致性(Cronbach's α: 0.834~0.934),具有良好的重测信度(r:0.801~0.922,P<0.05)、内容效度(r: 0.723~0.893,P<0.05)及关联效度,探索因子分析法显示中文版HFBSS具有可接受的结构效度.结论 中文版HFBSS具有良好的信度和效度,可作为评估前列腺癌患者潮热信念行为的有效工具,为认知行为疗法提供理论基础.