[1]徐培镕,张焱,孙倩男,等.中文版癌症患者功能评估-认知功能量表在胃肠肿瘤患者中的信效度检验和最佳界值研究[J].军事护理,2023,40(05):75-78.[doi:10.3969/j.issn.2097-1826.2023.05.018]
　XU Peirong,ZHANG Yan,SUN Qiannan,et al.Psychometric Evaluation of the Chinese Version of Functional Assessment of Cancer Therapy-Cognitive Function among Gastrointestinal Tumor Patients[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(05):75-78.[doi:10.3969/j.issn.2097-1826.2023.05.018]
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中文版癌症患者功能评估-认知功能量表在胃肠肿瘤患者中的信效度检验和最佳界值研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年05期
页码:
75-78
栏目:
论著
出版日期:
2023-05-15

文章信息/Info

Title:
Psychometric Evaluation of the Chinese Version of Functional Assessment of Cancer Therapy-Cognitive Function among Gastrointestinal Tumor Patients
文章编号:
2097-1826(2023)05-0075-04
作者:
徐培镕1; 张焱1; 孙倩男2; 王勇2; 王道荣2
(1.扬州大学护理学院 公共卫生学院,江苏 扬州 225009; 2.扬州大学临床医学院 普外科,江苏 扬州 225003)
Author(s):
XU Peirong1; ZHANG Yan1; SUN Qiannan2; WANG Yong2; WANG Daorong2
(1.School of Nursing,School of Public Health,Yangzhou University,Yangzhou 225009,Jiangsu Province,China; 2.Department of General Surgery,Clinical Medical College,Yangzhou University,Yangzhou 225003,Jiangsu Province,China)
关键词:
认知功能;  胃肠肿瘤;  信度;  效度;  临界值
Keywords:
cognitive function;  gastrointestinal tumor;  reliability;  validity;  critical value
分类号:
R473.57
DOI:
10.3969/j.issn.2097-1826.2023.05.018
文献标志码:
A
摘要:
目的 验证中文版癌症患者功能评估-认知功能量表(functional assessment of cancer therapy-cognitive function FACT-Cog)在胃肠肿瘤人群中的信效度,并探讨其最佳界值。方法 采用随机抽样方法选取311位胃肠肿瘤患者进行调查,评价问卷的信效度,应用受试者工作特性曲线(receiver operating characteristic curve,ROC)以确定量表的最佳界值。结果 中文版FACT-Cog量表的Cronbach's α系数为0.876,4个维度的Cronbach's α系数分别为0.851、0.946、0.838和0.969,重测信度为0.975; 探索性因子分析共提取4个公因子,累积方差贡献率为76.515%; 验证性因子结果显示模型拟合良好; 效标效度与蒙特利尔认知评估量表呈正相关(r=0.291); 量表最佳界值为75分,此时ROC曲线下面积为0.967、敏感度为84.6%、特异度为90.7%。结论 中文版FACT-Cog量表在我国胃肠肿瘤患者人群中具有较好的信效度,推荐最佳界值为75分,可用于评价我国胃肠肿瘤患者的认知功能。
Abstract:
Objective To examine the reliability and validity of the Chinese version of FACT-Cog among gastrointestinal tumor patients,and explore its optimal critical value.Methods Random sampling was used to select 311 gastrointestinal tumor patients for investigation.The reliability and validity of the tool was examined,and its optimal critical value was determined using the receiver operating characteristic(ROC)curve.Results The Cronbach' s α coefficient of the Chinese version of FACT-Cog was 0.876,and those of the four dimensions were 0.851,0.946,0.838 and 0.969,respectively; the retest reliability was 0.975.Four common factors were extracted by exploratory factor analysis,with the cumulative variance contribution rate of 76.515%.Confirmatory factor analysis showed a good model fit.The criterion validity was a positive correlation with the Montreal Cognitive Assessment(r=0.291).The optimal critical value was 75 points,with the area under ROC curve of 0.967,the sensitivity of 84.6% and the specificity of 90.7%.Conclusions The Chinese version of FACT-Cog shows good reliability and validity among Chinese gastrointestinal tumor patients,with the recommended optimal critical value of 75 points.This tool can be used to evaluate the cognitive function of gastrointestinal tumor patients in China.

参考文献/References:

[1] LANGE M,JOLY F,VARDY J,et al.Cancer-related cognitive impairment:an update on state of the art,detection,and management strategies in cancer survivors[J].Ann Oncol,2019,30(12):1925-1940.
[2] 张营,孟英涛,尚美美,等.癌症相关认知功能障碍评估和管理的证据总结[J].护理学报,2022,29(3):52-56.
[3] 李润仙,南菁.化疗对胃肠肿瘤患者认知功能的影响[J].实用临床护理学电子杂志,2020,5(11):187.
[4] 田林.胃肠外科老年患者术后谵妄发病情况调查与分析[D].泰安:泰山医学院,2016.
[5] NASREDDINE Z S,PHILLIPS N A,BEDIRIAN V,et al.The montreal cognitive assessment,MoCA:a brief screening tool for mild cognitive impairment[J].J Am Geriatr Soc,2005,53(4):695-699.
[6] 吴明隆.问卷统计分析实务——SPSS操作与应用[M].重庆:重庆大学出版社,2018:207-208.
[7] 吴明隆.结构方程模型:AMOS的操作与应用[M].2版.重庆:重庆大学出版社,2017:213-214.
[8] LAI J S,BUTT Z,WAGNER L,et al.Evaluating the dimensionality of perceived cognitive function[J].J Pain Symptom Manage,2009,37(6):982-995.
[9] AHLES T A,ROOT J C.Cognitive effects of cancer and cancer treatments[J].Annu Rev Clin Psychol,2018,14:425-451.
[10]张媛,吕云落,斯妍娜,等.老年病人结直肠癌根治术后早期认知功能障碍的危险因素分析[J].实用老年医学,2018,32(11):1061-1063,1067.
[11]HAJJ A,SALAMEH P,KHOURY R,et al.Psychometric properties of the 37-item functional assessment of cancer therapy-cognitive function(FACT-Cog)scale[J].Future Oncol,2022,18(33):3741-3753.
[12]王博.缺血性卒中后轻度认知障碍(脾肾亏虚痰浊蒙窍证)与MoCA量表认知域的相关性[D].长春:长春中医药大学,2020.
[13]HOOPS S,NAZEM S,SIDEROWF A D,et al.Validity of the MoCA and MMSE in the detection of MCI and dementia in Parkinson disease[J].Neurology,2009,73(21):1738-1745.
[14]ZADIKOFF C,FOX S H,TANG-WAI D F,et al.A comparison of the mini mental state exam to the Montreal cognitive assessment in identifying cognitive deficits in Parkinson's disease[J].Mov Disord,2008,23(2):297-299.
[15]SAVALEI V.Improving fit indices in structural equation modeling with categorical data[J].Multivariate Behav Res,2021,56(3):390-407.
[16]YOUDEN W J.Index for rating diagnostic tests[J].Cancer,1950,3(1):32-35.

备注/Memo

备注/Memo:
【 收稿日期 】2022-09-19 【 修回日期 】2023-03-23
【 基金项目 】江苏省医学重点学科项目(XKB20601)
【 作者简介 】徐培镕,硕士在读,护士,电话:0514-87373195
【 通信作者 】王道荣,电话:0514-87373195
更新日期/Last Update: 2023-05-15