刘艳玲，豆艳，刘位真

引用本文： 刘艳玲，豆艳，刘位真.癌症家庭照顾者经济毒性量表的编制及信效度检验[J].护理研究,2024,38(1):31-36

摘要： 目的： 编制癌症家庭照顾者经济毒性量表并检验其信效度。 方法： 以经济毒性6因素模型为基础，通过文献分析和半结构式访谈编制量表初始条目池。经过2轮德尔菲法专家函询确定初始量表。调查河南省人民医院门诊复查的498名癌症病人家庭照顾者进行信效度检验。 结果： 探索性因子分析产生经济资源、经济支出、心理社会反应、治疗及生活改变、支持寻求5个公因子，累积方差贡献率达到74.885%；验证性因子分析表明5因子结构拟合较好，量表得分与中文版癌症病人家庭照顾者生活质量量表总分（=-0.489，<0.001）、照顾者报告家庭月总收入（=-0.670， <0.001）及家庭可支配存款（=-0.577， <0.001）均呈负相关；量表总的Cronbach's α系数、折半信度及重测信度分别为0.841，0.792，0.862。 结论： 癌症家庭照顾者经济毒性量表具有良好的信效度，可用于有效评估癌症照顾者的经济毒性状况。

关键词： 癌症;家庭照顾者;经济毒性;信度;效度;德尔菲法

LIU Yanling，DOU Yan，LIU Weizhen

Abstract Objective： To develop and test the reliability and validity of the financial toxicity scale for cancer family caregivers. Methods： Based on the 6⁃factor model of financial toxicity， the initial entry pool of the scale was compiled through literature analysis and semi⁃structured interviews. The initial scale was determined after two rounds of Delphi expert correspondence.Totally 498 family caregivers of cancer patients who were re⁃examined in the outpatient department of Henan Provincial People's Hospital were selected as the subjects for investigation，and the reliability and validity were tested. Results： Exploratory factor analysis produced five common factors， including economic resources，economic expenditure，psychosocial response， treatment and life change， and support seeking， the cumulative variance contribution rate reached 74.885%.Confirmatory factor analysis showed that the 5-factor structure fitted well.The total score of the scale was negatively correlated with the total score of the Chinese version of the Quality of Life of the Family Caregivers of Cancer Patients （=－0.489，<0.001），total monthly family income reported by caregivers（=-0.670，<0.001） and household disposable savings（=－0.577，<0.001）.Total Cronbach's α coefficient， half reliability and retest reliability were 0.841， 0.792 and 0.862 respectively. Conclusion： The financial constructed toxicity scale for cancer family caregivers has good reliability and validity， and it can be used to effectively evaluate the financial toxicity of cancer caregivers.

Keywords cancer;family caregivers;financial toxicity;reliability;validity;Delphi technology

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