Development and Validation of a Fertility Intention Scale in Breast Cancer Survivors
Development and Validation of a Fertility Intention Scale in Breast Cancer Survivors
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DOI：
10.1097/jnr.0000000000000223
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发表时间：
2018-06-01
影响因子：
2.7
通讯作者：
Lee, Ching-Fang
中科院分区：
文献类型：
--
作者：
Li, Chin-Ching;Huang, Sheng-Miauh;Lee, Ching-Fang
背景资料：有证据表明，有生育问题的乳腺癌幸存者的生活质量比没有生育问题的幸存者差。乳腺癌幸存者的生育意愿缺乏可靠和有效的评估。目的：本研究的目的是开发和验证生育意愿量表（FIS），是敏感的生育意愿的乳腺癌妇女。方法：进行了文献综述和定性研究，以产生在规模的项目。内容效度由15名专家进行评估，表面效度由10名癌症患者进行评估。结构效度采用因子分析，效标效度采用生育意愿两个百分位数项目进行评价。我们开发和研究的有效性和可靠性的FIS使用的样本178例乳腺癌患者完成chemotherapy.Results：Cronbach的α计算FIS（15个项目）为0.88。对量表的结构效度进行了因子分析，确定了四个因子，约占总方差的68.72%。这四个因素分别是怀孕风险、疾病控制、社会支持和幸福感。有一个显着的相关性之间的总FIS和渴望生育力保存或pregnancy.Conclusions/Practice的影响：FIS具有可接受的信度，内容效度和结构效度。该量表适用于研究和临床实践环境，以评价乳腺癌患者对妊娠的风险-获益感知。
Background: Evidence indicates that breast cancer survivors with reproductive concerns have a poorer quality of life than survivors without fertility concerns. There is a lack of reliable and valid assessments of fertility intention among breast cancer survivors.Purpose: The aim of this study was to develop and validate the Fertility Intention Scale (FIS) that is sensitive to the fertility intention of women with breast cancer.Methods: A literature review and a qualitative study were conducted to generate the items in the scale. Content validity was evaluated by 15 experts, and face validity was assessed by 10 patients with cancer. Factor analysis was used to assess construct validity, and criterion validity was evaluated using two percentile items of fertility willingness. We developed and examined the validity and reliability of the FIS using a sample of 178 patients with breast cancer who had completed chemotherapy.Results: The Cronbach's alpha calculated for the FIS (15 items) was .88. The factor analysis performed for the construct validity of the scale identified four factors that accounted for approximately 68.72% of the total variance. These four factors were pregnancy risk, disease control, social support, and happiness. There was a significant correlation between the total FIS and the level of desiring fertility preservation or pregnancy.Conclusions/Implications for Practice: The FIS has acceptable reliability, content validity, and construct validity. This scale is appropriate for use in research and clinical practice settings to evaluate the risk-benefit perceptions of pregnancy in patients with breast cancer.