目的 汉化年轻癌症患者社会适应量表并检验其信效度,为后续精准干预措施的制订和相关研究的开展提供有效工具。方法 通过正译、回译、文化调适和预调查形成中文版年轻癌症患者社会适应量表。2024年2月至2026年3月,以便利抽样法抽取安徽省内2所医院的270例年轻癌症患者为调查对象,采用中文版年轻癌症患者社会适应量表对其调查,并检验汉化后量表的信度和效度。结果 通过因子分析法共提取角色成就感、和谐关系、癌症病史的公开和接受情况、对未来角色的准备和期望4个因子(共计32个条目),累计方差贡献率为69.575%,总量表的Cronbach's α系数为0.842,重测信度为0.905。条目水平内容效度指数为0.908~1.000,量表水平内容效度指数为0.919。验证性因子分析结果显示模型拟合效果理想。结论 中文版年轻癌症患者社会适应量表的信度、效度良好,适用于评估我国年轻癌症患者社会适应水平。

Objective To translate the Social Adjustment Scale for Youth Cancer Survivors (SAS-YCS) into Chinese,and to test its reliability and validity,so as to provide a valid assessment tool for the formulation of targeted intervention measures and the development of relevant researches.Methods The Chinese version of SAS-YCS was formed through forward translation, back translation, cultural adjustment and preliminary investigation.A total of 270 young cancer patients were recruited by convenience sampling from 2 hospitals in Anhui Province from February 2024 to March 2026.The Chinese version of SAS-YCS was used for investigation,and the reliability and validity of the scale were evaluated.Results Four factors including role accomplishment, harmonious relationship, disclosure and acceptance of cancer history, and preparation and expectation for future roles were extracted by factor analysis,containing 32 items in total. The cumulative variance contribution rate was 69.575%.The Cronbach's α coefficient of the total scale was 0.842,and the test-retest reliability was 0.905.The item-level content validity index ranged from 0.908 to 1.000,and the scale-level content validity index was 0.919.Confirmatory factor analysis showed an ideal model fitting effect.Conclusions The Chinese version of SAS-YCS has good reliability and validity,which is suitable for evaluating the social adaptation level of young cancer patients in China.

R47-05;R473.73

中华医学会杂志社护理学科研究课题发展项目(CMAPHGNRD2022041)