發展台灣版簡明疲憊量表(BFI-Taiwan Form)與台灣版安德森症狀量表(MDASI-Taiwan Form)及信效度檢測

Development and Validation of the Brief Fatigue Inventory-Taiwan Form and M. D. Anderson Symptom Inventory-Taiwan Form

張愛萍(Ai-Pin Chang)

指導教授 ： 林佳靜

臺北醫學大學/護理學院/護理學研究所/碩士(2003年)

摘要

與癌症有關的疲憊，是癌症患者一個最困擾、最盛行、也最容易被忽視的共同症狀。癌症症狀困擾是主觀的經驗，會嚴重干擾癌症患者的日常生活活動功能，更影響到癌症患者的生活品質。使用簡單的、有效的、可信賴的、靈敏的、由癌症患者自我評估的測量工具，才能確實的評估出癌症患者的疲憊及癌症症狀困擾與日常生活活動功能干擾的嚴重程度。 故本研究的目的在發展台灣版簡明疲憊量表(BFI-Taiwan Form)與台灣版安德森症狀量表(MDASI-Taiwan Form)，並檢測其信效度；及了解癌症患者的疲憊、症狀困擾及對日常生活活動功能干擾的嚴重程度與相關性。本研究為描述性相關性研究，採結構式問卷訪談調查，以方便取樣方式於南部區域醫院以上腫瘤科住院及門診患者為對象，共收集200位個案資料。研究工具有：台灣版簡明疲憊量表、台灣版安德森症狀量表、簡式情緒狀態量表、台灣版SF-36健康評估量表、Karnofsky功能狀況量表。台灣版簡明疲憊量表與台灣版安德森症狀量表信度檢定採內在一致性Cronbach’s α及再測信度，效度檢定採建構效度、鑑別效度及效標效度，並以接受化學治療癌症患者重複測量的差異來檢定量表的敏感度。 結果顯示，台灣版簡明疲憊量表疲憊強度與生活干擾強度Cronbach’s α為 .89與 .91，再測信度r = .80與 .97。台灣版安德森症狀量表症狀強度與生活干擾強度Cronbach’s α為 .85與 .93，再測信度r= .97與 .96。並皆有良好之建構效度、鑑別效度及效標效度、與敏感度。大多數的癌症患者會經歷到中至重度嚴重程度的疲憊、各種癌症症狀困擾與對日常生活活動功能的干擾，與癌症有關的疲憊及癌症症狀困擾會干擾癌症患者的日常生活活動功能，疲憊及癌症症狀嚴重程度越高，日常生活活動的干擾嚴重程度也越高。本研究發展的台灣版簡明疲憊量表(BFI-Taiwan Form)與台灣版安德森症狀量表(MDASI-Taiwan Form)能提供癌症照護專業人員快速、確實的評估出癌症患者的疲憊及癌症症狀困擾與日常生活活動功能干擾的嚴重程度，迅速提供適當的照護措施，提昇癌症患者的生活品質。

關鍵字

癌症 ； 疲憊 ； 症狀困擾 ； 日常生活活動功能干擾 ； 台灣版簡明疲憊量表 ； 台灣版安德森症狀量表

並列摘要

Fatigue is the most distressing, prevalent, and ignorant common symptoms in cancer patients. Cancer symptom distress is subjective sense and experience of cancer patients, that seriously interfere with usual functioning and affect quality of life. It requires a simple, available, reliable, sensitive and self-reported instrument, to assess accurate severity levels of fatigue and interference with usual functioning of cancer patients. The purposes of this study was to (1) Development and Validation of the Brief Fatigue Inventory-Taiwan Form and M. D. Anderson Symptom Inventory-Taiwan Form. (2) Explore the severity levels of fatigue, cancer symptom distress, and interference with usual functioning of cancer patients, and correlation between them. A cross-sectional descriptive correlational design was adopt for the study and the structured questionnaire interview was used. Two hundred eligible subjects were recruited by convenience sampling from the oncology inpatients and outpatients in Southern Taiwan. The instruments included BFI-Taiwan Form, MDASI-Taiwan Form, Short Form -POMS, SF-36-Taiwan Form, and KPS. The validation were establishing reliability by internal consistency (Cronbach’s α) and test-retest reliability, and validity by construct, discriminant and criterion validity. The sensitivity was presented by comparing the repeated measure scores of received chemotherapy patients. The study results revealed that fatigue and interference intensity of the BFI-Taiwan Form Cronbach’s αwere .89 and .91, test-retest reliability r were .80 and .97. Symptom distress and interference intensity of the MDASI-Taiwan Form Cronbach’s αwere .85 and .93, test-retest reliability r were .97 and .96. Both instruments have good construct, discriminant criterion validity, and sensitivity. Most of the cancer patients experienced moderate to severe severity levels of fatigue, symptom distress and interference. Cancer-related fatigue and symptom distress were interfere with usual functioning of cancer patients. Severity levels of fatigue and symptom distress were high, the levels of interference were higher. BFI-Taiwan Form and MDASI-Taiwan Form provide rapidly and accurate assessment of the severity levels of fatigue, symptom distress and interference with usual functioning in cancer patients to professionals. Namely provides proper nursing intervention and improve the quality of life in cancer patients.

並列關鍵字

cancer ； fatigue ； symptom distress ； interference with usual functioning ； BFI-Taiwan Form ； MDASI-Taiwan Form

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