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目的:编制合格的恶性肿瘤患者特质心理韧性量表(RS-SC)并进行信效度检验。方法:依据中医气质论以及Shift-Persist理论建构条目池,对4所广州市三甲医院的550名恶性肿瘤患者进行大样本施测,所得数据进行项目分析、探索性因子分析、平行检验、Velicer偏相关系数检验以及验证性因子分析。结果:经过理论的构建与条目的筛选,得到1个25条目的RS-SC正式量表,共有5个因子,分别是非特异性韧性成分、疾病获益、支持与应对、未来的希望以及存在的意义,共可解释64.72%的心理韧性变异量;平行检验、Velicer偏相关系数检验、验证性因子分析均支持5因子模型的假设;RS-SC的Cronbachα为0.85,重测信度为0.87。结论:RS-SC具有良好的信效度,可作为有效的临床辅助测量工具使用。
OBJECTIVE: To establish a qualified trait psychological resilience scale (RS-SC) for patients with malignant tumor and to test the reliability and validity. Methods: Based on the theory of TCM temperament and Shift-Persist theory, a large pool of 550 malignant tumor patients was screened from 4 top three hospitals in Guangzhou. The data were analyzed by project, exploratory factor analysis, parallel test, Velicer partial Correlation coefficient test and confirmatory factor analysis. Results: After a theoretical construction and screening of entries, a total of 25 items of RS-SC formal scales were obtained. There were 5 factors including non-specific toughness components, disease benefit, support and response, future hope and existing Significance, a total of 64.72% can explain the amount of psychological resilience; parallel test, Velicer partial correlation coefficient test, confirmatory factor analysis are supported by the 5-factor model assumptions; RS-SC Cronbachα 0.85, test-retest reliability was 0.87. Conclusion: RS-SC has good reliability and validity and can be used as an effective clinical assistant measurement tool.