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Journal of Nursing ›› 2023, Vol. 30 ›› Issue (4): 1-5.doi: 10.16460/j.issn1008-9969.2023.04.001

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Development of risk perception questionnaire in women with breast-cancer-related lymphedema and its reliability and validity

MA Zhu-yue1, YAO Shan-shan2a, SHI Yan-yan1, LU Ning-ning1, ZHU Ping2b, CHENG Fang1   

  1. 1. School of Nursing, Nanjing Medical University, Nanjing 211100,China;
    2 a. Dept. of Breast Surgery; b. Dept. of Nursing Administration, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009,China
  • Received:2022-08-15 Online:2023-02-25 Published:2023-03-14

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Abstract: Objective To develop a risk perception questionnaire in women with breast-cancer-related lymphedema, and to test its reliability and validity. Methods With dual process model, through literature review, semi-structured interviews, and expert correspondence, the risk perception questionnaire for women with breast-cancer-related lymphedema was preliminarily developed, and the questionnaire was adjusted and revised through pre-survey. A total of 377 breast cancer patients were selected to test the reliability and validity. Results The risk perception questionnaire for women with breast-cancer-related lymphedema consisted of 22 items in 3 dimensions. The overall consistency content validity index (S-CVI/UA) was 0.864, and content validity index (I-CVI) for each entry ranged from 0.830 to 1.000. Exploratory factor analysis identified 3 principal factors, which accumulatively explained of 58.511% of total variance. Cronbach α coefficient of the questionnaire was 0.745 and split-half reliability of the questionnaire was 0.885;Cronbach α coefficient of 3 dimensions ranged from 0.870 to 0.893 and split-half reliability of 3 dimensions from 0.870 to 0.880. Confirmatory factor analysis indicated good model fit. Conclusion Risk perception questionnaire in women with breast-cancer-related lymphedema has good reliability and can be used to assess their perceived risk level of lymphedema.

Key words: breast cancer, lymphedema, risk perception, questionnaire, reliability, validity

CLC Number: 

  • R47
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