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山东大学学报 (医学版) ›› 2023, Vol. 61 ›› Issue (6): 87-91.doi: 10.6040/j.issn.1671-7554.0.2022.1194

• 医学心理学 • 上一篇    

14条目和6条目弗莱堡正念调查量表在胃肠癌患者中的心理测量学评价

赵迪1,吕高荣1,李国鹏1,张云雪1,王伟民2,董晓玲3,厉萍1   

  1. 1.山东大学齐鲁医学院护理与康复学院, 山东 济南 250012;2.山东省肿瘤防治研究院(山东省肿瘤医院) 山东第一医科大学(山东省医学科学院)日间诊疗中心, 山东 济南 250117;3.山东省肿瘤防治研究院(山东省肿瘤医院) 山东第一医科大学(山东省医学科学院)结直肠外科, 山东 济南 250117
  • 发布日期:2023-06-06
  • 通讯作者: 厉萍. E-mail:pingli12@sdu.edu.cn
  • 基金资助:
    国家自然科学基金(82272923)

Psychometric evaluation of 14-item and 6-item Freiburg Mindfulness Inventory among patients with gastrointestinal cancer

ZHAO Di1, LYU Gaorong1, LI Guopeng1, ZHANG Yunxue1, WANG Weimin2, DONG Xiaoling3, LI Ping1   

  1. 1. School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Ambulatory Care Center, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, Shandong, China;
    3. Department of Colorectal Surgery, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, Shandong, China
  • Published:2023-06-06

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摘要： 目的 开发适用于临床患者的简版弗莱堡正念调查量表。 方法 对山东省肿瘤医院411例胃肠癌患者进行施测,基于项目分析和探索性因子分析对14条目弗莱堡正念调查量表(FMI-14)进行简化。选用心理弹性、疾病感知和感知压力作为效标关联指标。采用SPSS 22.0和Mplus 7.4进行数据的描述和分析。 结果 根据项目分析和探索性因子分析结果,FMI-14共删除8个条目,最终保留3个觉知条目和3个接纳条目。6条目弗莱堡正念调查量表(FMI-6)的Cronbach’s α系数为0.831,Guttman折半信度系数为0.848。验证性因子模型拟合良好,指标为卡方自由度比值(χ2/df)=1.892,比较适配指数(CFI)=0.991,非规准适配指数(TLI)=0.982,标准化残差均方根(SRMR)=0.029,渐进残差均方和平方根(RMSEA)=0.064。正念与心理弹性、疾病感知和感知压力呈显著相关(r=0.679,r=-0.522,r=-0.571,均P<0.001)。 结论 FMI-6具有良好的心理测量学特性,且基本准确涵盖了FMI-14的内容,可以有效提高施测效率,有利于在临床患者中使用和推广。

关键词: 胃肠癌患者, 正念, 信度, 效度, 心理测量

Abstract: Objective To test the applicability of the simplified Freiburg Mindfulness Inventory(FMI)in patients with gastrointestinal cancer. Methods Totally 411 patients with gastrointestinal cancer were recruited from Shandong Cancer Hospital, and the 14-item FMI(FMI-14)was simplified based on item analysis and exploratory factor analysis. Mplus 7.4 and SPSS 22.0 were used for data description and analysis. Results A total of 8 items were deleted, and 3 presence items and 3 acceptance items were retained. The Cronbachs α coefficient of the 6-item FMI(FMI-6)was 0.831, and the Guttmans split-half reliability was 0.848. The confirmatory factor model fitted well(χ2/df=1.892, CFI=0.991, TLI=0.982, SRMR=0.029, RMSEA=0.064). The total score of FMI-6 was significantly associated with resilience, illness perception, and perceived stress(r=0.679, r=-0.522, r=-0.571, all P<0.001). Conclusion The 6-item FMI has good psychometric properties, and can be used to evaluate mindfulness level of patients in clinic.

Key words: Patients with gastrointestinal cancer, Mindfulness, Reliability, Validity, Psychometry

中图分类号: 

  • R181
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