Welcome to visit Zhongnan Medical Journal Press Series journal website!
Zhongnan Medical Journal Press Series of Journals Center for Evidence-Based and Translational Medicine of Wuhan University

The title
  • The title
  • The keywords
  • The author
Submit中文版

HomeArticlesVol 35,2025 No.1Detail

Development, reliability and validity testing of the Supportive Care Needs Scale for Patients with Bladder Cancer Undergoing Urostomy

Published on Jan. 25, 2025Total Views: 194 timesTotal Downloads: 51 timesDownloadMobile

Author: GUO Can 1 CAO Ying 1 TANG Liping 1 YI Huarong 2 YI Jiqun 3 MEI Ziwei 1 Cai Shiying 1 XU Shuangying 1

Affiliation: 1. Department of Nursing, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China 2. Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China 3. Department of Urology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China

Keywords: Urostomy Supportive care needs Bladder cancer Scale development Reliability Validity

DOI: 10.12173/j.issn.1004-5511.202410024

Reference: Guo C, Cao Y, Tang LP, Yi HR, Yi JQ, Mei ZW, Shi CY, Xu SY. Development, reliability and validity testing of the Supportive Care Needs Scale for Patients with Bladder Cancer Undergoing Urostomy[J]. Yixue Xinzhi Zazhi, 2025, 35(1): 57-64. DOI: 10.12173/j.issn.1004-5511.202410024. [Article in Chinese]

  • Abstract
  • Full-text
  • References
Abstract

Objective  To develop a Supportive Care Needs Scale for Patients with Bladder Cancer Undergoing Urostomy, and to test its reliability and validity.

Methods  Using the theory of supportive care needs as the theoretical framework, a predictive scale was developed by combining literature review, interviews, and Delphi method. A reliability and validity test was conducted on 189 patients with urinary stoma who visited a tertiary hospital in Nanchang, Jiangxi province from October 2022 to June 2023.

Results  The scale consists of 6 dimensions and 29 items. Exploratory factor analysis extracted 6 common factors, including psychological support needs, physical care needs, social support needs, disease treatment information support needs, professional medical support needs, and care skill knowledge support needs. The cumulative variance contribution rate of the factors was 70.221%. The content validity index at the item level was 0.78-1.00, S-CVI/Ave was 0.95, the total Cronbach's α coefficient of the scale was 0.909.

Conclusion  The Supportive Care Needs Scale for Patients with Bladder Cancer Undergoing Urostomy has good reliability and validity, and can serve as an effective assessment tool for measuring the supportive care needs of patients.

Full-text
Please download the PDF version to read the full text: download
References

1.Global Burden of Disease Cancer Collaboration, Fitzmaurice C, Allen C, et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015: a systematic analysis for the Global Burden of Disease Study[J]. JAMA Oncol, 2017, 3(4): 524-548. DOI: 10.1001/jamaoncol. 2016.5688.

2.Lobo N, Afferi L, Moschini M, et al. Epidemiology, screening, and prevention of bladder cancer[J]. Eur Urol Oncol, 2022, 5(6): 628-639. DOI: 10.1016/j.euo.2022.10.003.

3.訾豪,彭谋,王江宜,等. 1990—2017年中国膀胱癌疾病负担分析[J]. 医学新知, 2020, 30(5): 328-335. [Zi H, Peng  M, Wang JY, et al. An analysis of disease burden of bladder cancer in China from 1990 to 2017[J]. Yixue Xinzhi Zazhi, 2020, 30(5): 328-335.] DOI: 10.12173/j.issn.1004-5511.2020.05.01.

4.陈莉,汪涌,祝广峰,等. 2020年欧洲泌尿协会肌层浸润性膀胱癌诊断和治疗指南概要[J]. 现代泌尿外科杂志, 2020, 25(11): 1025-1029. [Chen L, Wang Y, Zhu GF, et al. Summary of the European Urological Association guidelines for the diagnosis and treatment of myometrial invasive bladder cancer[J]. Journal of Modern Urology, 2020, 25(11): 1025-1029.] DOI: 10.3969/j.issn. 1009-8291.2020.11.017.

5.丁炎明. 造口护理学[M]. 北京: 人民卫生出版社, 2017: 107. [Ding YM. Ostomy nursing[M]. Beijing: People's Health Press, 2017: 107.]

6.Rammant E, Van Hecke A, Decaestecker K, et al. Supportive care needs and utilization of bladder cancer patients undergoing radical cystectomy: a longitudinal study[J]. Psychooncology, 2022, 31(2): 219-226. DOI: 10.1002/pon.5795.

7.赵艳丽. 膀胱癌全切回肠代膀胱腹壁造口病人术后真实体验的质性研究[J]. 护理研究, 2014, 28(5): 549-551. [Zhao YL. Qualitative research on postoperative real experience of patients undergoing full cut bladder cancer and ileal neobladder abdominal stoma[J]. Chinese Nursing Research, 2014, 28(5): 549-551.] DOI: 10.3969/j.issn.1009-6493.2014.05.017.

8.李彤,汤利萍,曹英,等. 输尿管皮肤造口患者延续护理需求现状及影响因素[J]. 护理学杂志, 2021, 36(1): 22-25. [Li T, Tang LP, Cao Y, et al. Continuous nursing needs and its influencing factors among patients after uretercutaneousostomy[J]. Journal of Nursing Science, 2021, 36(1): 22-25.] DOI: 10.3870/j.issn.1001-4152.2021.01.022.

9.Neumann M, Wirtz M, Ernstmann N, et al. Identifying and predicting subgroups of information needs among cancer patients: an initial study using latent class analysis[J]. Support Care Cancer, 2011, 19(8): 1197-1209. DOI: 10.1007/s00520-010-0939-1.

10.Fitch MI. Supportive care framework[J]. Can Oncol Nurs J, 2008, 18(1): 6-24. DOI: 10.5737/1181912x181614.

11.刘春凤,王容,朱小妹,等. 癌性伤口病人支持性照顾需求量表的编制及信效度检验[J]. 护理研究, 2021, 35(15): 2648-2653. [Liu CF, Wang R, Zhu XM, et al. Development of the supportive care needs scale for patients with cancerous wounds and its reliability and validity test[J]. Chinese Nursing Research, 2021, 35(15): 2648-2653.] DOI: 10.12102/j.issn.1009-6493. 2021.15.004.

12.Farber NJ, Faiena I, Dombrovskiy V, et al. Disparities in the use of continent urinary diversions after radical cystectomy for bladder cancer[J]. Bladder Cancer, 2018, 4(1): 113-120. DOI: 10.3233/BLC-170162.

13.蒋艳,沈宁,邹树芳. 护理研究中量表研制及测量学特征的评定方法[J]. 中华护理教育, 2005, 2(4): 174-176. [Jiang  Y, Shen N, Zou SF. Development of scales and evaluation methods for measurement characteristics in nursing research[J]. Chinese Journal of Nursing Education, 2005, 2(4): 174-176.] DOI: 10.3761/j.issn.1672-9234.2005.04.014.

14.陈潇,张玉侠,俞静娴. 肝移植受者症状体验量表的构建及信效度检验[J]. 中华护理杂志, 2020, 55(11): 1630-1635. [Chen  X, Zhang YX, Yu JX. Development of a symptom experience assessment scale for liver transplantation recipients and the test of its reliability and validity[J]. Chinese Journal of Nursing, 2020, 55(11): 1630-1635.] DOI: 10.3761/j.issn.0254-1769. 2020.011.005.

15.张晨,周云仙. 我国护理测量工具文献中内容效度指数应用误区分析[J]. 护理学杂志, 2020, 35(4): 86-88, 92. [Zhang  C, Zhou YX. Analysis on errors regarding content validity index used in evaluation of measurement tools in Chinese nursing literature[J]. Journal of Nursing Science, 2020, 35(4): 86-88, 92.] DOI: 10.3870/j.issn.1001-4152.2020.04.086.

16.汤婷,刘扣英,窦蓓,等. 慢性阻塞性肺疾病患者自我护理量表的构建及信效度检验[J]. 中华护理杂志, 2021, 56(2): 233-238. [Tang T, Liu KY, Dou B, et al. Development of a self-care scale for patients with chronic obstructive pulmonary disease and the test of its reliability and validity[J]. Chinese Journal of Nursing, 2021, 56(2): 233-238.] DOI: 10.3761/j.issn.0254-1769. 2021.02.012.

17.孙振球, 徐勇勇. 医学统计学, 第4版[M]. 北京: 人民卫生出版社, 2014: 490. [Sun ZQ, Xu YY. Medical Statistics, 4th edition[M]. Beijing: People's Health Publishing House, 2014: 490.]

18.严雪,刘倩倩,苏予洁,等. 基于COSMIN指南对癌症患者支持性照护需求量表的系统评价[J]. 中国全科医学, 2022, 25(4): 408-415. [Yan X, Liu QQ, Su YJ, et al. A systematic review of universal supportive care needs scale for cancer patients based on COSMIN guidelines[J]. Chinese General Practice, 2022, 25(4): 408-415.] DOI: 10.12114/j.issn.1007-9572.2021.00.349.

19.马龙婷,魏志琼,王丽楠,等. 恶性血液病患者信息需求量表的汉化和信效度检验[J]. 中华护理杂志, 2023, 58(1): 121-128. [Ma LT, Wei ZQ, Wang LN, et al. The translation of the hematology information needs questionnaire and its reliability and validity test[J]. Chinese Journal of Nursing, 2023, 58(1): 121-128.] DOI: 10.3761/j.issn.0254-1769.2023.01.018.

20.Mohamed NE, Pisipati S, Lee CT, et al. Unmet informational and supportive care needs of patients following cystectomy for bladder cancer based on age, sex, and treatment choices[J].Urol Oncol, 2016, 34(12): 531.e7-531.e14. DOI: 10.1016/j.urolonc.2016.06.010.

21.苏萍,张元元,梁亚慧. 输尿管皮肤造口患者自护能力与自我感受负担及自我效能感的相关性分析[J]. 国际护理学杂志, 2021, 40(3): 418-421. [Su P, Zhang YY, Liang YH. Correlation between self-care ability, self-feeling burden and self-efficacy in patients with ureteral skin stoma[J]. International Journal of Nursing, 2021, 40(3): 418-421.] DOI: 10.3760/cma.j.cn221370-20191106-00124.

22.Wound, Ostomy and Continence Nurses Society, Guideline Development Task Force. WOCN society clinical guideline: management of the adult patient with a fecal or urinary ostomy-an executive summary[J]. J Wound Ostomy Continence Nurs, 2018, 45(1): 50-58. DOI: 10.1097/WON.0000000000000396.

23.Burgess-Stocks J, Gleba J, Lawrence K, et al. Ostomy and continent diversion patient bill of rights: research validation of standards of care[J]. J Wound Ostomy Continence Nurs, 2022, 49(3): 251-260. DOI: 10.1097/WON. 0000000000000876.

24.Zwiep TM, Helewa RM, Robertson R, et al. Preoperative stoma site marking for fecal diversions (ileostomy and colostomy): position statement of the Canadian society of colon and rectal surgeons and nurses specialized in wound, ostomy and continence Canada[J]. Can J Surg, 2022, 65(3): E359-E363. DOI: 10.1503/cjs.022320.

25.屈婧,王浪. 老年泌尿造口患者出院准备困境的质性研究 [J]. 护理学杂志, 2024, 39(11): 46-49. [Qu J, Wang L. Readiness for hospital discharge in older patients with urostomy: the patient's pre-dicament[J]. Journal of Nursing Science, 2024, 39(11): 46-49.] DOI: 10.3870/j.issn.1001-4152.2024.11.046.

26.闫娟,符华敏,蓝俏俏,等. 膀胱癌泌尿造口患者居家期间支持性照护需求轨迹及影响因素分析[J]. 护士进修杂志, 2024, 39(11): 1163-1169. [Yan J, Fu HM, Lan QQ, et al. Analysis of supportive care needs trajectory and influencing factors of bladder cancer patients with urinary stoma during home care[J]. Journal of Nurses Training, 2024, 39(11): 1163-1169.] DOI: 10.16821/j.cnki.hsjx.2024.11.008.

Popular Papers
© 2022 - 2025 Zhongnan Medical Journal Press of Zhongnan Hospital of Wuhan University|Support: Yufu Technology
About NM | Contact us