Development and psychometric evaluation of the Unmet Needs Scale for Middle-aged and Young Women with Gynecological Cancer after Hysterectomy
10.3760/cma.j.cn115682-20241206-06718
- VernacularTitle:中青年妇科癌症子宫切除患者未满足需求量表的编制及信效度检验
- Author:
Bohan JIN
1
;
Yanli LI
;
Jinghua MA
;
Zijiao YANG
Author Information
1. 河北中医药大学护理学院，石家庄 050000
- Publication Type:Journal Article
- Keywords:
Cancer;
Gynecology;
Hysterectomy;
Unmet needs;
Scale;
Reliability;
Validity
- From:
Chinese Journal of Modern Nursing
2025;31(21):2808-2814
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop and evaluate the reliability and validity of the Unmet Needs Scale for Middle-aged and Young Women with Gynecological Cancer after Hysterectomy.Methods:Based on the Existence-Relatedness-Growth (ERG) theory, the initial version of the scale was developed through literature review, Delphi expert consultation, and a pilot survey. A total of 684 middle-aged and young women with gynecological cancer who underwent hysterectomy were selected using convenience sampling from three Class ⅢGrade A hospitals in Hebei Province between April and October 2024 for item analysis and psychometric testing.Results:The item-level content validity index ( I- CVI) of the scale ranged from 0.833 to 1.000, and the scale-level content validity index ( S- CVI) was 0.911. Exploratory factor analysis extracted seven common factors, explaining a cumulative variance of 71.083%. Confirmatory factor analysis showed good model fit. The final scale consisted of 45 items across seven dimensions: life needs, emotional needs, disease information needs, economic and medical care needs, needs for love and respect, self-actualization needs, and inner peace needs. Conclusions:The Unmet Needs Scale for Middle-aged and Young Women with Gynecological Cancer after Hysterectomy constructed based on ERG theory demonstrated good reliability and validity, and can serve as a useful tool for clinical assessment of unmet needs in this patient population.
