scholarly journals Validation and Clinical Application of the Chinese Version of the M. D. Anderson Symptom Inventory(MDASI-C) in Breast Cancer Patients

Author(s):  
Renwang Chen ◽  
Qiong Wang ◽  
Ting Hu ◽  
Jue Wang ◽  
Yu-xiu Xie ◽  
...  

Abstract Purpose To validate and use the Chinese Version of the M. D. Anderson Symptom Inventory (MDASI-C) to assess the symptom burden of breast cancer patients of China. And to reveal the features of the symptoms and provide a basis for improving their quality of life.Methods A total of 342 breast cancer patients participated in the study. All patients had pathological diagnosis. They were investigated and evaluated from November 2020 to February 2021 with MDASI-C. The reliability and validity were evaluated respectively. Cluster analysis and correlation analysis were carried out.Results The Cronbach’s alpha coefficient of the symptom and interference items was 0.827 and 0.880, respectively, which meant good reliability. Construct validity revealed a four-factor structure. The Kaiser- Meyer-Olkin (KMO) value was 0.760, which meant good construct validity. The patient's KPS, treatment phase and cancer stage were grouped, and the differences of scores within the groups were significant. The patient's employment status, education level and age had a significant correlation with symptoms. The top three symptoms were disturbed sleep (3.10 ± 2.52), diffificulty remembering (2.54 ± 2.30) and fatigue (2.24 ± 2.13). The higher the patient's education, the lower their symptoms. Patients' Body Mass Index (BMI), hemoglobin (Hb), alkaline phosphatase (ALP), neutral granulocyte lymphocyte ratio (N/L), and serum albumin globulin ratio (A/G) also had an effect on some of the symptoms of patients. Conclusions MDASI-C is a reliable and effective assessment tool when evaluating patients with breast cancer of China. The symptoms were related to many clinical, biochemical indicators.

2021 ◽  
pp. 101053952110366
Author(s):  
Bairave Shunnmugam ◽  
Chirk Jenn Ng ◽  
Nur Aishah Mohd Taib ◽  
Karuthan Chinna

This study aims to test the psychometric properties of the Malay, English, and Chinese 9-Item Shared Decision Making Questionnaire (SDM-Q-9) in breast cancer patients making treatment decisions. The original German SDM-Q-9 was translated to Malay using the back-translation method. A total of 222 newly diagnosed breast cancer patients making treatment decisions were sampled conveniently from three breast clinics between August 2015 and February 2016. A total of 66 patients answered the SDM-Q-9 in Malay, 87 in English, and 69 in Chinese. Data were analyzed using SPSS and AMOS software. SDM-Q-9 demonstrated good reliability in the three translations. All the items correlated well except for Item 1 in English. The factor loadings were within acceptable range except for Item 1 in Malay, Items 1 and 2 in English, and Items 7 and 9 in Chinese SDM-Q-9. However, no items were deleted in accordance with experts’ opinions and the previous SDM-Q-9 validation studies. The Malay, English, and Chinese SDM-Q-9 demonstrated good reliability and validity.


2021 ◽  
pp. JNM-D-19-00065
Author(s):  
Sehrish Sajjad ◽  
Raisa Gul ◽  
Sajida Chagani ◽  
Asho Ali ◽  
Ambreen Gowani

Background and PurposeNo suitable scale was identified in literature that comprehensively measure self-efficacy of Pakistani breast cancer patients. The study aimed to develop a self-efficacy scale in Urdu language and determine its dimensions.MethodsThe scale was developed with input from experts and literature. It was administered, in crosssectional phase of two pilot studies, on breast cancer patients receiving chemotherapy. Post hoc internal consistency reliability was computed and principal component analysis (PCA) was performed.ResultsSES-U comprised 17 questions. PCA revealed a total of five factors explaining cumulative variance of 68.7%. These factors were self-confidence, faith, coping, optimism, and decision making. Post hoc internal consistency (Cronbach's alpha) value was high (∞ = 0.87).ConclusionsThe self-efficacy scale has acceptable validity and reliability and has potential to obtain information related to self-efficacy of cancer patients receiving chemotherapy.


2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Puji Lestari ◽  
Aan Nuraeni ◽  
Dyah Setyorini

Breast Cancer would affect all aspects of patients’ life including spiritually. This aspect is one of the patients’ main coping sources in dealing with impacts of the disease. However, the spiritual aspect is rarely noticed by nurses, and may lead to patients’ spiritual distress. This study aimed to determine spiritual distress in breast cancer patients who had treatments in a referral hospital in West Java. This study was a descriptive quantitative with cross-sectional approach. The population was in-patient breast cancer patients. Respondents were chosen using the accidental sampling technique. During a month period, 37 patients involved in this study. The data was collected using an instrument which was developed from Spiritual Distress Assessment Tool (SDAT) and analyzed using descriptive quantitative analysis.  Almost two-thirds (62.2%) of respondents had low spiritual distress, 32.2% of respondents had moderate spiritual distress and a very small number of respondents (5.4%) had severe spiritual distress. In the term of spiritual distress dimension, “life balance” had the highest mean score (1.86) and the lowest was in “values and beliefs with sub-dimension of need maintain control” (0.89). The conclusion was the majority of patients had low spiritual distress, yet spiritual distress for moderate to severe still could be found in smaller proportion. Life balance was dimension with the highest level of spiritual distress.  The patients’ spiritual need would be achieved when patients have a good acceptance and adaptation. Nurses have a role to encourage patients’ acceptance of their illnesses through improvement of the fulfillment of the patient's spiritual needs.


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