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Development of a social integration scale for cancer patients and its reliability and validity test
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Jie WU1, Qile ZHOU2, Yuanyuan ZHANG3, Yan QIAN4, Yaqing ZHANG1
Chinese Nursing Research | 2026, 40(5) : 807 - 813
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Chinese Nursing Research | 2026, 40(5): 807-813
• Scale Study •
Development of a social integration scale for cancer patients and its reliability and validity test
Full
Jie WU1, Qile ZHOU2, Yuanyuan ZHANG3, Yan QIAN4, Yaqing ZHANG1
Affiliations
  • 1School of Nursing, Shanghai Jiao Tong University, Shanghai 200025 China
  • 2Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
  • 3Shanghai General Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
  • 4Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Published: 2026-03-10 doi: 10.12102/j.issn.1009-6493.2026.05.014
Outline
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Objective

To develop a social integration scale for cancer patients and test its reliability and validity,so as to provide a measurement tool for facilitating their successful return to society and implementing precise interventions.

Methods

The preliminary version of the scale was formulated through literature review,qualitative interviews,expert consultation, and cognitive interviews.A convenience sample of cancer patients from seven Grade A tertiary hospitals in Shanghai was surveyed between October 2024 and January 2025.The first round of surveying 250 cancer patients was used for exploratory factor analysis(EFA).The second round of surveying 235 cancer patients was used for confirmatory factor analysis(CFA).Item analysis and exploratory factor analysis were applied for item selection,and the scale's reliability and validity were tested.

Results

The developed social integration scale for cancer patients comprises three dimensions: identity adaptation(6 items),interpersonal interaction(7 items),and activity participation(7 items),totaling 20 items.The cumulative variance contribution rate was 62.90%.The total scale's Cronbach's α coefficient was 0.944.The split-half reliability was 0.959.The test-retest reliability was 0.983.The average content validity index(S-CVI/Ave) was 0.960.Results from the confirmatory factor analysis indicated that the main evaluation indices were within acceptable ranges.

Conclusions

The development process of the social integration scale for cancer patients was scientific and rigorous.Evaluation and validation demonstrate good reliability and validity,indicating it could used as an effective tool for assessing the level of social integration among cancer patients.

cancer  /  social integration  /  scale  /  assessment tool  /  reliability  /  validity  /  Delphi technique
吴捷, 周祺乐, 张媛媛, 钱艳, 章雅青. 癌症病人社会融合量表的编制及信效度检验. 护理研究, 2026 , 40 (5) : 807 -813 . DOI: 10.12102/j.issn.1009-6493.2026.05.014
Jie WU, Qile ZHOU, Yuanyuan ZHANG, Yan QIAN, Yaqing ZHANG. Development of a social integration scale for cancer patients and its reliability and validity test[J]. Chinese Nursing Research, 2026 , 40 (5) : 807 -813 . DOI: 10.12102/j.issn.1009-6493.2026.05.014
Year 2026 volume 40 Issue 5
53
24
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.05.014
  • Receive Date:2025-03-19
  • Online Date:2026-10-28
  • Published:2026-03-10
Article Data
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History
  • Received:2025-03-19
  • Revised:2025-11-18
Affiliations
    1School of Nursing, Shanghai Jiao Tong University, Shanghai 200025 China
    2Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
    3Shanghai General Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
    4Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

Corresponding:

ZHANG Yuanyuan, E-mail:
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表12种不同金属材料的力学参数
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Family
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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