| Objectives:1.The Health Literacy of Caregiver Scale-Cancer(HLCS-C)developed by Australian scholars Yuen was introduced and revised into Chinese to make cross-cultural adjustment to it and construct the Chinese version of Health Literacy of Caregiver Scale-Cancer.2.To test and analyze the reliability and validity of the Chinese version of the Health Literacy of Caregiver Scale-Cancer(HLCS-C),and explore the applicability of the scale in caregivers of cancer patients in China.3.The Chinese version of Health Literacy of Caregiver Scale-Cancer(HLCS-C)was used to investigate the current status of health literacy of cancer caregivers,analyze related influencing factors,and explore its correlation with coping style and quality of life of patients.Methods:1.After obtaining the authorization of the author of the source scale,the Brislin translation method was adopted to conduct the translation and back translation of HLCS-C,and the Delphi method and pre-test were used to conduct the cultural adjustment of the translated scale after obtaining the authorization of the author of the source scale in the stage of introducing the scale into Chinese.From April to December 2021,a total of 477 cancer caregivers of inpatients in a third-class hospital in Shandong Province were selected as the research objects by convenience sampling.The general information questionnaire and HLCS-C were used for investigation.Item analysis method was used to screen the items of the Chinese version of the scale.Exploratory factor analysis,confirmatory factor analysis,convergent validity,discriminant validity and expert content validity were used to evaluate the validity of the Chinese version of the scale.Cronbach’s α coefficient and split-half reliability were used to evaluate the reliability of the scale.2.328 cancer patients and caregivers from a third-class hospital in Shandong Province were selected as the research objects by convenience sampling in the application stage of the Chinese version of the Health Literacy of Caregiver Scale-Cancer,from January to May2022.The general information Questionnaire,Revised Chinese version of HLCS-C,SSRS,SCSQ and EORTC QLQ-30 were used for investigation.SPSS26.0 was used for data analysis.Results:1.The revised Chinese version of HLCS-C contains 10 dimensions and 44 items in total.The CR value of each item in the scale ranges from 8.819-16.841,and the correlation coefficient between each item and the total scale ranges from 0.457-0.684.The I-CVI and S-CVI of each item in the scale were 0.833-1.000 and 0.981,respectively.Exploratory factor analysis extracted 10 common factors,and the cumulative variance contribution rate was81.342%.The confirmatory factor analysis showed that /df was 1.909,RMSEA was 0.068,and AGFI was 0.702,which reached the model fit standard.The total Cronbach’s αcoefficient of the Chinese HLCS-C scale was 0.749,the Cronbach’s α coefficient of each dimension was 0.804～0.847,the half-reliability of each dimension was 0.811～0.928,and the half-reliability of the total scale was 0.745,all of which were within the acceptable range.2.The score of HLCS-C was(127.95±19.205).Multiple stepwise linear regression showed that the cancer type of patients,the age of caregivers and the level of social support were the influencing factors of health literacy.The total score of health literacy of cancer caregivers was positively correlated with the positive coping dimension(r=0.524,P<0.01)and the overall quality of life of cancer patients(r=0.455,P<0.01).The positive coping dimension of cancer caregivers was positively correlated with the overall quality of life of cancer patients(r=0.398,P<0.01).The total score of health literacy of cancer caregivers was negatively correlated with the negative coping dimension(r=-0.809,P<0.01),and the negative coping dimension of cancer caregivers was negatively correlated with the overall quality of life of cancer patients(r=-0.402,P<0.01).Conclusion:1.This study completed the reliability and validity test of the revised Chinese version of Health Literacy of Caregiver Scale-Cancer(HLCS-C)through the introduction and revision of the Chinese version of HLCS-C,and preliminarily constructed the Chinese version of HLCS-C,which has good reliability and validity and can be applied to the evaluation of the health literacy of cancer caregivers.2.This study found that the cancer type of patients,the age of caregivers and the degree of social support were important factors affecting the health literacy level of caregivers.It is suggested that medical staff can provide targeted intervention and support for different situations of cancer caregivers to improve their health literacy level.3.The cancer caregivers have a high level of health literacy and a high level of quality of life of patients.The cancer caregivers with a high level of health literacy are more likely to choose a positive coping style,and the caregivers who adopt a positive coping style have a better quality of life of their patients.It is suggested that medical staff should pay attention to the health literacy and coping style of cancer caregivers,formulate personalized support and intervention according to different types of caregivers,improve the negative emotions and coping of caregivers,and improve the quality of life of cancer patients. |
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