目的 开发癌症患者返岗后压力评估问卷，并进行信效度检验。方法 根据压力交互作用理论模型(the transactional model of stress,TMS)对20例患者进行半结构化访谈，形成初始问卷项目。采用德尔菲专家咨询法对问卷项目进行删除、补充和修改。2024年2-8月，开展专家咨询，并在泰州市1所三级医院分别对252与200例癌症患者进行2轮调查，检验其内容效度、结构效度。结果 最终形成包含生理负荷、心理负荷、经济负荷、自我发展受阻、社会负荷5个维度共24个条目的问卷。各条目的内容效度介于0.83~1.00之间，总问卷的Cronbach’s α系数为0.914，表明内部一致性良好。通过探索性因子分析（exploratory factor analysis,EFA）提取5个关键因子，其累计方差贡献率为63.44%。验证性因子分析(confirmatory factor analysis,CFA)结果显示，模型具有良好的拟合度，表明问卷结构的合理性和有效性。 结论 癌症患者返岗后工作压力评估问卷经过严格测试，证明其具有科学性和适用性，可作为癌症患者心理社会康复的重要评估工具，为相关研究提供可靠的测评工具

Objective To develop a work stress assessment questionnaire for cancer patients after returning to work and test its reliability and validity.Methods According to the Transactional Model of Stress (TMS),semi-structured interviews were conducted with 20 patients to generate initial questionnaire items.The Delphi expert consultation method was used to delete,supplement and modify the questionnaire items.From February to August 2024,expert consultation was performed,followed by two rounds of surveys with 252 and 200 cancer patients respectively in a tertiary A hospital in Taizhou to test content validity and structural validity.Results The final questionnaire comprised 24 items across five dimensions:physical burden,psychological burden,financial burden,self-development barriers,and social burden.The content validity presented by each item ranged from 0.83 to 1.00,while the Cronbach’s α coefficient of the total questionnaire was 0.914,indicating good internal consistency.Exploratory Factor Analysis (EFA) extracted five key factors accounting for 63.44% of total variance.Confirmatory Factor Analysis(CFA) demonstrated good model fit,confirming the rationality and effectiveness of the structure.Conclusions This questionnaire has been rigorously tested and proven to be both scientifically sound and applicable.It can serve as an important assessment tool for the psychosocial rehabilitation of cancer patients and provide a reliable measurable instrument for related research.

R473.73

国家社会科学基金一般项目（21BSH007）