Articles Vol. 67 No. Số CĐ12- Bệnh viện Ung bướu Nghệ An (2026) 14/08/2026

VALIDATION RESULTS OF A SELF-CARE ASSESSMENT TOOL FOR PATIENTS WITH EARLY-STAGE BREAST CANCER

Vuong Hong Hanh1,2,3,4, Truong Tuan Anh2,4, Tran Van Thuan5,6
1 Department of Quan Su Optimal Therapy, National Cancer Hospital, Vietnam
2 Nam Dinh University of Nursing, Vietnam
3 Khoa Điều Trị Theo Yêu Cầu Quán Sứ, Bệnh viện K. Việt Nam
4 Đại học Điều dưỡng Nam Định, Việt Nam
5 Ministry of Health, Vietnam
6 Bộ Y tế, Việt Nam
DOI: 10.52163/yhc.v67iCD12.6158
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Keywords
Breast cancer; Self-care; Validation; Translation; Quality of life.
Abstract

Objective: To translate and evaluate the validity and reliability of a self-care assessment tool for patients with early-stage breast cancer.

Methods:

A methodological study was carried out with early stage breast cancer patients at K Hospital to translate and validate the Self-Care Behavior Scale. Content validity was assessed using the Item Content Validity Index (I-CVI) and the Scale Content Validity Index (S-CVI). Reliability was evaluated using Cronbach’s alpha coefficient, and construct validity was examined through Exploratory Factor Analysis (EFA).

Results:

Excellent content validity was demonstrated, with an I-CVI of 1.0 and an S-CVI of 1.0. A pilot study involving 30 patients indicated that the instrument was clear, understandable, and feasible for use. 50 patients in total participated in the validation phase. The instrument showed good consistency, with Cronbach’s alpha coefficients of 0.873 for the self-care scale and 0.838 for the quality-of-life scale. Exploratory Factor Analysis supported construct validity, with a Kaiser–Meyer–Olkin (KMO) value of 0.777 and a statistically significant Bartlett’s test of sphericity (p < 0.001).

Conclusion:

The Vietnamese version of the self-care assessment tool demonstrated validity and reliability, supporting its use in clinical practice and research among patients with early-stage breast cancer.

References
[1]
Thông tư 31/2021/TT-BYT quy định hoạt động điều dưỡng trong bệnh viện - Cơ sở dữ liệu quốc gia về VBQPPL - Bộ Y tế. Google Scholar
[2]
Nguyễn Hoàng Long (2021), Công cụ đo lường trong nghiên cứu điều dưỡng và khoa học sức khỏe, Trường Đại học VINUNI, Viện khoa học sức khỏe, Nhà xuất bản Y học Hà Nội. Google Scholar
[3]
Torres-Soto, N. Y., Corral-Verdugo, V., Corral-Frías, N. S., & Rojas-Armadillo, M. L. (2021). Design and validation of the Self-Care Behaviors Scale. Behavioral Psychology/Psicología Conductual, 29(3), 721–741. https://doi.org/10.51668/bp.8321312. Google Scholar
[4]
Saran S. Gill, Anushka Shukla, Srikar R. Namireddy, Sarah Moin, Exercise and recovery after surgery in patients with breast cancer: An analysis of the literature, European Journal of Surgical Oncology, Volume 50, Issue 9, 2024, 108525, ISSN 0748-7983, https://doi.org/10.1016/j.ejso.2024.108525. Google Scholar
[5]
Shahsavari, Hooman; Matory, Pegah1; Zare, Zahra; Taleghani, Fariba2; Kaji, Mohammad Akbari3. Effect of self-care education on the quality of life in patients with breast cancer. Journal of Education and Health Promotion 4(1):p 70, | DOI: 10.4103/2277-9531.171782 Google Scholar
[6]
Urtekin, Dilek, and Semiha Akin Eroglu. “Effect of training based on Orem's self-care deficit theory on breast cancer patients' management of chemotherapy-related side effects and self-care behaviors: A randomized controlled trial.” European journal of oncology nursing : the official journal of European Oncology Nursing Society vol. 73 (2024): 102698. doi:10.1016/j.ejon.2024.102698 Google Scholar
[7]
(2011). Definition of early-stage breast cancer - NCI Dictionary of Cancer Terms - NCI. <https://www.cancer.gov/publications/dictionaries/cancer-terms/def/early-stage-breast-cancer>, accessed: 12/01/2024. Google Scholar
[8]
Orem, D.E. (1991). Nursing: Concepts of practice (4th ed.). St. Louis, MO: Mosby-Year Book Inc. Google Scholar
[9]
Qiu, L. S., Lai, M., Koike, A., Sellbom, M., Liddell, B. J., & Jobson, L. (2026). Exploring Cultural Influences in the Associations Between Emotion Regulation and Mental Health: A Systematic Review Comparing East Asian and Western Cultural Contexts. Clinical Psychology & Psychotherapy, 33(2), e70276. Google Scholar
[10]
Chin, C. H., Tseng, L. M., Chao, T. C., Wang, T. J., Wu, S. F., & Liang, S. Y. (2021). Self-care as a mediator between symptom-management self-efficacy and quality of life in women with breast cancer. PloS one, 16(2), e0246430. https://doi.org/10.1371/journal.pone.0246430. Google Scholar