Abstract: Background　Satisfaction is one of the important indicators in the quality assessment system of hospice care.Timely and accurate assessment for satisfaction has great significance for understanding and improving the development level of hospice care in China.Objective　To translate Family Satisfaction with Advanced Cancer Care-2 （FAMCARE-2） from English to Chinese and evaluate its reliability and validity.Methods　Brislin translation model was applied for translation and back translation，and cultural adjustment was performed through expert committee discussions and pre-tests.Convenience sampling method was used to select 206 family caregivers of advanced cancer patients who received hospice care services in the Department of Integrated Chinese and Western Medicine in Tianjin Medical University Cancer Institute and Hospital from September to December in 2018.General information questionnaire and the Chinese version of FAMCARE-2 were used，and 30 family caregivers were retested after one week.Item analysis，reliability analysis and validity analysis of the Chinese version of FAMCARE-2 were tested.Results　The Chinese version of FAMCARE-2 included 17 items in four dimensions，managements of physical symptoms and comfort，provision of information，family support，and patient psychological care.The results of the item analysis showed that the critical ratio （CR） of 17 items was 13.463-20.324，and each item was positively correlated with the total score（r=0.763-0.925）．The Cronbach's α coefficient of the scale after deleting each item was 0.972-0.975.Confirmatory factor analysis results showed that CMIN/DF was 2.045； GFI was 0.903； NFI was 0.949； RFI was 0.929； RMR was 0.011 and RMSEA was 0.071.The I-CVI and S-CVI of the scale were 0.857-1.000 and 0.958，respectively.Cronbach's coefficient of the scale was 0.975，and 0.922，0.903，0.908，and 0.924 for each dimension，respectively.The test-retest reliability of the scale was 0.837.The split-half reliability was 0.947.Conclusion　The Chinese version of FAMCARE-2 has good reliability and validity，and is suitable for the evaluation of the satisfaction of family caregivers of patients with hospice care in China.

Key words: Hospice care, Neoplasms, Satisfaction, Questionnaires, Reliability, Validity

摘要： 背景　满意度是临终关怀质量评价体系中的重要指标之一，及时、准确的满意度评估，对了解和提高我国临终关怀的发展水平有重要意义。目的　汉化第二版临终关怀家庭照顾者满意度量表（FAMCARE-2），并检验其信效度。方法　采用Brislin翻译模型进行翻译、回译，并通过专家函询和预调查对翻译初稿进行文化调适。采用便利抽样法选取2018年9—12月在天津医科大学肿瘤医院中西医结合科接受临终关怀服务的晚期癌症家庭照顾者206例，采用一般资料调查表和中文版FAMCARE-2进行调查，1周后随机便利抽取其中30例进行重测。对中文版FAMCARE-2进行项目分析、信度分析和效度分析。结果　中文版FAMCARE-2包括症状控制、信息支持、家庭支持和患者心理支持4个维度，17个条目。项目分析结果显示，量表17个条目的决断值（CR）为13.463~20.324；各条目与总分均呈正相关（r值为0.763~0.925）；删除各条目后量表的Cronbach'sα系数为0.972~0.975。验证性因子分析结果显示，χ2自由度比（CMIN/DF）为2.045，拟合优度指数（GFI）为0.903，规范拟合指数（NFI）为0.949，相对拟合指数（RFI）为0.929，残差均方和平方根（RMR）为0.011，近似误差均方根（RMSEA）为0.071；量表的条目水平的内容效度指数（I-CVI）为0.857~1.000，量表水平的内容效度指数（S-CVI）为0.958。量表的Cronbach'sα系数为0.975，各维度Cronbach'sα系数分别为0.922、0.903、0.908、0.924；量表的重测信度相关系数r值为0.837；折半信度系数r值为0.947。结论　中文版FAMCARE-2具有良好的信效度，适用于我国临终关怀家庭照顾者满意度的评估。

关键词: 临终关怀医疗, 肿瘤, 满意度, 问卷调查, 信度, 效度