Abstract: Background　During the vigorous implementation of the facilitation strategies for achieving goals towards building a healthy China，it has become an inevitable trend to improve the quality of whole life health in cancer patients.It is of great realistic significance to focus on the development of home care services for these patients.However，there is no suitable tool for assessing home care service needs in such patients.Objective　To develop a questionnaire of home care service needs in cancer patients in Nanjing，and to test its reliability and validity.Methods　On the basis of literature review，qualitative interviews with cancer patients and group discussions with experts，a questionnaire item pool was compiled.Then the items were revised according to the results of two rounds of mail-based Delphi surveys conducted in January 2019 in a convenience sample of 25 experts in the field of providing home care services for cancer patients from tertiary grade A hospitals，community hospitals，and medical colleges，Nanjing.The response coefficient，authority coefficient，and collaborative degree of experts were counted and analyzed.In February 2019，the initial version of Home Care Service Needs in Cancer Patients in Nanjing Questionnaire were pretested in a convenience sample of 35 cancer patients from Day-care Ward，Jiangsu Cancer Hospital，and its reliability and validity were tested.Results　The response coefficient and Kendall's W for the first round of Delphi survey were 92.0%，0.236，respectively，and for the second round were 100.0%，0.056，respectively.The Cr of Delphi surveys was 0.884.The CVI and Cronbach's αcoefficient of the questionnaire were 0.903，and 0.761，respectively.The final questionnaire includes 7 dimensions，including educational guidance，auxiliary monitoring，life care，professional care，psychological counseling，diet and nutrition，and hospice care，with a total of 43 items.Conclusion　The questionnaire compiled in this study has high reliability and validity，and can be used as a tool to investigate the needs of home care services in cancer patients.

Key words: Neoplasms, Delphi technique, Family nursing, Health services needs and demand, Questionnaires, Reliability, Validity, Nanjing

摘要： 背景　在当前国家大力推进健康中国战略的背景之下，维护肿瘤患者全生命周期的健康质量已成为必然趋势，着力开展肿瘤患者居家护理专项服务具有显著的现实意义，然而目前还尚未见针对肿瘤患者居家护理服务需求调查的研究工具。目的　编制南京市肿瘤患者居家护理服务需求问卷，并检验其信效度。方法　在文献复习、患者质性访谈、专题小组讨论的基础上筛选问卷条目。2019年1月，采用方便抽样的方法选取南京市三级甲等医院、社区医院、高等医学院校内从事肿瘤居家方面工作的专家25例作为函询对象，采用德尔菲法进行两轮专家函询，统计分析专家的积极系数、权威程度、协调系数；2019年2月，采用方便抽样法选取江苏省肿瘤医院日间病房35例肿瘤患者为预调查对象，对自制南京市肿瘤患者居家护理服务需求问卷的维度和条目进行预调查并进行信效度测试。结果　两轮专家函询的积极系数为92.0%、100.0%；专家权威程度为0.884；协调系数分别为0.236、0.056；内容效度指数（CVI）为0.903，问卷的Cronbach's α系数为0.761；最终问卷包括教育指导类、辅助监测类、生活护理类、专业护理类、心理疏导类、饮食营养类、舒缓安宁类7个维度，共43个条目。结论　本研究编制的南京市肿瘤患者居家护理服务需求问卷可靠性高、信效度较好，可作为肿瘤患者居家护理服务需求调查的测量工具。

关键词: 肿瘤, 德尔菲技术, 家庭护理, 卫生服务需求, 问卷调查, 信度, 效度, 南京