关键词: 疲乏管理障碍, 汉化, 信度, 效度

Abstract: Objective: To translate the Fatigue Management Barriers Questionnaire into Chinese, validate and evaluate its structure using network analysis, and examine its reliability and validity. Methods: The Fatigue Management Barriers Questionnaire was translated and back-translated in accordance with the Brislin translation model to develop the Chinese version of the Fatigue Management Barriers Questionnaire. A convenience sampling method was adopted, and patients with breast cancer admitted to a tertiary grade A general hospital in Yantai from June 20, 2024, to March 25, 2025, were recruited as study participants. A Gaussian graphical model was employed to estimate the network structure of the collected questionnaire data. Exploratory graph analysis was used to explore the dimensional structure of the questionnaire, and bootstrap indices were applied to evaluate structural consistency. Results: Based on structural consistency findings, the network model identified a structure comprising 9 dimensions and 25 items. Compared to the original questionnaire structure, 1 dimension and 3 items were removed. All network structural consistency indices exceeded 0.75, indicating structural stability. The network model demonstrated good fit. The content validity index (I-CVI) for questionnaire items ranged from 0.86 to 1.00, with an average content validity index (S-CVI/Ave) of 0.98. The overall Cronbach's α coefficient was 0.917; Cronbach's α coefficients for the 9 dimensions ranged from 0.778 to 0.944. Conclusion: The Chinese version of the Fatigue Management Barriers Questionnaire demonstrates good reliability and validity. The network analysis model further optimized the questionnaire structure. The revised version is more suitable for assessing the level of fatigue management barriers among breast cancer patients in China.

Key words: Fatigue management barriers, Chinesization, Reliability, Validity