Objective

This study aimed to evaluate the psychometric properties and validity of the Korean version of the Body Image After Mastectomy Scale (K-BIMS).

Methods

This validation study was divided into two phases. Phase 1 included the translation of the K-BIMS according to the World Health Organization recommendations, investigation of content validity by five experts, and a pilot study involving 10 participants for the final list of K-BIMS items. The study participants included 156 women who met the inclusion and exclusion criteria to verify the validity–reliability of the K-BIMS. Phase 2 included a validity–reliability analysis of the K-BIMS. This included convergent validity, known-group validity, construct validity assessed by confirmatory factor analysis, and item-total score correlation. We assessed internal consistency using the Cronbach α.

Results

The K-BIMS confirmatory factor analysis demonstrated good fitness of indices and validity including content validity, convergent validity, and known-group validity was satisfactory. Internal consistency reliability was satisfying with a Cronbach α reliability of .89.

Conclusions

The results revealed that the K-BIMS is a valid and reliable instrument for assessing appearance-based behaviors and beliefs about body image distress among women who underwent reconstructive surgery after mastectomy.

Implications for Nursing Practice

To identify individuals who exhibit maladaptive symptoms and are at risk of developing long-term body image problems, the K-BIMS can be used as a point-of-care screening tool. Therefore, the K-BIMS can be used as an early screening tool to proactively offer accessible and affordable solutions.

中文翻译：

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韩国版乳房切除术后身体意象量表的跨文化适应和验证

客观的

本研究旨在评估韩国版乳房切除术后身体意象量表（K-BIMS）的心理测量特性和有效性。

方法

该验证研究分为两个阶段。第一阶段包括根据世界卫生组织的建议翻译 K-BIMS、由五位专家对内容有效性进行调查以及涉及 10 名参与者的 K-BIMS 项目最终列表的试点研究。研究参与者包括 156 名符合纳入和排除标准的女性，以验证 K-BIMS 的有效性-可靠性。第 2 阶段包括 K-BIMS 的有效性-可靠性分析。这包括收敛效度、已知组效度、通过验证性因素分析评估的结构效度以及项目总分相关性。我们使用 Cronbach α 评估内部一致性。

结果

K-BIMS验证性因子分析显示指标拟合度良好，效度包括内容效度、收敛效度和已知组效度令人满意。内部一致性可靠性令人满意，Cronbach α 可靠性为 0.89。

结论

结果表明，K-BIMS 是一种有效且可靠的工具，用于评估乳房切除术后接受重建手术的女性的基于外观的行为和对身体形象困扰的信念。

对护理实践的影响

为了识别表现出适应不良症状并有可能出现长期身体形象问题的个体，K-BIMS 可以用作护理点筛查工具。因此，K-BIMS 可以用作早期筛选工具，主动提供可用且经济实惠的解决方案。