信仰体系量表（SBI - 15R）：针对意大利癌症患者在肿瘤学、康复、心理及支持性护理环境中的效度研究

System of belief inventory (SBI-15R): a validation study in Italian cancer patients on oncological, rehabilitation, psychological and supportive care settings.

作者信息

Ripamonti Carla, Borreani Claudia, Maruelli Alice, Proserpio Tullio, Pessi Maria Adelaide, Miccinesi Guido

机构信息

Supportive Care in Cancer Unit, IRCCS Foundation National Cancer Institute of Milan, Italy.

出版信息

Tumori. 2010 Nov-Dec;96(6):1016-21.

PMID:21388068

Abstract

AIMS AND BACKGROUND

Spiritual and religious needs are part of a patient's clinical history. The aim of the study was to validate the System of Belief Inventory (SBI-15R) in Italy. It is a feasible way to collect useful information on spiritual needs and resources of patients at any stage of the disease.

METHODS

After the translation procedure, the psychometric properties of the Italian version of SBI-15R were evaluated in patients with non-advanced cancer cared for in four care settings. All patients were administered the Italian version of SBI-15R together with an hoc item inquiring about spirituality--"I believe I am a spiritual person", which was supposed to be correlated with the SBI-15R score.

RESULTS

A total of 257 patients were enrolled (mean age, 53.6 years; 191 females, 50% breast cancers, 12% had mestastases). As regards spirituality and religious beliefs, 47.9% were churchgoers; 42% believers but not churchgoers, and 7.8% non-believers; 86.7% of the patients were catholic. The construct validity was high both for the Belief Scale (Cronbach alpha = 0.946) and for the Support Scale (Cronbach alpha = 0.897). The mean (+/- SD) SBI-15R scores of the different groups of patients (known-groups validity) for the "Support" scale was 9.7 (+/- 3.4) for churchgoers, 4.9 (+/- 3.2) for believers non-churchgoers, and 0.8 (+/- 1.4) for non-believers (P < 0.0001, F test). For the "beliefs" scale, it was 25.4 (+/- 4.8) for churchgoers, 18.1 (+/- 6.3) for believers non-churchgoers, and 3.4 (+/- 3.5) for non-believers (P < 0.0001, F test). Regarding the test-retest reliability (n = 68), Lin's concordance correlation for the "Support" scale was 0.890 (0.841; 0.939 95% CI) and for the "Belief" scale was 0.969 (0.955; 0.984 95% CI). The correlation between the statement "I believe I am a spiritual person" and the SBI-15R scores was 0.475 for the "Support" scale and 0.473 for the "Belief" scale."

CONCLUSIONS

The Italian version of SBI-15R is a valid and reliable assessment tool to evaluate religiousness and spirituality in cancer patients.

摘要

目的与背景

精神和宗教需求是患者临床病史的一部分。本研究的目的是在意大利验证信仰量表系统（SBI - 15R）。这是一种在疾病任何阶段收集患者精神需求和资源有用信息的可行方法。

方法

经过翻译程序后，在四个护理机构中对非晚期癌症患者评估了意大利语版SBI - 15R的心理测量特性。所有患者均接受意大利语版SBI - 15R以及一个关于灵性的特设项目——“我相信我是一个有精神信仰的人”，该项目被认为与SBI - 15R得分相关。

结果

共纳入257例患者（平均年龄53.6岁；女性191例，50%为乳腺癌，12%有转移）。在精神和宗教信仰方面，47.9%是常去教堂做礼拜的人；42%是信徒但不常去教堂，7.8%是非信徒；86.7%的患者是天主教徒。信仰量表（克朗巴哈α系数 = 0.946）和支持量表（克朗巴哈α系数 = 0.897）的结构效度都很高。“支持”量表不同患者组（已知组效度）的SBI - 15R平均（±标准差）得分，常去教堂做礼拜的人为9.7（±3.4），信徒但不常去教堂的人为4.9（±3.2），非信徒为0.8（±1.4）（P < 0.0001，F检验）。对于“信仰”量表，常去教堂做礼拜的人为25.4（±4.8），信徒但不常去教堂的人为18.1（±6.3），非信徒为3.4（±3.5）（P < 0.0001，F检验）。关于重测信度（n = 68），“支持”量表的林氏一致性相关系数为0.890（0.841；0.939，95%置信区间），“信仰”量表为0.969（0.955；0.984，95%置信区间）。“支持”量表中“我相信我是一个有精神信仰的人”这一陈述与SBI - 15R得分的相关性为0.475，“信仰”量表为0.473。