Jo Kae Hwa
College of Nursing, Catholic University of Daegu, Daegu, Korea.
J Korean Acad Nurs. 2011 Jun;41(3):313-24. doi: 10.4040/jkan.2011.41.3.313.
The study was done to develop a dignified dying scale for Korean adults.
The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 428 adults who lived in one of 3 Korean metropolitan cities: Seoul, Daegu, and Busan. Item analysis, factor analysis, criterion related validity, and internal consistency were used to analyze the data. Data collection was done from March to June 2010.
Thirty items were selected for the final scale, and categorized into 5 factors explaining 54.5% of the total variance. The factors were labeled as maintaining emotional comfort (10 items), arranging social relationship (9 items), avoiding suffering (3 items), maintaining autonomous decision making (4 items), and role preservation (4 items). The scores for the scale were significantly correlated with personal meanings of death scale. Cronbach's alpha coefficient for the 30 items was .92.
The above findings indicate that the dignified dying scale has a good validity and reliability when used with Korean adults.
开展一项针对韩国成年人的尊严死亡量表研究。
该过程包括构建概念框架、生成初始条目、验证内容效度、选择次要条目、进行初步研究以及提取最终条目。研究对象为居住在韩国三个大城市（首尔、大邱和釜山）之一的428名成年人。采用项目分析、因子分析、效标关联效度和内部一致性分析数据。数据收集于2010年3月至6月进行。
最终量表选定了30个条目，并分为5个因子，这5个因子解释了总方差的54.5%。这些因子分别被标记为维持情感舒适（10个条目）、安排社会关系（9个条目）、避免痛苦（3个条目）、维持自主决策（4个条目）和角色保留（4个条目）。该量表得分与死亡个人意义量表显著相关。30个条目的克朗巴赫α系数为0.92。
上述研究结果表明，尊严死亡量表应用于韩国成年人时具有良好的效度和信度。
