Kwon So-Hi
College of Nursing, Kyungpook National University, The Research Institute of Nursing Science, Daegu, Korea.
J Korean Acad Nurs. 2011 Jun;41(3):374-81. doi: 10.4040/jkan.2011.41.3.374.
The purpose of this study was to develop and validate a hospice-palliative care performance measure which would cover more than just physical symptoms or quality of life.
Through an intensive literature review, the author chose questions that measured aspects of physical, emotional, spiritual, social, or practical domains pertinent to hospice-palliative care for inclusion in the scale. Content validation of the questions was established by 15 hospice-palliative care professionals. A preliminary Hospice Palliative Care Performance Scale (HPCPS) of 20 questions was administered to 134 pairs of terminal cancer patients from 5 hospice palliative care units and their main family caregiver. A validation study was conducted to evaluate construct validity and internal consistency.
Factor analysis showed 14 significant questions in five subscales; Physical, Emotional, Spiritual, Social, and Patient' rights. There were no significant differences between the ratings by patients and family members except for three out of the 14 questions. The measure demonstrated construct validity, and Cronbach's alpha of the subscales ranged from .73 to .79.
The HPCOS demonstrated acceptable validity and reliability. It can be used to assess effectiveness of hospice-palliative care for terminal cancer patients in practice and research.
本研究的目的是开发并验证一种临终关怀与姑息治疗绩效指标，该指标所涵盖的内容不仅仅是身体症状或生活质量。
通过深入的文献综述，作者选择了测量与临终关怀与姑息治疗相关的身体、情感、精神、社会或实际领域各方面的问题纳入量表。15名临终关怀与姑息治疗专业人员对这些问题进行了内容效度验证。对来自5个临终关怀与姑息治疗单位的134对晚期癌症患者及其主要家庭照顾者施测了一个由20个问题组成的初步临终关怀与姑息治疗绩效量表（HPCPS）。进行了一项效度研究以评估结构效度和内部一致性。
因子分析显示在五个子量表中有14个重要问题；身体、情感、精神、社会和患者权利。除了14个问题中的3个问题外，患者和家庭成员的评分之间没有显著差异。该指标显示出结构效度，子量表的克朗巴赫α系数范围为0.73至0.79。
HPCOS显示出可接受的效度和信度。它可用于在实践和研究中评估临终关怀与姑息治疗对晚期癌症患者的有效性。
