Benito Enric, Oliver Amparo, Galiana Laura, Barreto Pilar, Pascual Antonio, Gomis Clara, Barbero Javier
Balearic Strategy of Palliative Care, Palma de Mallorca, Spain.
University of Valencia, Valencia, Spain.
J Pain Symptom Manage. 2014 Jun;47(6):1008-1018.e1. doi: 10.1016/j.jpainsymman.2013.06.018. Epub 2013 Oct 5.
Spiritual assessment tools and interventions based on holistic approaches are needed to promote healing. Such tools must be adapted to the wide cultural backgrounds of contemporary Western society.
To develop and validate a new brief measure, simultaneously featuring clinical applicability and adequate psychometric properties. The tool uses six initial questions to establish a climate of trust with patients before they complete an eight-item, five-point Likert scale. The questionnaire is based on a model of spirituality generated by the Spanish Society of Palliative Care (SECPAL) Task Force on Spiritual Care (Grupo de Espiritualidad de la SECPAL), which aims to recognize, share, and assess the spiritual resources and needs of palliative care patients.
Multidisciplinary professionals from 15 palliative care teams across Spain interviewed 108 patients using the Grupo de Espiritualidad de la SECPAL questionnaire. Confirmatory factor analysis techniques were used to study the new tool factor structure and reliability. Additionally, concurrent criterion validity coefficients were estimated considering spiritual well-being, anxiety, depression, resilience, and symptoms. Descriptive statistics on questionnaire applicability were reported.
Analyses supported a three-factor structure (intrapersonal, interpersonal, transpersonal) with an underlying second-order factor representing a spirituality construct. Adequate reliability results and evidence for construct validity were obtained.
The new questionnaire, based on empirical research and bedside experience, showed good psychometric properties and clinical applicability.
需要基于整体方法的精神评估工具和干预措施来促进康复。此类工具必须适应当代西方社会广泛的文化背景。
开发并验证一种新的简短测量工具，使其同时具有临床适用性和足够的心理测量特性。该工具在患者完成一份包含八个项目的五点李克特量表之前，先用六个初始问题与患者建立信任氛围。该问卷基于西班牙姑息治疗协会（SECPAL）精神关怀特别工作组（SECPAL精神关怀小组）提出的一种精神模型，旨在识别、分享和评估姑息治疗患者的精神资源和需求。
来自西班牙15个姑息治疗团队的多学科专业人员使用SECPAL精神关怀小组问卷对108名患者进行了访谈。采用验证性因素分析技术研究新工具的因素结构和可靠性。此外，考虑精神幸福感、焦虑、抑郁、复原力和症状，估计了同时效度系数。报告了问卷适用性的描述性统计数据。
分析支持了一个三因素结构（个人内部、人际、超个人），其潜在的二阶因素代表一种精神结构。获得了足够的可靠性结果和结构效度证据。
基于实证研究和床边经验的新问卷显示出良好的心理测量特性和临床适用性。
