Psycho-Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
SC Infrastruttura Ricerca e Statistica, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
BMC Palliat Care. 2020 Mar 6;19(1):26. doi: 10.1186/s12904-020-0534-2.
Spirituality is particularly important for patients suffering from life-threatening illness. Despite research showing the benefits of spiritual assessment and care for terminally ill patients, their spiritual needs are rarely addressed in clinical practice. This study examined the factor structure and reliability of the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp) in patients with advanced cancer. It also examined the clinical meaning and reference intervals of FACIT-Sp scores in cancer patients subgroups through a literature review.
A forward-backward translation procedure was adopted to develop the Italian version of the FACIT-Sp, which was administered to 150 terminally ill cancer patients. Exploratory factor analysis was used for construct validity, while Cronbach's α was used to assess the reliability of the scale.
This study replicates previous findings indicating that the FACIT-Sp distinguish well between features of meaning, peace, and faith. In addition, the internal consistency of the FACIT-Sp was acceptable. The literature review also showed that terminal cancer patients have the lowest scores on the Faith and Meaning subscales, whereas cancer survivors have the highest scores on Faith.
The Italian version of the FACIT-Sp has good construct validity and acceptable reliability. Therefore, it can be used as a tool to assess spiritual well-being in Italian terminally ill cancer patients. This study provides reference intervals of FACIT-Sp scores in newly diagnosed cancer patients, cancer survivors, and terminally ill cancer patients and further highlights the clinical meaning of such detailed assessment.
灵性对患有危及生命疾病的患者尤为重要。尽管研究表明对终末期患者进行精神评估和护理的益处，但在临床实践中很少满足他们的精神需求。本研究旨在检验晚期癌症患者中慢性疾病治疗的功能评估-精神（FACIT-Sp）的结构和可靠性。此外，通过文献回顾，还研究了癌症患者亚组中 FACIT-Sp 评分的临床意义和参考区间。
采用正向-反向翻译程序开发 FACIT-Sp 的意大利语版本，对 150 名晚期癌症患者进行评估。采用探索性因子分析评估结构效度，采用克朗巴赫 α 评估量表的信度。
本研究复制了先前的发现，表明 FACIT-Sp 能够很好地区分意义、平静和信仰特征。此外，FACIT-Sp 的内部一致性可接受。文献回顾还表明，终末期癌症患者在信仰和意义分量表上的得分最低，而癌症幸存者在信仰分量表上的得分最高。
意大利版 FACIT-Sp 具有良好的结构效度和可接受的信度。因此，它可以作为评估意大利晚期癌症患者精神幸福感的工具。本研究提供了新诊断癌症患者、癌症幸存者和晚期癌症患者的 FACIT-Sp 评分参考区间，并进一步强调了这种详细评估的临床意义。
