Nursing School of Zamora, University of Salamanca, Av. de Requejo, 33, 49022 Zamora, Spain.
Virgen de la Concha Hospital of Zamora, Av. de Requejo, 35, 49022 Zamora, Spain.
Int J Environ Res Public Health. 2022 Aug 29;19(17):10731. doi: 10.3390/ijerph191710731.
Palliative patients require several types of care to improve their quality of life as much as possible, and valid and reliable assessment instruments are essential. The objective of this study is the Spanish validation of the Functional Assessment Chronic Illness Therapy-Palliative Care (FACIT-PAL) and its abbreviated version, FACIT-PAL-14, in palliative care patients. FACIT-PAL and FACIT-PAL-14 were translated into Spanish and administered to 131 terminal oncology patients in home palliative care units, hospital palliative care units, health center teams, and social health centers. The European Organization for Research and Treatment of Cancer questionnaire, EORTC-QLQ-C15-PAL version, was used to evaluate the criterion validity. The EORTC-QLQ-C15-PAL was employed as a "gold standard", and it obtained significant results with FACIT scales. FACIT-PAL-14, FACIT-PAL, and its subscales reported high internal consistency, from 0.640 to 0.816. The exploratory factor analysis for FACIT-PAL-14 found a structure in three factors that explained the 70.10% variance, and the FACIT-PAL scale found a structure of five factors. Physical wellbeing from FACIT-PAL highly correlated to the EORTC-QLQ-C15-PAL (r = 0.700), but social and family wellbeing was correlated to a lesser extent (r = -0.323). FACIT-PAL and the TOI (Toi Outcome Index) were also highly correlated with the EORTC-QLQ-C15-PAL, with values of r = -0.708 and r = -0.709, respectively. The Spanish versions of FACIT-PAL and FACIT-PAL-14 were demonstrated to be valid and reliable scales in palliative care patients.
姑息治疗患者需要多种类型的护理，以尽可能提高他们的生活质量，而有效的、可靠的评估工具是必不可少的。本研究的目的是对功能评估慢性疾病治疗-姑息治疗量表（FACIT-PAL）及其简化版 FACIT-PAL-14 进行西班牙语验证，以用于姑息治疗患者。将 FACIT-PAL 和 FACIT-PAL-14 翻译成西班牙语，并在家庭姑息治疗单位、医院姑息治疗单位、医疗中心团队和社会健康中心的 131 名终末期肿瘤患者中进行评估。采用欧洲癌症研究与治疗组织问卷（EORTC-QLQ-C15-PAL 版）评估效标效度。EORTC-QLQ-C15-PAL 作为“金标准”，与 FACIT 量表显著相关。FACIT-PAL-14、FACIT-PAL 及其分量表的内部一致性较高，为 0.640 至 0.816。FACIT-PAL-14 的探索性因子分析发现，有三个因素的结构可以解释 70.10%的方差，而 FACIT-PAL 量表有五个因素的结构。FACIT-PAL 的身体整体状况与 EORTC-QLQ-C15-PAL 高度相关（r = 0.700），而社会和家庭整体状况的相关性较小（r = -0.323）。FACIT-PAL 和 TOI（治疗结果指数）与 EORTC-QLQ-C15-PAL 也高度相关，r 值分别为 -0.708 和 -0.709。在姑息治疗患者中，FACIT-PAL 和 FACIT-PAL-14 的西班牙语版本被证明是有效且可靠的量表。
