Biswas Jheelam, Islam Nashid, Afsar Nahid, Mroy Wai Wai, Chandra Banik Palash
Department of Noncommunicable Diseases, Bangladesh University of Health Sciences (BUHS), Dhaka, Bangladesh.
Department of Palliative Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
Heliyon. 2024 Apr 23;10(9):e29927. doi: 10.1016/j.heliyon.2024.e29927. eCollection 2024 May 15.
Spiritual wellbeing (SWB) is one of the crucial components of holistic care for patients with terminal illnesses. The use of a validated instrument can help health professionals approach this difficult and subjective topic. There is no validated Bengali tool to measure this domain. Our study aimed to translate the EORTC QLQ SWB32 tool into Bengali, validate it among advanced cancer patients in Bangladesh, and compare the study's findings to international validation studies to determine its suitability as a measurement and intervention tool for these patients.
The original English version of the tool was translated in Bengali and back-translated by four independent translators with good command in both languages. After approval from the EORTC translation team and linguistic validation, the tool was further validated among 163 advanced cancer patients from palliative care units of four tertiary-level hospitals in Bangladesh. Reliability was tested with Cronbach's alpha, and construct validity was determined by exploratory factor analysis. Known group comparisons were performed by the Kruskal-Wallis H test and the Mann-Whitney test.
Ten adult cancer patients (two female and eight male, three Hindu and seven Muslim) participated in the linguistic validation. Six out of ten participants found the measure understandable and acceptable. A total of 163 advanced cancer patients participated in the psychometric validation phase. The majority of those participants were Muslims (94 %), with a slight male predominance. The internal consistency of each scale was satisfactory (0.7). Exploratory factor analysis also showed similarity to the original scale except item 12 (able to forgive others), which was loaded in both the EX and RO components (0.813 and 0.544, respectively). Older patients had a better relationship with themselves and a lower level of existential fulfilment than the younger group. Patients who tried to find comfort in their religion or spiritual faith, actively performed religious rituals, and had affiliations with religious or spiritual communities showed significantly higher global SWB.
The Bengali version of the EORTC QLQ-SWB32 is a reliable and valid tool for measuring the spiritual wellbeing of advanced cancer patients receiving palliative care.
精神健康（SWB）是晚期疾病患者整体护理的关键组成部分之一。使用经过验证的工具可以帮助医疗专业人员处理这个困难且主观的话题。目前尚无经过验证的孟加拉语工具来测量这一领域。我们的研究旨在将欧洲癌症研究与治疗组织（EORTC）QLQ-SWB32工具翻译成孟加拉语，在孟加拉国的晚期癌症患者中进行验证，并将研究结果与国际验证研究进行比较，以确定其作为这些患者测量和干预工具的适用性。
该工具的原始英文版由四位精通两种语言的独立翻译人员翻译成孟加拉语并进行回译。经EORTC翻译团队批准并进行语言验证后，该工具在孟加拉国四家三级医院姑息治疗科的163名晚期癌症患者中进一步验证。使用克朗巴哈系数（Cronbach's alpha）测试信度，通过探索性因子分析确定结构效度。采用Kruskal-Wallis H检验和Mann-Whitney检验进行已知组比较。
十名成年癌症患者（两名女性和八名男性，三名印度教徒和七名穆斯林）参与了语言验证。十名参与者中有六人认为该测量方法易于理解且可接受。共有163名晚期癌症患者参与了心理测量验证阶段。这些参与者大多数是穆斯林（94%），男性略占优势。每个量表的内部一致性令人满意（0.7）。探索性因子分析还显示与原始量表相似，除了项目12（能够原谅他人），该项目在EX和RO分量中均有载荷（分别为0.813和0.544）。老年患者与自己的关系更好，但存在满足感水平低于年轻组。试图从宗教或精神信仰中寻求安慰、积极进行宗教仪式并隶属于宗教或精神团体的患者，其全球精神健康水平显著更高。
EORTC QLQ-SWB32的孟加拉语版本是一种可靠且有效的工具，用于测量接受姑息治疗的晚期癌症患者的精神健康状况。
