Bovero Andrea, Fraoni Alessandra, Urru Sara, Berchialla Paola, Cotardo Francesca, Di Girolamo Irene, Ostacoli Luca, Sinclair Shane, Carletto Sara
Clinical Psychology Unit, University Hospital "Città della Salute e della Scienza di Torino,"Torino, Italy.
Department of Clinical and Biological Sciences, University of Torino, Torino, Italy.
Palliat Support Care. 2024 Oct;22(5):1370-1377. doi: 10.1017/S1478951524001202.
Compassion is acknowledged as a key component of high-quality palliative care, producing positive outcomes for both patients and healthcare providers. The development of the Sinclair Compassion Questionnaire (SCQ) fulfilled the need for a valid and reliable tool to measure patients' experience of compassion. To validate the Italian version of the SCQ and to evaluate its psychometric properties in a sample of cancer patients with a life expectancy of less than 4 months.
Cronbach's alpha estimates were computed to evaluate the internal reliability. Exploratory Factor Analysis, Confirmatory Factor Analysis, and Item Response Theory analyses were performed to assess the validity of the construct. Divergent validity was assessed using the Functional Assessment of Chronic Illness Therapy-Treatment Satisfaction-Patient Satisfaction, the revised Edmonton Symptom Assessment Scale, and the Trust in Oncologist Scale-Short Form. Data were collected from 131 patients recruited in either a hospital or a hospice setting.
The analyses confirmed the single factor structure of SCQit, with Confirmatory Factor Analysis factor loadings ranging between 0.81 and 0.92 and satisfactory internal reliability. Hospital setting and high diagnosis/prognosis awareness were associated with significantly lower SCQit scores, whereas practicing a religious faith was associated with greater experiences of compassion.
The Italian version of the SCQ (SCit) is a valid and reliable measure of patient-reported compassion. The SCQit can be used in clinical practice and research to measure the compassion experiences of terminally ill cancer patients and to evaluate the effectiveness of training to promote compassionate care in healthcare professionals.
同情心被认为是高质量姑息治疗的关键组成部分，对患者和医护人员都能产生积极结果。辛克莱同情心问卷（SCQ）的开发满足了对一种有效且可靠工具的需求，以测量患者的同情心体验。对SCQ的意大利语版本进行验证，并在预期寿命少于4个月的癌症患者样本中评估其心理测量特性。
计算克朗巴哈系数估计值以评估内部信度。进行探索性因子分析、验证性因子分析和项目反应理论分析以评估结构效度。使用慢性病治疗功能评估-治疗满意度-患者满意度、修订版埃德蒙顿症状评估量表和肿瘤学家信任量表简表评估区分效度。数据收集自131名在医院或临终关怀机构招募的患者。
分析证实了SCQit的单因素结构，验证性因子分析的因子载荷在0.81至0.92之间，内部信度令人满意。医院环境和高诊断/预后意识与显著更低的SCQit得分相关，而践行宗教信仰与更多的同情心体验相关。
SCQ的意大利语版本（SCit）是一种有效且可靠的患者报告同情心的测量工具。SCQit可用于临床实践和研究，以测量晚期癌症患者的同情心体验，并评估培训对促进医护人员同情心护理的有效性。
