病人精神健康评估工具的开发、有效性和可靠性

IF 2.7 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Multidisciplinary Healthcare Pub Date : 2024-07-12 DOI:10.2147/jmdh.s466465

Chun-Kai Fang, Sung-Yuan Cheng, Shih-Hsuan Pi, Ya-Li Wu, Keng-Chen Lin, Ruei-Yi Pan

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引用次数: 0

摘要

背景：精神关怀并不局限于姑息治疗或临终关怀。在全人护理的多学科医疗保健系统中，病人的精神健康也需要得到考虑。对于提供灵性关怀的医疗机构来说，有必要为临床灵性关怀提供者开发一种工具，以评估病人的灵性福祉：本研究结合了定性和定量研究方法。定性研究通过对患者和家属进行深入访谈或焦点小组讨论来获取文本数据。文本数据采用科莱兹分析法进行分析。研究人员根据定性分析获得的主题构建了患者精神健康量表（PtSpWBS）。通过 661 名患者的参与，对 PtSpWBS 的信度、效度和成分分析进行了定量研究：通过定性研究发现，病人的精神需求有两个领域，即精神意识和精神动力。根据这一结果，设计了 15 个问题的 PtSpWBS。采用 Cronbach's alpha 检验 PtSpWBS 的信度，计算得出内部一致性的 Cronbach's alpha 值为 0.899。PtSpWBS 的 Bartlett 分散性检验差异显著（p< 0.0001），抽样适当性的 KMO 值为 0.900。三个组成部分分别是精神健康、宗教联系和精神意识。PtSpWBS得分≦41表示患者的精神健康状况较差：本研究为临床灵性照护提供者构建了 PtSpWBS，用于评估病人的灵性幸福感；该问卷具有良好的信度和效度。PtSpWBS可真正用于医疗机构中专门提供灵性关怀的部门进行灵性幸福感评估。

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Development and Validity and Reliability of an Instrument to Assess Patient’s Spiritual Well-Being

Background: Spiritual care is not limited to palliative care or end-of-life care. The spiritual well-being of patients also needs to be taken into account in the multidisciplinary healthcare system of whole person care. For medical institutions providing spiritual care, it is necessary to develop a tool for clinical spiritual care providers to assess patient’s spiritual well-being of.
Aim: The purpose of this study was to construct a questionnaire that would allow spiritual care providers or pastors to assess the spiritual well-being of patients.
Methods: The study combined qualitative and quantitative research methods. Qualitative research used in-depth interviews or focus groups with patients and family members to obtain textual data. The text was analyzed by Colaizzi analysis. The researchers constructed the Patient’s Spiritual Well-Being Scale (PtSpWBS) from the themes obtained through qualitative analysis. Through the participation of 661 patients, quantitative research was conducted to analyze the reliability, validity and component analysis of the PtSpWBS.
Results: Through qualitative research, it was found the spiritual needs of patients had two domains, namely spiritual awareness and spiritual dynamics. Based on this result, a 15-question PtSpWBS was designed. Cronbach’s alpha was used to check the reliability of the PtSpWBS, and the internal consistency was calculated with a Cronbach’s alpha value of 0.899. The Bartlett’s Test of Sphericity of the PtSpWBS reached a significant difference (p< 0.0001), and the KMO value of sampling appropriateness was 0.900. The three components were spiritual health, religion connection, and spiritual awareness. A PtSpWBS score ≦ 41 indicated the patient had poor spiritual well-being.
Conclusion: The study constructed the PtSpWBS for clinical spiritual care providers to evaluate spiritual well-being of patients; this questionnaire has good reliability and validity. The PtSpWBS can be truly used by departments that specialize in providing spiritual care in medical institutions to conduct spiritual well-being assessment.

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来源期刊

Journal of Multidisciplinary Healthcare Nursing-General Nursing

CiteScore

4.60

自引率

3.00%

发文量

287

审稿时长

16 weeks

期刊介绍： The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.