泰国慢性非传染性疾病患者精神痛苦量表的编制。

Journal of caring sciences Pub Date : 2025-06-21 eCollection Date: 2025-07-01 DOI:10.34172/jcs.025.33659
Yuttachai Chaiyasit, Khwanprapat Chanbunlawat
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引用次数: 0

摘要

泰国慢性非传染性疾病(SDS-Thai-NCDs)患者的精神痛苦量表尚未制定。本研究旨在开发和评估其心理测量学特性。方法:采用方法学方法,通过定义概念、编制量表、制作项目、专家评审、项目选择、现场测试和心理测量属性测试七个步骤来开发和验证量表的质量。样本包括来自8个省份的400名泰国慢性非传染性疾病患者,代表了泰国所有地区。通过内容效度、判别指标、信度和探索性因子分析对量表质量进行评价。结果:量表最初包含48个题项,经专家评审后缩减为46个题项,内容效度指数为0.97。项目分析和选择结果显示,43个项目符合标准,校正后的项目-总相关系数大于0.30,歧视指数在0.336 ~ 0.906之间。量表具有良好的内部一致性,Cronbach’s alpha系数为0.986。在现场测试和心理属性测试中,43个项目被分为5个因子,特征值在3.494 ~ 8.385之间,解释了70.80%的方差。确定的五个因素是:失去自尊、生活的意义和目的;失去与自己和他人的关系;失去希望和内心的力量;失去与自然和更高的力量的关系;和身体表达。结论:SDS-Thai-NCDs是一种有效的精神痛苦评估工具,可用于临床实践或研究中,指导缓解慢性非传染性疾病患者精神痛苦的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Development of the Spiritual Distress Scale for Patients with Chronic Non-communicable Diseases in Thailand.

Development of the Spiritual Distress Scale for Patients with Chronic Non-communicable Diseases in Thailand.

Development of the Spiritual Distress Scale for Patients with Chronic Non-communicable Diseases in Thailand.

Introduction: A spiritual distress scale for Thai patients with chronic non-communicable diseases (SDS-Thai-NCDs) has not yet been developed. This study aimed to develop and evaluate its psychometric properties.

Methods: A methodological approach was applied to develop and verify the quality of the scale through seven steps: defining concepts, formatting the scale, creating items, expert review, item selection, field testing, and psychometric property testing. The sample included 400 Thai patients with chronic NCDs from eight provinces, representing all regions of Thailand. The scale's quality was assessed through content validity, discrimination index, reliability, and exploratory factor analysis.

Results: Initially, the scale contained 48 items, which were reduced to 46 items after expert review, with a content validity index of 0.97. Item analysis and selection revealed 43 items that met the criteria, with corrected item-total correlations greater than 0.30 and discrimination indices ranging from 0.336 to 0.906. The scale demonstrated excellent internal consistency, with a Cronbach's alpha coefficient of 0.986. During the field test and psychometric property testing, the 43 items were grouped into five factors, with eigenvalues ranging from 3.494 to 8.385, explaining 70.80% of the variance. The five factors identified were: Loss of self-esteem, meaning, and purpose of life; Loss of relationships with oneself and others; Loss of hope and inner strength; Loss of relationship with nature and a higher power; and Physical expression.

Conclusion: The SDS-Thai-NCDs is an effective tool for assessing spiritual distress and can be used in clinical practice or research to guide interventions aimed at alleviating spiritual distress among patients with chronic NCDs.

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