Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
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Reliability and Validity of an Instrument Assessing Spiritual Needs of Families of Terminal Cancer Patients

말기 환자 가족 영적요구 측정도구의 신뢰도 및 타당도 검증

  • Kang, Kyung-Ah (Department of Nursing, Sahmyook University) ;
  • Choi, Youngsim (Hospice Center, Chungnam National University Hospital) ;
  • Kim, Yejean (Department of Nursing, Sahmyook Health University)
  • 강경아 (삼육대학교 간호학과) ;
  • 최영심 (충남대학교병원 호스피스센터) ;
  • 김예진 (삼육보건대학교 간호학과)
  • Received : 2018.08.30
  • Accepted : 2018.10.25
  • Published : 2018.12.01
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Abstract

Purpose: The purpose of this study was to test the reliability and validity of an instrument that measures spiritual needs of families of terminal cancer patients. Methods: This methodological study was processed as follows: 1) The preliminary 26 items were developed based a conceptual framework of spiritual needs of families of patients with cancer. 2) The content was validated by an expert panel (Three nursing professors and five hospice nursing specialists). 3) The instrument was validated by a survey (n=111). 4) Twenty-six items were selected and used for the final version of the scale. Results: Three factors were extracted through factor analysis: 'relationship with God/Acceptance of dying', 'recovery of relationship/hope and peace', and 'meaning and purpose of life'. These factors explained 61.088% of the total variance. Cronbach's alpha and Guttman split-half coefficient of the 26 items were 0.944 and 0.826 respectively. Conclusion: This scale was identified as a valid and reliable tool. Therefore, the scale is useful in assessing spiritual needs of families of terminal cancer patients in the field of hospice and palliative care.

목적: 말기암환자 가족의 영적요구도를 측정하기 위한 도구의 신뢰도와 타당도를 검증하기 위한 연구이다. 방법: 본 연구는 1) 예비문항의 작성 2) 내용타당도 검증 3) 신뢰도와 타당도 검증 4) 최종문항 선정 과정에 따른 방법론적 연구이다. 결과: 요인분석을 통해 '신과의 관계/죽음 수용', '관계성 회복/희망과 평화', '삶의 의미와 목적'의 3가지 요인이 추출되었다. 이 요인들은 총 변량의 61.088%를 설명하였으며, Cronbach's alpha 값은 0.944, Guttman 반분 신뢰도 계수는 0.826으로 나타났다. 결론: 본 도구는 신뢰도와 타당도를 지닌 도구임이 확인되었다. 이에 호스피스 완화의료 분야에서 말기암환자 가족의 영적요구도를 사정할 때 활용도가 높은 도구라고 본다.

Keywords

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