Spirituality among family caregivers of cancer patients: The Spiritual Perspective Scale.

Spirituality among family caregivers of cancer patients: The Spiritual Perspective Scale.
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DOI:
10.1002/nur.22044
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发表时间:
2020-08
影响因子:
2
通讯作者:
Ross A
Ross A
中科院分区:
医学4区
文献类型:
--
作者:
La IS;Johantgen M;Storr CL;Cagle JG;Zhu S;Ross A

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灵性是癌症患者家庭照顾者的重要资源。然而,灵性的研究受到阻碍,因为灵性的措施缺乏一致性,并没有在癌症照顾者中得到验证。本研究探讨了癌症照顾者的精神视角量表(SPS)的有效性,并探讨了测量偏差是否会影响照顾者和患者特征之间的精神差异。在二次分析中,124名癌症患者的照顾者被用来评估10项SPS的有效性。一个多指标多原因模型,探讨潜在的灵性因素和特点的照顾者和病人之间的关联的差异。SPS的总体可靠性是足够的(Cronbach α = 0.95)。在3个月的随访中,SPS评分预测了更高的意义和目的(r = 0.32,p = 0.004)和更低的抑郁(r =-0.22,p = 0.046)。单因素结构的SPS结构效度在癌症照顾者中得到支持。调整种族的直接影响并没有改变结果的模式,年龄较大,女性,少数民族,受教育程度较低,信仰宗教,以及除了病人之外还为另一个人提供护理的护理人员具有更高的灵性水平。本研究为癌症照顾者SPS的心理测量学验证提供了证据。通过使用心理测量学上可接受的属性和最小测量偏差的SPS来理解照顾者灵性的差异,值得更多的关注,以优化癌症治疗中的灵性评估和支持。
Spirituality is a critical resource for family caregivers of patients with cancer. However, studies on spirituality are hampered because measures of spirituality lack consistency and have been not validated in cancer caregivers. This study examined the validity of the Spiritual Perspective Scale (SPS) among cancer caregivers and explored whether measurement bias may influence differences in spirituality across caregiver and patient characteristics. In this secondary analysis, 124 caregivers of cancer patients were used to evaluate the validity of the 10-item SPS. A Multiple Indicators Multiple Causes model was applied to explore differences in the association between a latent spirituality factor and characteristics of caregivers and patients. Overall reliability of the SPS was adequate (Cronbach’s alpha = 0.95). The SPS scores were predictive of higher meaning and purpose (r = .32, p = .004) and lower depression (r = -.22, p = .046) at three-month follow-up. Construct validity of the SPS with a single-factor structure was supported in cancer caregivers. Adjusting for a direct effect of race did not alter the pattern of results, and caregivers who were older, female, ethnic minorities, less educated, affiliated with a religion, and who provided care to another individual in addition to the patient had greater levels of spirituality. This study provides evidence for psychometric validation of the SPS in cancer caregivers. Understanding differences in caregivers’ spirituality by using the SPS with psychometrically acceptable properties and minimal measurement bias deserves more attention to optimize spirituality assessment and support in cancer caregiving.
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