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The assessment of spiritual well-being in cancer patients with advanced disease: which are its meaningful dimensions?
BMC Palliative Care ( IF 3.1 ) Pub Date : 2020-03-06 , DOI: 10.1186/s12904-020-0534-2
Elisa Rabitti 1 , Silvio Cavuto 2 , Luca Iani 3 , Simona Ottonelli 4 , Francesco De Vincenzo 3 , Massimo Costantini 5
Affiliation  

BACKGROUND Spirituality is particularly important for patients suffering from life-threatening illness. Despite research showing the benefits of spiritual assessment and care for terminally ill patients, their spiritual needs are rarely addressed in clinical practice. This study examined the factor structure and reliability of the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp) in patients with advanced cancer. It also examined the clinical meaning and reference intervals of FACIT-Sp scores in cancer patients subgroups through a literature review. METHODS A forward-backward translation procedure was adopted to develop the Italian version of the FACIT-Sp, which was administered to 150 terminally ill cancer patients. Exploratory factor analysis was used for construct validity, while Cronbach's α was used to assess the reliability of the scale. RESULTS This study replicates previous findings indicating that the FACIT-Sp distinguish well between features of meaning, peace, and faith. In addition, the internal consistency of the FACIT-Sp was acceptable. The literature review also showed that terminal cancer patients have the lowest scores on the Faith and Meaning subscales, whereas cancer survivors have the highest scores on Faith. CONCLUSIONS The Italian version of the FACIT-Sp has good construct validity and acceptable reliability. Therefore, it can be used as a tool to assess spiritual well-being in Italian terminally ill cancer patients. This study provides reference intervals of FACIT-Sp scores in newly diagnosed cancer patients, cancer survivors, and terminally ill cancer patients and further highlights the clinical meaning of such detailed assessment.

中文翻译:

癌症晚期患者精神健康的评估:其有意义的方面是什么?

背景技术灵性对于遭受威胁生命的疾病的患者特别重要。尽管有研究显示精神评估和关怀对绝症患者的益处,但在临床实践中很少解决他们的精神需求。这项研究检查了晚期癌症患者的慢性病治疗精神功能评估(FACIT-Sp)的因素结构和可靠性。它还通过文献综述检查了癌症患者亚组中FACIT-Sp评分的临床意义和参考区间。方法采用向前-向后翻译程序来开发FACIT-Sp的意大利语版本,该版本适用于150名绝症患者。探索性因素分析用于构建效度,而Cronbach's sα用于评估量表的可靠性。结果本研究重复了以前的发现,表明FACIT-Sp很好地区分了意义,和平与信仰的特征。另外,FACIT-Sp的内部一致性是可以接受的。文献综述还显示,晚期癌症患者在信念和意义子量表上得分最低,而癌症幸存者在信念上得分最高。结论意大利语版本的FACIT-Sp具有良好的结构有效性和可接受的可靠性。因此,它可以用作评估意大利绝症癌症患者精神状态的工具。这项研究为新诊断的癌症患者,癌症幸存者,
更新日期:2020-04-22
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