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김진숙 ( Kim Jin-Sook ) - Woosong University Department of Nursing
고일선 ( Ko Il-Sun ) - Yonsei University College of Nursing
고수진 ( Koh Su-Jin ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Hematology and Oncology
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Abstract
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Purpose: This study was conducted to develop a scale to measure spiritual distress in cancer patients.
Methods: A total of 69 preliminary items for the spiritaul distress assessment tool (SDAT) were compiled, based on a literature review, selection of empirically relevant items through concept analysis of hybrid models, confirmation of content validity by experts, cognitive interviews, and a pretest. Self-administered questionnaires were collected between April 1 and July 31, 2018, from 225 cancer patients at four medical institutions and one nursing home. The data were analyzed using item analysis, exploratory factor analysis, convergent and discriminant validity, and Pearson correlation for criterion validity. Reliability was tested by Cronbash’s α coefficient.
Results: The final version of the SDAT consisted of 20 items. Five-factors, loss of peace, burden of family, avoidance of confronting death, guilt and remorse, regret for not being able to apololgize and forgive were extracted, and showed 62.8% of total variance. The factors were confirmed through convergent and discriminant validity. Criterion validity was confirmed by functional assessment chronic illness therapy spiritual well-being scale 12 (FACIT-Sp12). The overall Cronbach’s α was .91, and the coefficients of each subscale ranged from .78~.83.
Conclusion: The SDAT for cancer patients is valid and reliable. It is suggested that the tool can be used to measure spiritual distress in cancer patients.
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KeyWords
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영성, 신생물, 환자, 결과의 재현성, 통계 요인분석
Spirituality, Neoplasms, Patients, Reproducibility of Results, Factor analysis, Statistical
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원문 및 링크아웃 정보
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등재저널 정보
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