摘要
背景:越来越多的证据表明精神因素对健康有一定影响。测评精神状况的方法要适合所研究的人群。SpREUK问卷的设计便是为了更好地研究世俗社会中的慢性病患者如何看待精神因素对其健康的影响及其如何对待疾病。目的:本文描述可能适用于生活在世俗社会中的病人的SpREUK问卷这一评价工具的产生背景及其心理测量功能,并总结在德国病人中的验证结果。设计和受试者:采用横断面研究,对496位平均年龄(53.5±14.4)岁的慢性病患者(84%为慢性疼痛,6%为癌症,10%为其他疾病)进行问卷调查,问卷由受试者自行完成。结局指标:我们旨在设计一种SpREUK问卷的缩减版(SpREUK-SF10),并检测其因子结构及概念效度,同时使用该问卷测评患者的精神实践参与度(SpREUK-P)、生活满意度(BMLSS)及对疾病的理解(IIQ)。结果:这一问卷具有良好的心理测量功能,区分了3个心理因素,分别是:(1)信仰;(2)寻求精神/宗教支持;(3)对疾病的积极理解。其中,对疾病的积极理解与信仰和寻求支持有一定关联,揭示了其在精神层面的内涵。结论:SpREUK-SF10问卷对于不单一信仰或反对某一宗教的世俗社会中人们的精神因素有较好的测评作用。适合其他文化背景的问卷还有待进一步研究开发。
Background:There is growing evidence that aspects of spirituality have an impact on health. Measures of spirituality must be adapted to the kinds of populations being studied. In order to investigate how patients with chronic diseases living in secular societies view the impact of spirituality on their health and how they cope with illness,the SpREUK questionnaire was developed.Objective:This paper describes the background and psychometric properties of an assessment tool which might be suited for patients living in secular societies,and summarizes confirmatory findings of patients from Germany.Design and participants:Cross-sectional study among 496 patients (mean age 53.5±14.4 years) with chronic diseases (84% chronic pain conditions,6% cancer,and 10% other). All subjects completed the questionnaires by themselves.Outcome measures:We intended to develop a short form of the already established SpREUK questionnaire,and tested it with respect to its factorial structure and conceptual validity. Other measures were engagement in spiritual practices (SpREUK-P),life satisfaction (BMLSS),and interpretation of illness (IIQ).Results:The good psychometric properties of the contextual (disease-related) instrument which differentiates 3 factors were confirmed:(1) Trust (in Higher Guidance/Source) (alpha=0.898),(2) Search (for Support/Access to Spirituality/Religiosity) (alpha=0.844),and (3) Reflection (Positive Interpretation of Disease) (alpha=0.736). Particularly the positive interpretations of disease were moderately associated with Search and Trust,indicating their spiritual connotation.Conclusion:To assess aspects of spirituality in secular societies which are not biased for or against a particular religious commitment,the SpREUK-SF10 questionnaire appears to be a good choice. Adaptations to other cultural backgrounds are encouraged.
出处
《中西医结合学报》
CAS
2010年第9期832-841,共10页
Journal of Chinese Integrative Medicine
关键词
精神
宗教
世俗社会
生活质量
慢性病
问卷
效度
spirituality
religion
secular societies
quality of life
chronic disease
questionnaire
validity
