การพัฒนาและทดสอบเครื่องมือประเมินความต้องการดูแล ด้านจิตวิญญาณสำหรับผู้ป่วยระยะท้ายในบริบทวัฒนธรรมไทย

วาสินี วิเศษฤทธิ์; รังสิมันต์ สุนทรไชยา; พิไลพร สุขเจริญ

Authors

วาสินี วิเศษฤทธิ์ Chulalongkorn University
รังสิมันต์ สุนทรไชยา Thammasat University
พิไลพร สุขเจริญ Suratthani Rajabhat University

Keywords:

development and preliminary testing, spiritual care need assessment scale, end of life patients, Thai cultural context

Abstract

This study aimed to: 1) develop spiritual care need assessment scale for end-of-life patients; and 2) synthesize the components of the scale using a mixed-method design divided to three stages. Stage 1 consisted of the following: a development of structure; and components and assessment items using the qualitative method (systematic synthesis of literature on spiritual care, in-depth interviews with end-stage cancer, and focus group discussions with families and professional nurses).Stage 2 focused on a scale quality testing by 17 experts in palliative and end of life care using the Delphi technique. Reliability was tested using Cronbach’s alpha coefficient, which yielded a reliability value of .89. Stage 3 aimed to develop and test a scale with 321 subjects to determine construct validity using the Varimax method. Focus group discussion was conducted with professional nurses to evaluate the instrument.

Results were as follows.

1) The findings could be summarized in 7 aspects (31 items) as follows: (1) meaning, value. and goals in living; (2) performance of activities consistent with religious beliefs, faith, and ceremony; (3) need for support to maintain human dignity; (4) opportunity to do the most important activities in life; (5) pas-life experience review; (6) need for a peaceful and painless departure; and (7) preparations for death. The components had eigen value at 1.053-9.631, and 64.156 % of variances.

2) The discussions with professional nurses found that assessment scale can be used to assess end-of-life patients’ needs. In addition, assessment handbooks and criteria should be prepared to enable patients to use the scales in assessments and guidelines for planning more effective care.

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