A SCALE TO ASSESS SPIRITUAL SYMPTOMS IN PALLIATIVE CARE
Escala numérica para evaluar síntomas espirituales en cuidados paliativos
Author
Reyes, María Margarita; Clínica Familia
Pontificia Universidad Católica de Chile
De Lima, Liliana; Association for Hospice and Palliative Care
Taboada, Paulina; Pontificia Universidad Católica de Chile
Villaroel, Luis; Pontificia Universidad Católica de Chile
Vial, Juan de Dios; Pontificia Universidad Católica de Chile
Blanco, Oscar; Clínica Familia
González, Rina; Pontificia Universidad Católica de Chile
Parra, Irene; Clinica Familia
Toledo, Gemita; Clinica Familia
Bonati, Pilar; Pontificia Universidad Católica de Chile. Santiago
Nervi, Flavio; Pontificia Universidad Católica de Chile
Abstract
Background: Spiritual issues are an important dimension of health care, but seldom addressed by professionals. Thus, a scale that assesses the presence and intensity of seven spiritual symptoms was developed. Aim: To validate the instrument in palliative care settings. Material and methods: The spiritual symptoms scale was applied to 103 patients, aged 59 ± 17 years (58% women), admitted to hospice care in two centers located in Santiago. The reproducibility of the scale was evaluated in 33 patients and its internal consistency and liability in 70. Results: The Fleiss Kappa to assess reproducibility was 0.82 and the analysis of variance had a p of 0.94. Cronbach alpha to assess internal consistency was 0.74. Conclusions: The scale renders similar results when applied by different evaluators and has a good liability. Therefore, it can be a reliable instrument to assess spiritual symptoms in palliative care settings. Further studies would be needed to verify its utility in other settings.
? Background: Spiritual issues are an important dimension of health care, but seldom addressed by professionals. Thus, a scale that assesses the presence and intensity of seven spiritual symptoms was developed. Aim: To validate the instrument in palliative care settings. Material and methods: The spiritual symptoms scale was applied to 103 patients, aged 59 ± 17 years (58% women), admitted to hospice care in two centers located in Santiago. The reproducibility of the scale was evaluated in 33 patients and its internal consistency and liability in 70. Results: The Fleiss Kappa to assess reproducibility was 0.82 and the analysis of variance had a p of 0.94. Cronbach alpha to assess internal consistency was 0.74. Conclusions: The scale renders similar results when applied by different evaluators and has a good liability. Therefore, it can be a reliable instrument to assess spiritual symptoms in palliative care settings. Further studies would be needed to verify its utility in other settings.
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