ترجمه و روان‌سنجي ""مقياس تندرستي معنوي" در پرستاران انكولوژي

PSYCHOMETRIC CHARACTERISTICS OF THE SPIRITUAL WELLBEING SCALE IN ONCOLOGY NURSES

پيش زمينه و هدف: تندرستي معنوي به عنوان يكي از پيشگويي كننده هاي سلامتي اطلاعات مهمي درباره نيازهاي مراقبت بهداشتي و توانايي مقابله افراد با بحران هاي سلامتي فراهم مي كند. بررسي ويژگي هاي روان سنجي و تطبيق فرهنگي ابزارها به پژوهشگران كمك مي كند تا از روايي و پايايي ابزارهاي مورداستفاده در جوامع مختلف اطمينان حاصل نمايند . هدف از انجام اين پژوهش ترجمه و روان سنجي مقياس تندرستي معنوي پالوتزيان و اليسون (1983) در نمونه پرستاران انكولوژي بود. مواد و روش ها: اين پژوهش يك مطالعه با طرح اكتشافي است كه در آن 130 نفر از پرستاران شاغل در 12 بيمارستان وابسته به دانشگاه هاي علوم پزشكي شهيد بهشتي، تهران و ايران به عنوان نمونه مورداستفاده قرار گرفتند. ابتدا مقياس تندرستي معنوي پالوتزيان و اليسون (1983) بر اساس الگوي وايلد و همكاران (2005) ترجمه و تطبيق فرهنگي شد. سپس روايي محتوايي، صوري، ملاكي، سازه و پايايي آن به ترتيب توسط كارشناسان با استفاده از شاخص روايي محتوا ، ضريب همبستگي، تحليل عاملي، ضريب آلفاكرونباخ و آزمون مجدد موردبررسي قرار گرفت. يافته ها : با شاخص روايي محتوا با نقطه برش 75 درصد از مقياس تندرستي معنوي هيچ عبارتي حذف نشد. همچنين گويه هاي شماره 5 و 10 مقياس به نظر شركت كنندگان در پژوهش مبهم و غيرقابل درك بود كه اصلاحات لازم در آن ها انجام شد. تحليل عاملي نشان دهنده دوعاملي بودن مقياس مذكور بود. همچنين در بررسي روايي ملاكي مقياس، همبستگي مقياس با شاخص معنويت تندرستي ديلمن و همكاران (0.465 = r و 0.001>P ) معني دار بود. آلفاي كرونباخ خرده مقياس تندرستي وجودي تندرستي مذهبي به ترتيب 0.78-= alpha و 64/0 =alpha و ضريب پايايي آزمون مجدد در دو بار اجراي مقياس و به فاصله 2 هفته 0.56= ICC بود. بحث و نتيجه گيري: نسخه فارسي مقياس تندرستي معنوي پالوتزيان و اليسون از روايي و پايايي مناسب در جمعيت پرستاران انكولوژي برخوردار است. كاربرد آن در ساير پژوهش هاي پزشكي و پرستاري پيشنهاد مي گردد.

Psychometric Characteristics of the Spiritual Wellbeing Scale in Oncology Nurses KHorami Markani A [1] ,Yaghmaei F [2] ,KHodayari Fard M [3] , Didarloo AR [4] , Mokhtari L [5] Received: 19 Sep , 2014 Accepted: 15 Nov , 2014 Abstract Background Aims: Spiritual wellbeing is one of health predictors that provide important information about health care needs and help the individuals to cope with health crises. P sychometrics a ssessment and evaluation of research instruments can help researchers to ensure their validity and reliability to be used in different communities. The aim of this study was translation and evaluation of the psychometrics role of Paloutzian and Ellisonrsquo s spiritual wellbeing according to Wild and colleagues (2005) method. Materials Methods: This study has a n exploratory design that recruited 130 oncology nurses working in 12 hospitals of Shahid Behesahti, Tehran , and Iran medical sciences universities by census method. First the ldquo Paloutzian and Ellisson spiritual wellbeing scale (1983) was translated and adapted based on Wild and colleaguesrsquo (2005) method. Then its content, face, criterion and construct validity as well as its reliability was determined by using CVI, correlation coefficient, factor analysis, alpha chronbach and test retest ways. Results: By using CVI with 75% cut off point , no item was deleted from spiritual wellbeing scale. N umber 5 and 10 items had some ambiguity from participantsrsquo point of view that we did some modifications. Factor analysis results indicated that the scale had two domains. In order to obtain criterion validity of scale, we used the Dealman and colleagues spirituality index of wellbeing as criterion indicating that the two instruments correlations was r= 0/46. Chronbach alpha coefficient of s piritual wellbeing and religious wellbeing subscales were alpha = 0/78 and alpha = 0/64 respectively. Reliability coefficient was ( r = 0/56) which was obtained by using test retest in two administrations of scale with 2 weeks interval. Conclusion : Persian version of lsquo Paloutzian and Ellisson rsquo spiritual wellbeing scale (1983) has a proper validity and reliability in oncology nurses population. We suggest the application of it in other medical and nursing studies. Key words: Psychometric Properties, Spiritual Wellbeing Scale, Oncology Nurses Address: Faculty of nursing and environment of health, Urmia University of Medical Sciences, Urmia, IRAN Tel: (+98)4436255777 Email: Khorami.abdolah@gmail.com [1] Ph.D in Nursing, Assisstant professor, Faculty memberof Urmia Medical Sciences University, Urmia, IRAN (Corresponding author) [2] Ph.D in Public Health, Associate professor, Faculty memberof Zanjan Azad Islamic University, Zanjan, IRAN [3] Ph.D in Psychology, full professor, Faculty member of Tehran University, Tehran, IRAN [4] Ph.D in Health Education, Assisstant professor, Faculty memberof Urmia Medical Sciences University, Urmia, IRAN [5] Master in Nursing, Faculty memberof Urmia Medical Sciences University, Urmia, IRAN