KMID : 0806120110410030374
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´ëÇÑ°£È£ÇÐȸÁö 2011 Volume.41 No. 3 p.374 ~ p.381
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Development and Validation of the Hospice Palliative Care Performance Scale
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Kwon So-Hi
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Abstract
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Purpose: The purpose of this study was to develop and validate a hospice¡¤palliative care performance measure which would cover more than just physical symptoms or quality of life.
Methods: Through an intensive literature review, the author chose questions that measured aspects of physical, emotional, spiritual, social, or practical domains pertinent to hospice¡¤palliative care for inclusion in the scale. Content validation of the questions was established by 15 hospice¡¤palliative care professionals. A preliminary Hospice Palliative Care Performance Scale (HPCPS) of 20 questions was administered to 134 pairs of terminal cancer patients from 5 hospice palliative care units and their main family caregiver. A validation study was conducted to evaluate construct validity and internal consistency.
Results: Factor analysis showed 14 significant questions in five subscales; Physical, Emotional, Spiritual, Social, and Patient¡¯ rights. There were no significant differences between the ratings by patients and family members except for three out of the 14 questions. The measure demonstrated construct validity, and Cronbach¡¯s ¥á of the subscales ranged from .73 to .79.
Conslusion: The HPCOS demonstrated acceptable validity and reliability. It can be used to assess effectiveness of hospice¡¤palliative care for terminal cancer patients in practice and research.
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KEYWORD
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Care, Hospice, Palliative, Outcome assessment, Validation study
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