靈性健康量表之建構及信、效度考驗－以護理學生爲題

Constructing and Evaluating the Reliability and Validity of a Scale to Assess Spiritual Health: A Nursing Student Sample

蕭雅竹(Ya-Chu Hsiao) ； 黃松元(Song-Yuan Huang)

《實證護理》 1卷3期 (2005/09) Pp. 218-227

https://doi.org/10.6225/JEBN.1.3.218

摘要

本研究目的爲發展與建構適合評估護理學生的靈性健康量表。透過低結構的深度訪談、焦點團體法與塡寫開放式問卷等質性資料收集方式，了解靈性健康之意涵，並依質性資料分析結果與參考相關文獻，建構靈性健康量表爲47題。之後，以91份樣本進行信、效度檢定。研究結果發現靈性健康量表的五個次概念爲：與人締結、活出意義、超越逆境、宗教寄託及明己心性，可解釋總變異量爲58.64%。計算專家效度之CVI值、與世界衛生組織之生活品質量表之靈性／宗教／信念層面作同時效度檢定，兩者之相關係數達.65、內在一致性其Cronbach's alpha爲.93；三週再測信度之相關係數爲.77。顯示此量表有滿意的信度及效度，可做爲評估靈性健康狀態的指標，以及研擬促進靈性健康策略及規劃靈性教育之參考。

關鍵字

靈性健康 ； 量表 ； 信度 ； 效度

並列摘要

The purposes of this study were to construct a valid and reliable scale to measure the spiritual health of nursing students. Researchers conducted loosely structured interviews, held focus groups, distributed self-administrated open-ended questionnaires, and reviewed relevant literature to define key variables affecting spiritual health. A total of 47 spiritual health variables were identified and used to construct a spiritual health scale. Researchers then tested scale construct validity and reliability on 91 subjects. The five sub-concepts of ”connection to others”, ”meaning derived from living”, ”transcendence”, ”religious attachment”, and ”self-understanding” were found to explain 58.64% of total variances. Experts' validity and content validity index were also estimated. The correlation coefficent between this index and the spiritual/religious/belief dimensions as defined under WHOQOL100 was 0.65. Cronbach's alpha of internal consistency was 0.93 and correlation of test-retest reliability was .77, with a 3-week interval. These results show that the scale offers satisfactory validity and reliability and can be applied to assess the spiritual health status of individuals. The findings of this study also provide a reference to design programs to promote better spiritual health and develop spiritual education content.

並列關鍵字

spiritual health ； scale ； reliability ； validity