背景:对死亡的恐惧是医疗保健学生和专业人员的常见经历,可能会影响向患者提供的护理质量,尤其是那些接受姑息治疗的人。Collett-Lester对死亡的恐惧量表是一种广泛使用的工具来评估这种恐惧,尽管其心理测量学特性尚未在职业治疗学生中得到广泛研究。本研究旨在验证职业治疗学生样本中的Collett-Lester死亡恐惧量表(CL-FODS),并探讨其对姑息治疗教育的影响。
方法:进行了一项横断面研究,对职业治疗本科生的CL-FODS进行心理测验。结构有效性,内部一致性,并对重测可靠性进行了分析。这项研究共纳入了195名职业治疗学生。此外,参与者完成了对姑息治疗的经验和态度的简短调查。
结果:内部一致性令人满意(α=0.888)。评估内部结构的探索性因素分析得出了四个因素。模型拟合指数为:比较拟合指数=0.89,近似均方根误差=0.06)。测试重测可靠性令人满意,并证明了0.939的组内相关系数。
结论:西班牙语版本的CL-FODS显示出令人满意的心理测量特性;因此,评估职业治疗学生对死亡的恐惧是有帮助的。这项研究强调了解决死亡的恐惧和姑息护理教育的职业治疗本科生的重要性,以改善未来的职业态度和,因此,患者在生命结束时的护理质量。
BACKGROUND: The fear of death is a common experience among healthcare students and professionals that may impact the quality of care provided to patients, particularly those receiving palliative care. The Collett-Lester Fear of Death Scale is a widely used instrument to assess this fear, although its psychometric properties have not been extensively studied in Occupational Therapy students. The present study aimed to validate the Collett-Lester Fear of Death Scale (CL-FODS) in a sample of Occupational Therapy students and to explore its implications for palliative care education.
METHODS: A cross-sectional study was conducted to perform psychometric testing of the CL-FODS in Occupational Therapy undergraduate students. Structural validity, internal consistency, and test-retest reliability were analysed. A total of 195 Occupational Therapy students were included in this study. Additionally, the participants completed a brief survey on their experiences and attitudes towards palliative care.
RESULTS: The internal consistency was satisfactory (α = 0.888). The exploratory factor analysis to evaluate the internal structure yielded four factors. The model fit indices were: comparative fit index = 0.89, and root mean square error of approximation = 0.06). The test-retest reliability was satisfactory and demonstrated an intraclass correlation coefficient of 0.939.
CONCLUSIONS: The Spanish version of the CL-FODS showed satisfactory psychometric properties; therefore, assessing fear of death in Occupational Therapy students is helpful. This study highlights the importance of addressing fear of death and palliative care education in Occupational Therapy undergraduates to improve future professional attitudes and, consequently, the quality of patient care at the end of life.