摘要
目的编制分娩尊严量表,并检验其信效度,为评估产妇分娩尊严提供有效工具。方法基于分娩尊严的概念,结合文献研究、半结构访谈构建量表条目池,经德尔菲专家函询构建初始量表。2023年12月至2024年3月选取452名、2024年10-12月选取304名阴道分娩产妇进行调查,检验量表的信效度。结果分娩尊严量表包括生理安全、心理安全、自主权的维护、社会网络的和谐4个维度共18个条目,探索性因子分析提取4个公因子,累计方差贡献率为64.311%。验证性因子分析结果显示,模型拟合良好(χ^(2)/df=2.281,RMSEA=0.065,GFI=0.923,NFI=0.935,RFI=0.902,IFI=0.962,TLI=0.942,CFI=0.962),量表总体Cronbach′sα系数为0.822,折半信度系数为0.911,量表水平的内容效度指数为0.949,条目水平的内容效度指数为0.823~1.000。结论分娩尊严量表具有良好的信效度,可用于测量产妇的分娩尊严水平。
Objective To develop a childbirth dignity scale and test its reliability and validity,so as to provide an effective tool for assessing the dignity in childbirth for puerpera.Methods Based on the concept of dignity in childbirth,a scale item pool was constructed after literature research and semi-structured interviews,then an initial scale was formed through Delphi expert consultation.From December 2023 to March 2024,and from October 2024 to December 2024,totally 452 and 304 vaginal delivery women were selected and investigated to examine the reliability and validity of the scale.Results The Childbirth Dignity Scale consisted of four dimensions(physiological safety,psychological safety,maintenance of autonomy,and harmony of social networks)and 18 items.Exploratory factor analysis extracted four common factors,with a cumulative variance contribution rate of 64.311%.The results of confirmatory factor analysis showed that the model fit well(χ^(2)/df=2.281,RMSEA=0.065,GFI=0.923,NFI=0.935,RFI=0.902,IFI=0.962,TLI=0.942,CFI=0.962),and the overall Cronbach′s alpha coefficient of the scale was 0.822,the half reliability coefficient was 0.911,the content validity index of the scale was 0.949,and the content validity index for each item was 0.823-1.000.Conclusion The Childbirth Dignity Scale has good reliability and validity,and it can be used to measure the dignity in childbirth for puerpera.
作者
刘华华
谷金丽
张文秀
李霖
金爱英
陈志芳
Liu Huahua;Gu Jinli;Zhang Wenxiu;Li Lin;Jin Aiying;Chen Zhifang(Delivery Room,The Affiliated Maternity and Child Health Care Hospital of Nantong University,Nantong 226017,China)
出处
《护理学杂志》
北大核心
2025年第10期25-28,共4页
Journal of Nursing Science
基金
南通市卫生健康委科研项目(MS2024070)
南通市科技局项目(MS22022100)。
关键词
产妇
阴道分娩
分娩尊严
量表
信度
效度
分娩质量
产科护理
puerpera
vaginal delivery
dignity in childbirth
scale
reliability
validity
delivery quality
obstetric nursing
