中华疼痛学杂志2024,Vol.20Issue(4) :527-532.DOI:10.3760/cma.j.cn101658-20240306-00028

分娩镇痛产妇舒适状况量表的研制及信效度检验

Develop and test the reliability and validity of the parturient comfort scale for labor analgesia

高明霞 马明磊 亓效香 杨洪菊
中华疼痛学杂志2024,Vol.20Issue(4) :527-532.DOI:10.3760/cma.j.cn101658-20240306-00028

分娩镇痛产妇舒适状况量表的研制及信效度检验

Develop and test the reliability and validity of the parturient comfort scale for labor analgesia

高明霞 1马明磊 2亓效香 1杨洪菊1
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作者信息

  • 1. 山东第一医科大学第二附属医院产科,山东省泰安市 271000
  • 2. 泰安市肿瘤防治院放疗中心,山东省泰安市 271000
  • 折叠

摘要

目的 研制分娩镇痛产妇舒适状况量表并检验其信效度,为提高产妇产时舒适提供评估工具.方法 基于Kolcaba的舒适理论,通过文献回顾、小组会议、两轮德尔菲函询形成初始量表;于2023年6月至9月对山东省3所三级甲等医院的320例分娩镇痛产妇进行调查,对量表进行信效度检验.结果 分娩镇痛产妇舒适状况量表包括4个维度、20个条目;两轮专家函询的专家积极系数均为100%,权威系数分别为0.878、0.893,肯德尔和谐系数为0.119、0.320(均P<0.001);探索性因子分析共提取4个公因子,累计方差贡献率为71.366%;该量表的Cronbach's a系数为0.909,重测信度为0.745,内容效度指数为S-CVI为0.930,I-CVI为0.765~1.000.结论 分娩镇痛产妇舒适状况量表具有良好的信效度,可作为评估实施分娩镇痛后产妇舒适状况的工具.

Abstract

Objective To develop and test the reliability and validity of the comfort scale for parturient with labor analgesia.Methods Based on the comfort theory of Kolcaba,the initial scale was formed through literature review,group meeting,two rounds of Delphi inquiry and pre-survey.A total of 320 parturients with labor analgesia from three hospitals in Shandong Province were tested from June to September in 2023.Results The developed scale consisted of four dimensions and 20 items,and the positive coefficient of two rounds of expert correspondence was 100%,the authoritative coefficient was 0.878,0.893 and Cronbach's α coefficient 0.119,0.320,respectively(all P<0.001).The results of exploratory factor analysis showed that the cumulative variance contribution rate of the four common factors was 71.366%,Cronbach's αcoefficient 0.909,test-retest reliability 0.745,the content validity index 0.930 for S-cvi and 0.765-1.000 for I-CVI respectively.Conclusion The developed scale has good reliability and validity,and can be used as a tool to evaluate the comfort status of parturient with labor analgesia.

关键词

分娩/镇痛,产科/孕产妇/舒适/量表/研制/信效度

Key words

Parturition/Analgesia,obstetrical/Maternal/Comfort/Scale/Development/Reliability and validity

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出版年

2024
中华疼痛学杂志
河北医科大学

中华疼痛学杂志

影响因子:0.498
ISSN:2096-8019
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