Development and reliability and validity test of a risk perception scale for pregnant women with gestational diabetes mellitus
Objective To develop and test the reliability and validity of a risk perception scale for pregnant women with gestational diabetes mellitus(GDM),and to make a preliminary application.Methods Using the Health Belief Model as a theoretical framework,a first draft of the scale was developed through literature analysis,semi-structured interviews,expert correspondence and a pre-survey.From September to October 2022,276 pregnant women with GDM were recruited from 4 hospitals in Quanzhou City by convenience sampling method to screen entries and test the reliability of the scale.The validation and initial application of the scale structure was completed by recruiting 335 pregnant women with GDM in 3 other hospitals in Quanzhou City from November to December 2022.Results The risk perception scale for pregnant women with GDM contained 4 dimensions and 29 items.Exploratory factor analysis extracted 4 factors with a cumulative variance contribution of 79.93％.The Cronbach's α coefficient was 0.932;the fold-half reliability was 0.949;the test-retest reliability was 0.757;the content validity was 0.900.The results of the validation factor analysis showed that the scale factor structure was stable.The mean total risk perception score of pregnant women with GDM was 116.53±15.82.Literacy,frequency of internet searches for ways to control blood glucose,and per capita monthly household income were factors that influenced the risk perception of pregnant women with GDM(P＜0.05).Conclusion The risk perception scale for pregnant women with GDM has good reliability and validity,and it can be used as a tool for health care professionals to measure the perceived risk of pregnant women with GDM.The perceived risk of pregnant women with GDM is at a moderate level,and caregivers should pay more attention in the future to pregnant women with GDM who have low literacy,low income and low frequency of participation in GDM-related leaming.
Gestational Diabetes MellitusRisk PerceptionScaleReliability and ValidityNursing AssessmentBlood Glucose Management
万方数据
维普
