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评估意大利女性对分娩体验的感知:对《分娩感知问卷》适应度的贡献。

Assessing the perception of the childbirth experience in Italian women: a contribution to the adaptation of the Childbirth Perception Questionnaire.

机构信息

Department of Gynecological Sciences and Human Reproduction, University of Padova, Padua, Italy.

出版信息

Midwifery. 2012 Apr;28(2):265-74. doi: 10.1016/j.midw.2011.02.009. Epub 2011 Apr 12.

DOI:10.1016/j.midw.2011.02.009
PMID:21489665
Abstract

BACKGROUND

childbirth is a crucial experience in women's life as it has a substantial psychological, emotional and physical impact. A childbirth positive experience is important to the woman, infant's health and well-being, and mother-infant relationship. Furthermore, it is useful for the care providers to guarantee the best preparation, health service and support to childbearing women. The Childbirth Perception Questionnaire (CPQ) is a 27-item instrument designed to assess women's perception of their childbirth experience.

OBJECTIVES

to provide a first attempt to adapt the Childbirth Perception Questionnaire (CPQ) using a sample of Italian women. The psychometric properties of the scale and the quality of women's childbirth experience perception were assessed. Furthermore, the potential relation between the childbirth perception and the pain perception was explored.

DESIGN

two separate studies were conducted. In Study 1, the factor structure and the reliability of the Italian translation of CPQ were assessed. Also a quantitative analysis of respondents' mean ratings was conducted. In Study 2 the relation between the CPQ and the Italian Pain Questionnaire (IPQ) was examined.

SETTING

an inpatient gynaecologic-obstetric unit in a university medical centre in Italy.

PARTICIPANTS

195 women in Study 1 and 92 women in Study 2 completed the questionnaires.

METHODS

in Study 1 the translated form of CPQ was administered in the 24-48 hours post partum. In Study 2, the participants completed the Italian version of the CPQ and the Italian Pain Questionnaire (IPQ) in the same postpartum time frame. Socio-demographic details and information about women's obstetric history were collected in both Study 1 and Study 2.

FINDINGS

an exploratory factor analysis revealed a 24-item scale with a three-factor structure. The Italian version of the questionnaire was labelled Childbirth Experience Perception Scale (CEPS) and composed of three subscales: Labour and Delivery Perception, Control Perception and Change Perception. The questionnaire presented satisfactory internal consistency's indexes both in Study 1 (α coefficients range: .66-.83) and in Study 2 (α coefficients range: .70-.86). The analysis of women's mean scores on CEPS revealed a significant effect of age, social economic status, amniocentesis test, type of childbirth, childbirth preference, and disagreement between actual and preferred childbirth (p<.05). A significant correlation between the CEPS and IPQ scales was found (p<.05).

CONCLUSION

the current research evidenced that the Italian first adaptation of the CPQ, the Childbirth Experience Perception Scale, may be a valid and reliable measure of childbirth experience perception for use in different women's health clinical outcome and studies.

摘要

背景

分娩是女性生命中的一个重要经历,因为它对女性的心理、情感和身体都有很大的影响。积极的分娩体验对女性、婴儿的健康和幸福以及母婴关系都很重要。此外,为了保证母婴的最佳准备、健康服务和支持,护理人员了解分娩体验也很有用。分娩感知问卷(CPQ)是一种 27 项的工具,旨在评估女性对分娩经历的感知。

目的

首次尝试使用意大利女性样本对分娩感知问卷(CPQ)进行适应性改编。评估了该量表的心理测量特性和女性分娩体验感知的质量。此外,还探讨了分娩感知与疼痛感知之间的潜在关系。

设计

进行了两项独立的研究。在研究 1 中,评估了 CPQ 意大利语翻译的因子结构和信度。还对受访者的平均评分进行了定量分析。在研究 2 中,检查了 CPQ 与意大利疼痛问卷(IPQ)之间的关系。

设置

意大利一所大学医学中心的住院妇科-产科病房。

参与者

研究 1 中有 195 名女性,研究 2 中有 92 名女性完成了问卷。

方法

在研究 1 中,在产后 24-48 小时内对 CPQ 的翻译版本进行了评估。在研究 2 中,参与者在同一产后时间范围内完成了意大利版 CPQ 和意大利疼痛问卷(IPQ)。在研究 1 和研究 2 中均收集了社会人口统计学细节和女性产科史信息。

结果

探索性因素分析显示,该问卷有 24 个项目,分为三个因子结构。问卷的意大利语版本被标记为分娩体验感知量表(CEPS),由三个分量表组成:分娩和分娩感知、控制感知和变化感知。问卷在研究 1(α系数范围:.66-.83)和研究 2(α系数范围:.70-.86)中均表现出令人满意的内部一致性指标。CEPS 上女性平均得分的分析显示,年龄、社会经济地位、羊膜穿刺术测试、分娩类型、分娩偏好以及实际分娩和首选分娩之间的差异有显著影响(p<.05)。还发现 CEPS 与 IPQ 量表之间存在显著相关性(p<.05)。

结论

目前的研究表明,CPQ 的意大利语首次改编,即分娩体验感知量表,可能是一种用于不同女性健康临床结局和研究的分娩体验感知的有效且可靠的测量工具。

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