Mas-Pons Rosa, Barona-Vilar Carmen, Carreguí-Vilar Soledad, Ibáñez-Gil Noelia, Margaix-Fontestad Lourdes, Escribà-Agüir Vicenta
Direcciò General de Salut Pública, Conselleria de Sanitat, Generalitat Valenciana, Valencia, España. mas
Gac Sanit. 2012 May-Jun;26(3):236-42. doi: 10.1016/j.gaceta.2011.09.019. Epub 2011 Dec 3.
To determine the reliability and the content and construct validity of the Mackey Childbirth Satisfaction Rating Scale to measure women's satisfaction with labor and delivery.
The translation-back translation method was used to obtain an adapted version of the scale. For the validation study, a sample of 325 women who had delivered a healthy neonate through the vaginal route was selected. Data collection was performed using a self-administered questionnaire that included the modified scale, childbirth expectations, obstetric variables and sociodemographic characteristics. Reliability was assessed in a subsample of 45 women who completed the scale for the second time 15-30 days later. The factorial structure and internal consistency of the scale were analyzed. Construct validity was evaluated by analyzing the relationship between satisfaction with the experience, fulfillment of expectations and preferences regarding pain management.
In the test-retest study, an intraclass correlation coefficient of 0.93 was obtained for the total scale. Factor analysis identified six factors that explained 69.42% of the variance. Cronbach's alpha coefficient was 0.94 for the total scale, ranging from 0.72 to 0.96 for the subscales. Satisfaction with the experience of childbirth was higher among women whose expectations were met and among those who accessed the pain relief method chosen.
This scale is a useful instrument to measure women's satisfaction with the experience of childbirth, adapted to our context and with good psychometric properties.
确定麦基分娩满意度评定量表在测量女性对分娩的满意度方面的信度、内容效度和结构效度。
采用回译法获得该量表的改编版本。在验证研究中，选取了325名经阴道分娩出健康新生儿的女性作为样本。使用一份自填式问卷进行数据收集，问卷包括改编后的量表、分娩期望、产科变量和社会人口学特征。在45名女性的子样本中评估信度，这些女性在15 - 30天后再次完成该量表。分析了量表的因子结构和内部一致性。通过分析对分娩体验的满意度、期望的达成情况与疼痛管理偏好之间的关系来评估结构效度。
在重测研究中，总量表的组内相关系数为0.93。因子分析确定了六个因子，解释了69.42%的方差。总量表的克朗巴赫α系数为0.94，各子量表的系数范围为0.72至0.96。期望得到满足的女性以及采用了所选疼痛缓解方法的女性对分娩体验的满意度更高。
该量表是一种有用的工具，可用于测量女性对分娩体验的满意度，适合我们的实际情况，且具有良好的心理测量学特性。
