East Somerset Research Consortium, Westlake Surgery, West Coker, Somerset.
Br J Gen Pract. 2011 Oct;61(591):e628-37. doi: 10.3399/bjgp11X601334.
Postnatal care is the neglected area of pregnancy care, despite repeated calls to improve it. Changes would require assessment, which should include women's views. No suitable satisfaction questionnaire exists to enable this.
To develop a multidimensional psychometric postnatal satisfaction self-completion instrument.
Ten maternity services in south west England from 2006-2009.
Sources for questions were literature review, fieldwork, and related published instruments. Principal components analysis with varimax rotation was used to develop the final WOMen's views of Birth Postnatal Satisfaction Questionnaire (WOMBPNSQ) version. Validity and internal reliability were assessed. Questionnaires were mailed 6-8 weeks postnatally (with one reminder).
The WOMBPNSQ comprises 36 seven-point Likert questions (13 dimensions including general satisfaction). Of 300 women, 166 (55.3%) replied; of these 155 (95.1 %) were white, 152 (93.8%) were married or cohabiting, 135 (81.3%) gave birth in a consultant unit, 129 (78.6%) had a vaginal delivery; and 100 (60.6%) were multiparous. The 12 specific dimensions were: support from professionals or partner, or social support; care from GP and health visitor; advice on contraception, feeding baby, the mother's health; continuity of care; duration of inpatient stay; home visiting; pain after birth. These have internal reliability (Cronbach's alpha varying from 0.624 to 0.902). Various demographic and clinical characteristics were significantly associated with specific dimensions.
WOMBPNSQ could be used to assess existing or planned changes to maternity services or as a screening instrument, which would then enable in-depth qualitative assessment of areas of dissatisfaction. Its convergent validity and test-retest reliability are still to be assessed but are an improvement upon existing postnatal satisfaction questionnaires.
尽管一再呼吁改善，但产后护理仍是妊娠护理中被忽视的领域。这些改变需要进行评估，而评估应包括女性的观点。目前尚无合适的满意度问卷来实现这一目标。
开发多维心理测量产后满意度自我完成量表。
2006 年至 2009 年期间，英格兰西南部的 10 家产科服务机构。
问题的来源包括文献回顾、实地调查和相关已发表的工具。采用主成分分析和方差极大旋转法来开发最终的妇女分娩后满意度问卷（WOMBPNSQ）版本。评估了有效性和内部信度。产后 6-8 周（提醒一次）通过邮件寄出问卷。
WOMBPNSQ 由 36 个七点 Likert 问题组成（包括一般满意度在内的 13 个维度）。在 300 名女性中，有 166 名（55.3%）回复；其中 155 名（95.1%）为白人，152 名（93.8%）已婚或同居，135 名（81.3%）在顾问单位分娩，129 名（78.6%）为阴道分娩；100 名（60.6%）为多胎产妇。12 个特定维度是：专业人士或伴侣或社会支持的支持；全科医生和保健访问者的护理；避孕、喂养婴儿、母亲健康方面的建议；护理的连续性；住院时间；家访；分娩后的疼痛。这些维度具有内部信度（Cronbach's alpha 从 0.624 到 0.902 不等）。各种人口统计学和临床特征与特定维度显著相关。
WOMBPNSQ 可用于评估现有或计划中的产科服务变化，或作为筛选工具，然后可以对不满意的领域进行深入的定性评估。其收敛效度和重测信度仍有待评估，但优于现有的产后满意度问卷。
