School of Health Sciences, City University London, 20 Bartholomew Close, London, UK.
BMC Pregnancy Childbirth. 2013 May 8;13:108. doi: 10.1186/1471-2393-13-108.
Satisfaction is the one of the most frequently reported outcome measures for quality of care. Assessment of satisfaction with maternity services is crucial, and psychometrically sound measures are needed if this is to inform health practices. This paper comparatively reviews current measures of satisfaction with care during labour and birth.
A review of the literature was conducted. Studies were located through computerised databases and hand searching references of identified articles and reviews. Inclusion criteria were that the questionnaire was a multi-item scale of satisfaction with care during labour and birth, and some form of psychometric information (either information about questionnaire construction, or reliability, or validity) had to be reported.
Nine questionnaires of satisfaction with care during labour and birth were identified. Instruments varied in psychometric properties and dimensions. Most described questionnaire construction and tested some form of reliability and validity. Measures were generally not based on the main theoretical models of satisfaction and varied in scope and application to different types of samples (e.g. satisfaction following caesarean section). For an in-depth measure of satisfaction with intrapartum care, the Intrapartal-Specific Quality from the Patient's Perspective questionnaire (QPP-I) is recommended. Brief measures with good reliability and validity are provided by the Six Simple Questions (SSQ) or Perceptions of Care Adjective Checklist (PCACL-R).
Despite the interest in measures of satisfaction there are only a small number of validated measures of satisfaction with care during labour and birth. It is important that brief, reliable and valid measures are available for use in general and specific populations in order to assist research and inform practice.
满意度是最常报告的护理质量结果之一。评估对产妇护理的满意度至关重要，如果要告知卫生实践，则需要具有心理测量学依据的测量方法。本文比较了目前评估分娩期间护理满意度的方法。
对文献进行了综述。通过计算机数据库和手工搜索已确定文章和综述的参考文献来定位研究。纳入标准是问卷是一种多项目分娩期间护理满意度量表，并且必须报告某种形式的心理测量信息（无论是有关问卷构建的信息，还是可靠性或有效性）。
确定了 9 种评估分娩期间护理满意度的问卷。这些工具在心理测量特性和维度上存在差异。大多数描述了问卷的构建，并测试了某种形式的可靠性和有效性。这些措施通常不是基于满意度的主要理论模型，其范围和应用也有所不同，适用于不同类型的样本（例如剖宫产术后的满意度）。对于深入评估分娩期间护理满意度，建议使用从患者角度出发的产时特定质量问卷（QPP-I）。简短且具有良好可靠性和有效性的措施有 6 个简单问题（SSQ）或护理感知形容词检查表（PCACL-R）。
尽管对满意度的测量方法很感兴趣，但只有少数经过验证的分娩期间护理满意度的测量方法。重要的是，为了协助研究和告知实践，需要有简短、可靠且有效的方法来适用于一般人群和特定人群。
