Department of Anesthesia and Pain Management, University of Toronto, Ontario, Canada.
Int J Obstet Anesth. 2013 Jul;22(3):209-16. doi: 10.1016/j.ijoa.2013.03.010. Epub 2013 May 22.
Quality of life assessments are increasingly recognised in healthcare. The aim of this study was to evaluate psychometric characteristics of Nottingham Health Profile in the postpartum period.
A random sample of 133 English speaking women completed the scale in hospital between 24 and 48h of delivery and again at 7days postpartum. Descriptive analysis was used to evaluate psychometric parameters of the questionnaire.
The questionnaire indicated that in the acute setting, physical ability, energy level and pain were most affected. At follow-up, women described greatest difficulties with energy level and pain domains. The scores for physical ability, pain, sleep and energy level improved compared to baseline (P<0.05). Women who had caesarean delivery had lower scores for physical ability, pain and energy level domains at 1-2week follow-up compared to the vaginal delivery group (P<0.05).
The scale was found to be suitable for evaluation of quality of life in a population of postpartum women. However a more culturally and geographically diverse population is needed to test reliability and validity of the instrument.
生活质量评估在医疗保健中越来越受到重视。本研究旨在评估诺丁汉健康状况调查问卷在产后阶段的心理测量学特征。
133 名讲英语的妇女随机抽取样本,在分娩后 24 至 48 小时内在医院完成该量表,然后在产后 7 天再次完成。采用描述性分析来评估问卷的心理测量参数。
该问卷表明,在急性环境中,身体能力、能量水平和疼痛受影响最大。在随访时,女性表示在能量水平和疼痛领域最困难。与基线相比,身体能力、疼痛、睡眠和能量水平的评分有所提高(P<0.05)。与阴道分娩组相比,剖宫产分娩的女性在产后 1-2 周随访时,身体能力、疼痛和能量水平域的评分较低(P<0.05)。
该量表适用于评估产后妇女的生活质量。然而,需要更多具有不同文化和地理背景的人群来测试该工具的可靠性和有效性。