Donate-Manzanares Miriam, Rodríguez-Almagro Julián, Rodríguez-Cano Teresa, Hernández-Martínez Antonio, Barrilero-Fernández Ester, Santos-Hernández Gloria, Beato-Fernández Luis
Department of Obstetrics, Hospital Virgen de la Salud, Av. De Barber, s/n, 45005 Toledo, Spain.
Department of Emergency, Hospital General Universitario, Ciudad Real, Spain.
Midwifery. 2017 Dec;55:75-82. doi: 10.1016/j.midw.2017.09.005. Epub 2017 Sep 14.
translate the questionnaire Quality from the Patient's Perspective-Intrapartal (QPP-I) into Spanish, carrying out a cross-cultural adaptation and validation of its validity and reliability DESIGN: observational multi-centre transversal study, with transcultural adaptation and validation of a scale.
the study was carried out in two public Spanish hospitals.
248 women in their postpartum period.
the instrument was translated and back translated. Validity was determined in different ways: by comparing the QPP-I with an instrument which had already been validated (the COMFORTS scale); by carrying out an exploratory factor analysis by means of a principal component analysis (PCA), and by studying the relationship between the QPP-I and sociodemographic variables (level of studies, age, place of birth of the mother), clinical variables (number of children, type of childbirth, use of epidural, gestational age), positive feelings (control, pride, safety, being paid attention to) and negative feelings (failure, feeling ignored) experienced during childbirth, as well as physical and mental state as assessed by the woman. Reliability was estimated from the internal consistency, with the Cronbach's alpha (α), and the test-retest, with the intraclass correlation coefficient (ICC).
eleven factors obtained an eigenvalue greater than the unit value in the PCA, explaining 70.5% of the total variance. A statistically significant association was found with the variables place of birth of the mother, level of studies, type of birth, positive and negative feelings during childbirth, and state of health of the mother. On comparing the QPP-I with the COMFORTS scale, the area under the received operating characteristic (ROC) curve was 0.824 (confidence interval of 95%, 0.764-0.884). For the total scale, the value of α was 0.96. The consistency ICC was 0.76 (CI 95%, 0.65-0.84) and the absolute agreement ICC was 0.76 (CI 95%, 0.66-0.84).
the QPP-I with 39 items distributed among 11 factors seems adequate to measure women's satisfaction with the care received during childbirth in our setting.
this tool can be used in both a clinical and a research setting for women to be able to evaluate the care they receive when they give birth. It is therefore a way of improving the care given to these users.
将“患者视角下的分娩期质量问卷（QPP - I）”翻译成西班牙语，并对其进行跨文化调适以及效度和信度验证。设计：多中心观察性横断面研究，对一个量表进行跨文化调适和验证。
该研究在西班牙两家公立医院开展。
248名产后女性。
对该工具进行翻译和回译。通过不同方式确定效度：将QPP - I与一个已经过验证的工具（COMFORTS量表）进行比较；通过主成分分析（PCA）进行探索性因子分析；研究QPP - I与社会人口学变量（学历水平、年龄、母亲出生地）、临床变量（子女数量、分娩类型、硬膜外麻醉使用情况、孕周）、分娩期间经历的积极感受（控制感、自豪感、安全感、被关注感）和消极感受（失败感、被忽视感）以及女性自我评估的身心状态之间的关系。通过Cronbach's α系数评估内部一致性来估计信度，并通过组内相关系数（ICC）进行重测信度估计。
在主成分分析中，11个因子的特征值大于单位值，解释了总方差的70.5%。发现该量表与母亲出生地、学历水平、分娩类型、分娩期间的积极和消极感受以及母亲的健康状况等变量存在统计学显著关联。将QPP - I与COMFORTS量表比较时，受试者工作特征（ROC）曲线下面积为0.824（95%置信区间为0.764 - 0.884）。总量表的α值为0.96。一致性ICC为0.76（95%CI为0.65 - 0.84），绝对一致性ICC为0.76（95%CI为0.66 - 0.84）。
包含39个条目、分布在11个因子中的QPP - I似乎足以衡量我们环境中女性对分娩期间所接受护理的满意度。
该工具可用于临床和研究环境，以便女性能够评估她们分娩时所接受的护理。因此，这是一种改善对这些使用者护理的方式。
