Alfaro Blazquez Ruben, Corchon Silvia, Ferrer Ferrandiz Esperanza
Department of Obstetrics, University and Polytechnic Hospital "La Fe", Valencia, Spain; School of Nursing and Podiatry, University of Valencia, Spain.
School of Nursing and Podiatry, University of Valencia, Spain.
Midwifery. 2017 Dec;55:103-112. doi: 10.1016/j.midw.2017.09.014. Epub 2017 Sep 21.
patient satisfaction as an indicator of quality of care is becoming more and more important. The use of questionnaires is the most common method to evaluate satisfaction with maternity care. Despite the extensive variety of instruments available for this purpose, they vary widely in terms of their content and quality.
to identify, assess and summarize the most recent and robust instruments available to measure woman and partner satisfaction with the overall package of care during the labour and birth of their baby within a hospital setting.
systematic review.
sixteen electronic databases were consulted. The research also included hand searching references of identified articles. Studies were assessed by two independent reviewers. Inclusion criteria were that participants were mothers and their respective partners and that the questionnaire was a multidimensional instrument used for measuring satisfaction with care during the labour and birth of a baby. Furthermore, the psychometric properties related to construction, reliability and validity of the questionnaire had to be reported.
seventeen studies were included. The majority of the questionnaires was developed within Europe and was disparate in terms of sample, items, dimensions and collection time. Most of them were limited to healthy women with low obstetric risk pregnancies. Only one instrument included partners as the subject of study. All questionnaires reported at least one aspect of reliability, content and construct validity.
there are a moderate number of instruments capable of measuring maternal satisfaction with the care received during labour and birth within a hospital setting. Our study provides an overview of the most up-to-date, valid and reliable tools available. Further investigations are needed in order to improve existing instruments by performing additional psychometric tests, considering more specific populations and assessing the satisfaction of the partner and mother jointly.
assessments of satisfaction with care during labour and birth are relevant to healthcare professionals, administrators and policy makers. Therefore, these instruments are able to assist them according to their specific needs.
患者满意度作为医疗质量的一项指标正变得越来越重要。使用问卷调查是评估对产科护理满意度最常用的方法。尽管有大量可用于此目的的工具，但它们在内容和质量方面差异很大。
识别、评估和总结用于衡量女性及其伴侣对医院环境中分娩期间整体护理套餐满意度的最新且可靠的工具。
系统评价。
查阅了16个电子数据库。该研究还包括手工检索已识别文章的参考文献。由两名独立评审员对研究进行评估。纳入标准为参与者是母亲及其各自的伴侣，且问卷是用于测量分娩期间护理满意度的多维工具。此外，必须报告与问卷的构建、信度和效度相关的心理测量特性。
纳入了17项研究。大多数问卷是在欧洲开发的，在样本、项目、维度和收集时间方面各不相同。其中大多数仅限于低产科风险妊娠的健康女性。只有一份工具将伴侣作为研究对象。所有问卷都报告了信度、内容和结构效度的至少一个方面。
有数量适中的工具能够测量医院环境中产妇对分娩期间所接受护理的满意度。我们的研究概述了现有的最新、有效和可靠的工具。需要进一步研究，以便通过进行额外的心理测量测试、考虑更特定的人群以及联合评估伴侣和母亲的满意度来改进现有工具。
对分娩期间护理满意度的评估与医疗保健专业人员、管理人员和政策制定者相关。因此，这些工具能够根据他们的特定需求为他们提供帮助。
