Aksoy Derya Yeşim, Timur Taşhan Sermin, Duman Mesude, Durgun Ozan Yeter
Department of Midwifery, Faculty of Health Sciences Inonu University, Malatya, Turkey.
Department of Nursing, Faculty of Nursing Inonu University, Malatya, Turkey.
Midwifery. 2018 Jul;62:61-68. doi: 10.1016/j.midw.2018.03.006. Epub 2018 Mar 27.
The purpose of this study was to create a Turkish version of the Pregnancy-Related Anxiety Questionnaire-Revised 2 (PRAQR2), which was revised for application to multiparous and primiparous pregnancy, and to explore its psychometric characteristics in multiparous and primiparous pregnancy.
This study was methodologically designed to assess the reliability and validity of the PRAQ-R2.
The study was carried out in the obstetrics clinic of a training and research hospital in Malatya.
A total of 616 healthy pregnant women (399 multiparous and 217 primiparous) constituted the sample of the study.
The cultural adaptation process of the questionnaire was conducted in three phases: language validity, content validity, and pilot application. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to test the construct validity of the questionnaire. The reliability of the PRAQ-R2 was evaluated with Cronbach's alpha internal consistency coefficient, item-total correlation, test-retest analysis, and parallel forms reliability.
The EFA revealed that the PRAQ-R2 consists of 10 items for the multiparous group and 11 for the primiparous group after adding the item ``I am anxious about the delivery because I have never experienced one before.'' The CFA for both groups supported the three-factor questionnaire yielded by the EFA. Good fit index values were obtained in both groups. Cronbach's alpha internal consistency coefficient ranged from 0.81 to 0.93 for the multiparous group and 0.87 to 0.94 for the primiparous group for the complete PRAQ-R2 and each of its subdimensions. In addition, the item-total correlation, test-retest analysis, and parallel forms reliability of the questionnaire were highly correlated.
The PRAQ-R2 is a valid and reliable instrument that can be used to evaluate the level of anxiety in Turkish pregnant women irrespective of parity.
The use of the PRAQ-R2 in prenatal healthcare services will contribute to the early diagnosis, treatment, and management of pregnancy-related anxiety.
本研究旨在创建一份适用于经产妇和初产妇妊娠的《妊娠相关焦虑问卷修订版2》（PRAQR2）的土耳其语版本，并探讨其在经产妇和初产妇妊娠中的心理测量学特征。
本研究在方法上旨在评估PRAQ-R2的信效度。
该研究在马拉蒂亚一家培训和研究医院的产科诊所进行。
共有616名健康孕妇（399名经产妇和217名初产妇）构成了本研究的样本。
问卷的文化适应过程分三个阶段进行：语言效度、内容效度和预试验应用。采用探索性因素分析（EFA）和验证性因素分析（CFA）来检验问卷的结构效度。用克朗巴赫α内部一致性系数、项目-总分相关性、重测分析和平行形式信度来评估PRAQ-R2的信度。
探索性因素分析表明，经产妇组在添加了“我因从未经历过分娩而对分娩感到焦虑”这一项目后，PRAQR2由10个项目组成，初产妇组由11个项目组成。两组的验证性因素分析均支持探索性因素分析得出的三因素问卷。两组均获得了良好的拟合指数值。完整的PRAQ-R2及其各子维度的克朗巴赫α内部一致性系数，经产妇组为0.81至0.93，初产妇组为0.87至0.94。此外，问卷的项目-总分相关性、重测分析和平行形式信度高度相关。
PRAQ-R2是一种有效且可靠的工具，可用于评估土耳其孕妇（无论其胎次）的焦虑水平。
在产前保健服务中使用PRAQ-R2将有助于妊娠相关焦虑的早期诊断、治疗和管理。
