Physical Therapy Department, Universidade Federal de Pernambuco (UFPE), Recife, Pernambuco, Brazil.
Universidade Federal de Pernambuco (UFPE), Recife, Pernambuco, Brazil.
Braz J Phys Ther. 2019 Mar-Apr;23(2):125-131. doi: 10.1016/j.bjpt.2019.01.004. Epub 2019 Jan 19.
To develop and analysis of measurement properties an instrument to assess maternal perception of fatigue during childbirth.
The study was developed in three steps: elaboration of the initial version of the questionnaire from literature review and semi-structured interviews of the health professionals and the women during labor; consultation of Brazilian specialists through a Delphi Study, to define the items that should compose the final version of the document; validation and factor analysis.
A 51-item questionnaire, comprised of the perception of general health, physical, emotional and cognitive aspects of the parturient was composed through both literature search and the interview of health professionals and women during labor. The Delphi Study was composed of three rounds and the instrument was reduced to 12 questions by its end, involving the same aspects. Internal consistency testing resulted in a Cronbach's alpha of 0.56 in the 12 items. 8 more items were added in the last round of the Delphi study for a new evaluation. After the reevaluation, an acceptable Cronbach's alpha of 0.85 was obtained. The questionnaire showed three factors, the first being physical fatigue, then second with psychological fatigue and the third factor being emotional.
The developed questionnaire is short, simple and easy to apply; it is clear and concise to evaluate the perception of fatigue in women during labor, showing adequate content, internal consistency and face validity.
开发并分析一种评估产妇分娩时疲劳感的测量工具的测量特性。
该研究分三个步骤进行：从文献回顾和分娩期间卫生专业人员和妇女的半结构化访谈中编写问卷的初始版本；通过德尔菲研究咨询巴西专家，以确定应组成文件最终版本的项目；验证和因子分析。
通过文献检索和对分娩期间卫生专业人员和妇女的访谈，编制了一份由 51 个项目组成的问卷，包括产妇的一般健康、身体、情绪和认知方面的感知。德尔菲研究由三轮组成，到最后一轮，该工具被简化为 12 个问题，涉及相同的方面。内部一致性检验得出 12 个项目的克朗巴赫α系数为 0.56。在德尔菲研究的最后一轮增加了另外 8 个项目进行新的评估。重新评估后，获得了可接受的克朗巴赫α系数 0.85。问卷显示了三个因素，第一个是身体疲劳，其次是心理疲劳，第三个因素是情绪。
开发的问卷简短、简单、易于应用；清晰简洁，可评估产妇分娩时的疲劳感，具有足够的内容、内部一致性和表面有效性。
