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评估女性对尊重性孕产妇保健感知的问卷(WP-RMC):编制与心理测量学特性。

A questionnaire to assess women's perception of respectful maternity care (WP-RMC): Development and psychometric properties.

机构信息

Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Midwifery and Reproductive Health Research center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Midwifery. 2020 Jan;80:102573. doi: 10.1016/j.midw.2019.102573. Epub 2019 Nov 5.

Abstract

OBJECTIVE

To develop and assess the psychometric properties of Women's Perspection-Respectful Maternity Care (WP-RMC) Questionnaire.

DESIGN

An exploratory sequential mixed method study was carried out from March to August 2018 in Tehran, Iran. The questionaire items were generated from the literature review and qualitatatve study. The revised items of questionnaire were assessed for validity via testing for face, content and construct validity and relibility.

SETTING

Public and semi-public hospitals, and public primary health care centers.

PARTICIPANTS

Postpartum women who had a low risk pregnancy, normal vaginal childbirth and gave birth to a healthy baby with normal birth weight.

FINDINGS

The WP-RMC has 19 items that loaded in three factors: Providing comfort, Participatory care and Mistreatment. Exploratory factor analysis jointly accounted for 53.05% of observed variance. The CVI was 0.97 and the CVR in all items was more than 0.79. Cronbach's alpha for all items was 0.91 and ICC was 0.9.

KEY CONCLUSIONS

'The WP-RMCquestionnaire is a valid and reliable tool to measure women's experiences of Respectful Maternity Care. This questionnaire could assess subjective features of quality of childbirth care. It can be used in maternity services trying to evaluate and improve women's care experiences during labour and childbirth. The use of the translation of WP-RMC questionnaire in other countries is recommended.

摘要

目的

开发和评估女性尊重分娩护理感知-尊重(WP-RMC)问卷的心理测量特性。

设计

这是一项从 2018 年 3 月到 8 月在伊朗德黑兰进行的探索性序贯混合方法研究。问卷项目是通过文献回顾和定性研究生成的。通过测试表面效度、内容效度和结构效度以及可靠性来评估问卷修订项目的有效性。

设置

公立医院、半公立医院和公立初级保健中心。

参与者

低风险妊娠、正常阴道分娩和分娩出正常体重健康婴儿的产后妇女。

发现

WP-RMC 有 19 个项目,分为三个因素:提供舒适、参与式护理和虐待。探索性因素分析共同解释了 53.05%的观察方差。CVI 为 0.97,所有项目的 CVR 均大于 0.79。所有项目的 Cronbach's alpha 为 0.91,ICC 为 0.9。

主要结论

“WP-RMC 问卷是一种有效且可靠的工具,可用于衡量女性对尊重分娩护理的体验。该问卷可评估分娩护理质量的主观特征。它可用于产妇服务,旨在评估和改善分娩期间女性的护理体验。建议在其他国家使用 WP-RMC 问卷的翻译版本。”

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