Andaroon Nafise, Kordi Masoumeh, Ghasemi Marzieh, Mazlom Reza
Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Med Sci. 2020 Mar;45(2):110-117. doi: 10.30476/IJMS.2019.45326.
Although pregnancy and childbirth are physiological processes, fear of childbirth is a common problem that is often associated with requests for cesarean delivery. This study was undertaken to determine the validity and reliability of the Wijma Delivery Expectancy/Experience Questionnaire A (W-DEQ [A]) primiparous women in Mashhad, Iran.
This study was conducted on 220 primiparous women with a gestational age of 28-30 weeks referred to health centers in Mashhad. Using demographic questionnaire, Beck's Anxiety Inventory, Beck's Depression Inventory, and the W-DEQ (A), for determining the validity and reliability of the W-DEQ (A), first two linguists translated the questionnaire into Persian; then, two other linguists translated the Persian version back into English. The content validity of this version was then assessed by expert faculty members. The final version was sent to the questionnaire's original developers (Klass Wijma and Barbro Wijma) and then used after their approval. Factor analysis was used to analyze the data.
The result of actor analysis revealed six factors, forming 58.8% of the total variance. The reliability of this questionnaire was confirmed with a Cronbach's alpha coefficient of 0.84, and the fear of childbirth was found to be correlated with Beck's anxiety (r=0.414) and depression (r=0.287) scores.
The W-DEQ (A) is a valid and reliable tool for measuring the fear of childbirth and is recommended to be used for measuring the fear of childbirth among Iranian women.
尽管怀孕和分娩是生理过程，但对分娩的恐惧是一个常见问题，且常常与剖宫产的需求相关。本研究旨在确定Wijma分娩期望/体验问卷A（W-DEQ [A]）在伊朗马什哈德初产妇中的有效性和可靠性。
本研究对220名孕周为28 - 30周、前往马什哈德健康中心就诊的初产妇进行。使用人口统计学问卷、贝克焦虑量表、贝克抑郁量表以及W-DEQ（A）来确定W-DEQ（A）的有效性和可靠性。首先，两名语言学家将问卷翻译成波斯语；然后，另外两名语言学家将波斯语版本再翻译回英语。该版本的内容效度随后由专家教员进行评估。最终版本被发送给问卷的原始开发者（克拉斯·维伊玛和巴布罗·维伊玛），在获得他们的批准后使用。采用因子分析来分析数据。
因子分析结果显示有六个因子，占总方差的58.8%。该问卷的信度通过克朗巴赫α系数0.84得以证实，并且发现对分娩的恐惧与贝克焦虑量表得分（r = 0.414）和贝克抑郁量表得分（r = 0.287）相关。
W-DEQ（A）是测量分娩恐惧的有效且可靠的工具，推荐用于测量伊朗女性的分娩恐惧。
