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两种评估孕产妇健康需求工具的开发:临床测量学研究方案

Development of two instruments for assessing maternity health needs: protocol of a clinimetric study.

作者信息

Paz-Pascual Carmen, Artieta-Pinedo Isabel, Espinosa Maite, Bully Paola

机构信息

Atención Primaria en Salud, Prevención y Enfermedades Crónicas, IIS, Biocruces Bizkaia, Osakidetza, Plaza de Cruces 12, 48903, Barakaldo, Bizkaia, Spain.

Primary Care Midwife, Markonzaga Health Centre, Sestao, Bizkaia, Spain.

出版信息

BMC Pregnancy Childbirth. 2020 Nov 17;20(1):701. doi: 10.1186/s12884-020-03377-x.

Abstract

BACKGROUND

There is an unquestionable need to adapt health care to the needs of each woman, to foster her self-confidence and provide her with the autonomy to manage her own maternity. This involves empowering her to choose and face her model of childbirth and childcare responsibly. The range of self-management health needs tests offered by the scientific community at this stage of life is practically non-existent. In this project, we intend to develop and evaluate the validity, reliability and ease of use of two self-administered analysis instruments for: 1.- Needs of women preparing for childbirth and 2.- Identification of alarm symptoms in the puerperium.

METHODS

This is a descriptive study of the clinimetric characteristics and usability of two developed self-applied digital instruments for measuring needs in childbirth and postpartum based on the recommendations made in the consensus-based standards for the selection of health measurement instruments (COSMIN) and by the International Test Commission (ITC). The study consists of two phases: 1 - Evaluation of the clinimetric properties of the two instruments, which were developed and then altered, based on their comprehensibility and global usability estimated from a pilot study and 2 - Pre-implementation study.

DISCUSSION

The final product will be two valid, reliable, usable instruments for self-assessment of health needs that are highly acceptable to young couples and the professionals who serve them. They will be a valuable resource for meeting the needs of the population more efficiently and guiding decision-making, and they will contribute to the greater sustainability of the health system.

摘要

背景

毫无疑问,医疗保健需要适应每位女性的需求,增强其自信心,并赋予她自主管理自己孕期的权利。这包括使她有能力负责任地选择并面对自己的分娩和育儿模式。科学界在人生的这个阶段提供的自我管理健康需求测试几乎不存在。在本项目中,我们打算开发并评估两种自我管理分析工具的有效性、可靠性和易用性,这两种工具分别用于:1. 分娩准备期女性的需求;2. 产褥期警报症状的识别。

方法

这是一项描述性研究,基于健康测量工具选择的基于共识的标准(COSMIN)和国际测试委员会(ITC)的建议,对两种开发的用于测量分娩和产后需求的自我应用数字工具的临床测量特征和可用性进行研究。该研究包括两个阶段:1. 对两种工具的临床测量特性进行评估,这两种工具在根据初步研究估计的可理解性和总体可用性进行开发后进行了修改;2. 实施前研究。

讨论

最终产品将是两种有效、可靠、易用的健康需求自我评估工具,年轻夫妇和为他们服务的专业人员高度认可。它们将成为更有效地满足人群需求和指导决策的宝贵资源,并将有助于提高卫生系统的可持续性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1f9/7672968/122e07a25c86/12884_2020_3377_Fig1_HTML.jpg

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