Najjarzadeh Maryam, Mohammad-Alizadeh-Charandabi Sakineh, Abbas-Alizadeh Shamsi, Asghari Jafarabadi Mohammad, Mirghafourvand Mojgan, Tagipour-Amidi Nahid, Sawyer Alexandra, Ayers Susan
Student Research Committee, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Social Determinants of Health Research Center, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Health Promot Perspect. 2021 Feb 7;11(1):97-108. doi: 10.34172/hpp.2021.13. eCollection 2021.
Women's experience and satisfaction with childbirth care are increasingly being addressed by health care providers, managers, and policymakers. Due to need for a validated special scale for assessing satisfaction of women with preterm birth, we aimed to translate and adapt the first specific tool, Preterm Birth Experiences and Satisfaction Scale (P-BESS), into Persian language and evaluate its psychometric properties. A methodological and cross-sectional study was conducted in two tertiary levels of maternal hospitals in Tabriz. The Iranian version of the scale was developed from the original English version using forward-backward translation. After confirmation of its face and content validity, the scale was completed by 201 women who had given birth prematurely. Exploratory factor analysis revealed three factors (staff professionalism and empathy, confidence in Staff, information and explanations) with eigenvalues greater than 1, explaining a total variance of 55.4%. Confirmatory factory analysis showed that the 17-item, three factor model fitted the data well: the root mean square error of approximation 0.060. There were moderate correlations between the total and sub-scales of Iranian P-BESS and overall satisfaction (r = 0.45 to 0.66), as well as need for improvement (r = -0.46 to -0.61), which confirm convergent validity. Internal consistency and test-retest reliability of the scale and its sub-scales were satisfactory (α = 0.852 to 0.922, intraclass correlation coefficient; 0.83 to 0.92). The Iranian version of P-BESS is a valid and reliable scale which can be used by policy makers, managers, health care providers and researchers.
医疗服务提供者、管理人员和政策制定者越来越关注女性在分娩护理方面的经历和满意度。由于需要一种经过验证的特殊量表来评估早产女性的满意度，我们旨在将首个特定工具——早产经历与满意度量表（P-BESS）翻译成波斯语并进行改编，并评估其心理测量特性。在大不里士的两家三级妇产医院进行了一项方法学横断面研究。该量表的伊朗版本是通过正反翻译从原始英文版本开发而来的。在确认其表面效度和内容效度后，201名早产女性完成了该量表。探索性因素分析揭示了三个特征值大于1的因素（工作人员的专业精神和同理心、对工作人员的信心、信息与解释），解释了总方差的55.4%。验证性因素分析表明，17项三因素模型与数据拟合良好：近似均方根误差为0.060。伊朗版P-BESS的总分和子量表与总体满意度（r = 0.45至0.66）以及改进需求（r = -0.46至-0.61）之间存在中等相关性，这证实了收敛效度。该量表及其子量表的内部一致性和重测信度令人满意（α = 0.852至0.922，组内相关系数；0.83至0.92）。伊朗版P-BESS是一个有效且可靠的量表，可供政策制定者、管理人员、医疗服务提供者和研究人员使用。
