1 型糖尿病女性的性生殖健康特征的开发和心理测量评估。

Development and psychometric assessment of the sexual-reproductive health profile of women with type-1 diabetes mellitus.

机构信息

Department of Midwifery, Karaj Branch, Islamic Azad University, Karaj, Iran.

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

出版信息

BMC Public Health. 2022 Nov 4;22(1):2018. doi: 10.1186/s12889-022-14400-5.

DOI:10.1186/s12889-022-14400-5

PMID:36333733

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9636675/

Abstract

BACKGROUND

To improve the sexual-reproductive health (SRH) of women with type-1 diabetes mellitus (T1DM), plans should be formulated on the basis of the existing situation. The situation can be examined by a valid tool conforming to the specific domains of SRH in the target group. The present study seeks to develop and assess the psychometric properties of the SRH Profile of Women with T1DM.

METHOD

Based on the extracted concepts of SRH Profile of Women with T1DM in a previously conducted study, a tool was designed using the following steps: The selection of the conceptual model, explaining the objectives, designing the roadmap and development of the tool. In the psychometric assessment phase, the content, face and construct validity (convergent validity and principal component analysis) were assessed with the participation of 365 married women of reproductive age with T1DM. The reliability of the tool was determined by the internal consistency method (Cronbach's alpha) and its stability using the test-retest method (Intraclass Correlation Coefficients).

RESULTS

The SRH Profile of Women with T1DM was formed with 53 items in two sections. Twenty-six items were about safe motherhood and reproductive system; 27 items were about the three components of concerns about the reproductive system health and function, sexual health and function, and violence related to T1DM. The three components in the second section explained 49.44% of the total variance. Cronbach's alpha was 0.872 and the total intra-cluster correlation coefficient was 0.946.

CONCLUSION

SRH Profile of Women with T1DM is a valid, reliable, and specific tool for assessing sexual-reproductive health in women with type-1 diabetes mellitus.

摘要

背景

为了提高 1 型糖尿病（T1DM）女性的性生殖健康（SRH），应根据现状制定计划。可以使用符合目标人群 SRH 特定领域的有效工具来检查情况。本研究旨在开发和评估 T1DM 女性 SRH 概况的心理测量特性。

方法

基于之前进行的研究中 T1DM 女性 SRH 概况中提取的概念，使用以下步骤设计了一种工具：选择概念模型、解释目标、设计路线图和开发工具。在心理测量评估阶段，有 365 名处于生育年龄的已婚 T1DM 女性参与了该工具的内容、表面和结构有效性（收敛有效性和主成分分析）评估。通过内部一致性法（Cronbach's alpha）和测试-重测法（Intraclass Correlation Coefficients）确定了工具的可靠性。

结果

T1DM 女性 SRH 概况由两部分的 53 个项目组成。26 个项目涉及母婴安全和生殖系统；27 个项目涉及生殖系统健康和功能、性健康和功能以及与 T1DM 相关的暴力三个组成部分。第二部分的三个组成部分解释了总方差的 49.44%。Cronbach's alpha 为 0.872，总群内相关系数为 0.946。