Ratislavová Kateřina, Horová Jana, Marek Patrice
University of West Bohemia, Faculty of Health Care Studies, Husova street 11, Pilsen, 301 00, Czech Republic.
University of West Bohemia, Faculty of Applied Sciences, Technicka street 8, Pilsen, 301 00, Czech Republic.
Zdr Varst. 2024 Mar 20;63(2):100-108. doi: 10.2478/sjph-2024-0014. eCollection 2024 Jun.
Patient satisfaction is an important indicator of the quality of care provided. Evaluating women's satisfaction with childbirth is essential to improving obstetric care and ensuring a positive experience for mothers and newborns. The tools used to measure women's satisfaction with childbirth are very heterogeneous and multidimensional. Assessment tools used in practice should be tested and meet characteristics that are consistently validated.The aim is to identify currently available instruments measuring women's satisfaction with childbirth and to evaluate their structure, content and psychometric properties.
A systematic search for sources was carried out according to the criteria set. For the included studies, psychometric properties were assessed in accordance with the principles of the guideline for completing systematic reviews of patient-reported outcome measures, COSMIN.
The review included 31 studies that reported the psychometric properties of six measurement instruments (questionnaires, scales). Content validity, structural validity, internal consistency, reliability and cross-cultural validity were assessed for the included studies. The Childbirth Experience Questionnaire (CEQ/CEQ2) and Birth Satisfaction Scale - Revised (BSS-R) were the most commonly used questionnaires in the studies.
Thorough testing of tools measuring women's satisfaction with childbirth, and adapting them to cultural and social contexts, is still essential. It is crucial that valid and reliable questionnaires are available for midwives in practice, for use in research, to inform clinical practice and for the results to help develop the services offered.
患者满意度是所提供护理质量的一项重要指标。评估女性对分娩的满意度对于改善产科护理以及确保为母亲和新生儿带来积极体验至关重要。用于衡量女性对分娩满意度的工具非常多样且具有多维度性。实践中使用的评估工具应经过测试并具备持续验证的特征。目的是识别当前可用的衡量女性对分娩满意度的工具，并评估其结构、内容和心理测量特性。
根据设定的标准对资料来源进行系统检索。对于纳入的研究，依据《患者报告结局测量系统评价指南》（COSMIN）的原则评估心理测量特性。
该综述纳入了31项报告了六种测量工具（问卷、量表）心理测量特性的研究。对纳入研究评估了内容效度、结构效度、内部一致性、信度和跨文化效度。分娩体验问卷（CEQ/CEQ2）和修订后的分娩满意度量表（BSS-R）是研究中最常用的问卷。
对衡量女性对分娩满意度的工具进行全面测试，并使其适应文化和社会背景仍然至关重要。对于助产士在实践中、研究中使用、为临床实践提供信息以及使结果有助于发展所提供的服务而言，拥有有效且可靠的问卷至关重要。
