Goudarzi Fatemeh, Babazadeh Raheleh, Ebadi Abbas, Khadivzadeh Talat
Department of Midwifery, Faculty of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran.
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Nurs Midwifery Res. 2024 Jul 24;29(4):479-485. doi: 10.4103/ijnmr.ijnmr_217_21. eCollection 2024 Jul-Aug.
Adaptation to complications of hysterectomy is one of the topics of concern for women and health care providers. There is no instrument for evaluating adaptation to hysterectomy. This study aimed to design the Hysterectomy Adaptation Scale (HAS) and assess its psychometric properties.
This methodological study was conducted from 2018 to 2020 in Mashhad, Iran. To develop the item pool, qualitative data from directed content analysis and data from the review of adaptation and coping instruments were used. The face, content, construct validity, internal consistency, and stability were used to evaluate the psychometric properties of HAS.
The final version of the HAS consisted of 24 items with a reported content validity index of 0.9. Six factors were extracted from the principal component analysis, which explained 60.3 of the observed variance. Model fit indices in confirmatory factor analysis showed that the model was well fitted. The values of the alpha coefficient and intra-class coefficient were 0.86 and 0.95, respectively.
The HAS is a valid and reliable scale for evaluating the adaptation level of hysterectomized Iranian women. HAS can distinguish between hysterectomized women who have adapted to hysterectomy and those who have not. It can be used to assess the adaptation of hysterectomized women in research and clinical practice.
适应子宫切除术后的并发症是女性和医疗保健提供者关注的话题之一。目前尚无评估子宫切除术后适应情况的工具。本研究旨在设计子宫切除术适应量表（HAS）并评估其心理测量特性。
本方法学研究于2018年至2020年在伊朗马什哈德进行。为了构建条目池，使用了定向内容分析的定性数据以及适应和应对工具综述的数据。采用表面效度、内容效度、结构效度、内部一致性和稳定性来评估HAS的心理测量特性。
HAS的最终版本包含24个条目，报告的内容效度指数为0.9。从主成分分析中提取了六个因子，解释了60.3%的观察方差。验证性因子分析中的模型拟合指数表明模型拟合良好。α系数和组内系数的值分别为0.86和0.95。
HAS是评估伊朗子宫切除术后女性适应水平的有效且可靠的量表。HAS可以区分已适应子宫切除术的女性和未适应的女性。它可用于研究和临床实践中评估子宫切除术后女性的适应情况。
