Department of Nursing, Graduate School of Medicine, Yokohama City University, Yokohama, Kanagawa, Japan.
Department of Economics, Keio University, Tokyo, Japan.
Jpn J Nurs Sci. 2025 Jan;22(1):e12621. doi: 10.1111/jjns.12621. Epub 2024 Oct 1.
Evidence-based indicators are needed to increase the frequency of practicing care for hiesho, which can be a risk factor during childbirth. Such practice will lead to hiesho prevention. This study aimed to develop a Hiesho Care Practice Scale (HCPS) for pregnant women and examine its reliability and validity.
To develop a HCPS and examine its reliability and validity, we conducted a questionnaire-based survey among nurses who provide hiesho care for pregnant women in Japan.
The analysis included 100 participants (recovery rate: 96%). Exploratory factor analysis produced four factors and 20 items. The model's fit indices obtained from the confirmatory factor analysis include goodness of fit of .80, adjusted goodness of fit of .75, comparative fit index of .88, and root mean squared error of approximation of .08. The correlation coefficients for the patient coaching skill evaluation scale for criterion-related validity test ranged from .23 to .51 (p < .01). Cronbach's α was .88, and intraclass correlation coefficient (ICC) was .81.
The HCPS developed in this study consisted of four factors and 20 items, and its reliability and validity were verified. This scale enables the subjective and objective evaluation of hiesho care practice in the nursing profession. It may contribute to standardizing and developing improvement measures for hiesho care among pregnant women by nurses and midwives.
需要有循证指标来增加实践产褥布护理的频率，这是分娩过程中的一个风险因素。这种做法将有助于预防产褥布。本研究旨在为孕妇开发一种产褥布护理实践量表（HCPS），并检验其信度和效度。
为了开发 HCPS 并检验其信度和效度，我们对在日本为孕妇提供产褥布护理的护士进行了基于问卷的调查。
分析纳入了 100 名参与者（回收率：96%）。探索性因素分析产生了四个因素和 20 个项目。验证性因素分析得出的模型拟合指数包括拟合优度.80、调整拟合优度.75、比较拟合指数.88 和近似均方根误差.08。用于相关效标效度检验的患者辅导技能评价量表的相关系数范围为.23 至.51（p<.01）。Cronbach's α 为.88，组内相关系数（ICC）为.81。
本研究开发的 HCPS 由四个因素和 20 个项目组成，其信度和效度得到了验证。该量表可用于对护理专业的产褥布护理实践进行主观和客观评价。它可以通过护士和助产士来规范和制定孕妇产褥布护理的改进措施。
