Hawsawi Abeer, Fernandez Ritin, Mackay Maria, Alananzeh Ibrahim, Al Mutair Abbas
College of Nursing, King Saud University, Riyadh 12372, Saudi Arabia.
School of Nursing and Midwifery, The University of Newcastle, Newcastle, NSW 2258, Australia.
Nurs Rep. 2024 Oct 11;14(4):2946-2955. doi: 10.3390/nursrep14040215.
BACKGROUND/OBJECTIVES: The World Health Organization recommends skin-to-skin contact immediately after birth, yet the practice rate remains low in Saudi Arabia, impacting the health and well-being of mother-baby dyads. No previous studies have explored Saudi women's attitudes toward skin-to-skin contact, a critical factor in developing strategies to increase its adoption. This study aimed to develop and evaluate an instrument to assess attitudes toward skin-to-skin contact among women in Saudi Arabia.
An instrument was developed by modifying the validated "Mother-Newborn Skin-to-Skin Contact Questionnaire". Psychometric testing was conducted to validate the instrument through a cross-cultural survey involving 383 participants recruited from two hospitals in Saudi Arabia using a convenience sampling method. The Kaiser-Meyer-Olkin measure of sampling adequacy was 0.885, indicating that the sample size was suitable for performing exploratory factor analysis.
The overall Cronbach's alpha value was 0.85, reflecting adequate internal consistency of the questionnaire. The criteria of the two-factor confirmatory factor analysis were also met. The majority of women (85.6%) demonstrated a positive attitude towards skin-to-skin contact. A positive correlation was observed between higher educational levels and the total attitude score (r = 0.161, = 0.002).
The developed questionnaire is a reliable tool for measuring attitudes towards skin-to-skin contact among women in Saudi Arabia. The findings highlight the importance of educational interventions to improve the uptake of this practice.
背景/目的：世界卫生组织建议婴儿出生后立即进行皮肤接触，但沙特阿拉伯的实施率仍然很低，这影响了母婴的健康和幸福。此前没有研究探讨过沙特女性对皮肤接触的态度，而这是制定提高其采用率策略的关键因素。本研究旨在开发和评估一种工具，以评估沙特阿拉伯女性对皮肤接触的态度。
通过修改经过验证的“母婴皮肤接触问卷”来开发一种工具。通过一项跨文化调查进行心理测量测试，以验证该工具，该调查涉及使用便利抽样方法从沙特阿拉伯两家医院招募的383名参与者。凯泽-迈耶-奥尔金抽样适当性度量值为0.885，表明样本量适合进行探索性因素分析。
总体克朗巴哈系数值为0.85，反映出问卷具有足够的内部一致性。两因素验证性因素分析的标准也得到了满足。大多数女性（85.6%）对皮肤接触持积极态度。观察到较高教育水平与总体态度得分之间存在正相关（r = 0.161，P = 0.002）。
所开发的问卷是测量沙特阿拉伯女性对皮肤接触态度的可靠工具。研究结果凸显了教育干预对提高这种做法采用率的重要性。
