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调查接受子宫切除术的已婚女性沟通网络中的伦理考量:问卷编制

Investigating ethical considerations in the communication network of married women undergone hysterectomy: instrumentation of a questionnaire.

作者信息

Bahador Elahe, Tajadiny Laleh, Nataj Abolfazl Hossein, Ghazanfarpour Masumeh, Arashlouei Azam Zare, Ahmadi Atefeh, Khorasani Fahimeh, Mobasher Mina, Tajadini Jaleh

机构信息

Reproductive and Family Health Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Student Research Committee, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

BMC Med Ethics. 2024 Dec 21;25(1):146. doi: 10.1186/s12910-024-01152-7.

Abstract

INTRODUCTION

Considering the importance of complying medical and general ethics and the lack of a study on determining ethical considerations in the communication network of women undergoing hysterectomy surgery, this study aimed to present these aspects in the patients' lives by a standard researcher-made instrument.

METHOD

This mixed method analysis (exploratory sequential mixed methods design was conducted in the whole of 2020 to create the "ethical considerations in communication network of women undergone hysterectomy" questionnaire and investigate its psychometric properties. A researched-made instrument was validated and its psychometric properties were checked among 218 women by confirmatory factor analysis (CFA).

RESULTS

Accordingly, the 8 factors extracted included "complying ethical consideration by the physician (a)", "complying ethical consideration by medical team (b)", "complying ethical consideration in the hospital (c)", "complying ethical consideration by the secretory in the clinic (d)", "complying ethical consideration by the spouse (e)", and "complying ethical consideration by the family and friends (f)", "complying ethical consideration by the media and society (g)" and "complying ethical consideration by herself (h)". The results of Cronbach's alpha test showed that there is moderate to good internal consistency in all dimensions. Cronbach's alpha for the whole questionnaire was calculated as 0.75, which shows that the internal consistency is at a good level.

CONCLUSION

According to the results of this study, the reliability (internal consistency) and construct validity of the ethical considerations in the communication network of women undergoing hysterectomy questionnaire were confirmed. However, in light of the study limitations, caution should be practiced in the interpretation of the results. There is a need for further longitudinal studies in multiple settings using random sampling methods.

摘要

引言

考虑到遵守医学伦理和一般伦理的重要性,以及缺乏关于确定子宫切除手术女性沟通网络中伦理考量的研究,本研究旨在通过一种标准的研究者自制工具呈现这些患者生活中的方面。

方法

本混合方法分析(探索性序列混合方法设计)于2020年全年进行,以创建“子宫切除女性沟通网络中的伦理考量”问卷并调查其心理测量特性。通过验证性因素分析(CFA)在218名女性中对一种研究者自制工具进行了验证并检查了其心理测量特性。

结果

据此,提取的8个因素包括“医生遵守伦理考量(a)”、“医疗团队遵守伦理考量(b)”、“医院遵守伦理考量(c)”、“诊所秘书遵守伦理考量(d)”、“配偶遵守伦理考量(e)”、“家人和朋友遵守伦理考量(f)”、“媒体和社会遵守伦理考量(g)”以及“她自己遵守伦理考量(h)”。克朗巴哈α检验结果表明,所有维度都具有中等至良好的内部一致性。整个问卷的克朗巴哈α系数计算为0.75,这表明内部一致性处于良好水平。

结论

根据本研究结果,子宫切除女性沟通网络中伦理考量问卷的信度(内部一致性)和结构效度得到了证实。然而,鉴于研究局限性,在结果解释时应谨慎。需要在多个环境中使用随机抽样方法进行进一步的纵向研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d65/11662485/0fc55b417059/12910_2024_1152_Fig1_HTML.jpg

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