Martell L K
Health Care Women Int. 1996 Jan-Feb;17(1):1-13. doi: 10.1080/07399339609516215.
Rubin's "taking-in" and "taking-hold" model has been a dominant paradigm for postpartum nursing. To determine whether "taking-in" and "taking-hold" apply to contemporary hospitalized postpartum women, I conducted a repeated measures survey of 95 women with uncomplicated postpartum courses after vaginal births during their hospital stay. "Taking-in" and "taking-hold" were measured with the Martell Postpartum Questionnaire-Revised (MPQ-R), a paper-and-pencil instrument. An expert panel established the content validity of the MPQ-R in this study. Cronbach's alpha for the two subscales ranged from .40 to .60, a result of skewed distribution of items or lack of variability in scores. The participants were neither "taking-in" nor "taking-hold." The distribution of the participants' responses was similar to each others' and indicated that their postpartum experiences included some aspects of both "taking-in" and "taking-hold." Despite the limitations of the MPQ-R and the research methods, the findings suggest that Rubin's theory has limited usefulness for postpartum nursing of contemporary women.
鲁宾的“接纳”和“掌控”模型一直是产后护理的主导范式。为了确定“接纳”和“掌控”是否适用于当代住院的产后女性，我对95名阴道分娩后产后过程正常的女性在住院期间进行了一项重复测量调查。“接纳”和“掌控”是用修订后的马特尔产后问卷（MPQ-R）进行测量的，这是一种纸笔式工具。一个专家小组确定了MPQ-R在本研究中的内容效度。两个子量表的克朗巴赫α系数在0.40至0.60之间，这是项目分布偏态或分数缺乏变异性的结果。参与者既没有处于“接纳”状态，也没有处于“掌控”状态。参与者的回答分布彼此相似，表明她们的产后经历包括了“接纳”和“掌控”的一些方面。尽管MPQ-R和研究方法存在局限性，但研究结果表明，鲁宾的理论对当代女性产后护理的实用性有限。
