分娩满意度量表-修订版的汉化及信效度检验
Cross-cultural adaptation, reliability, and validity of the Birth Satisfaction Scale-Revised
摘要目的:汉化分娩满意度量表-修订版(BSS-R),并检验BSS-R的心理测量学属性。方法:遵循Beaton跨文化调适指南,通过正译、回译、专家咨询、预试验,形成汉化版BSS-R。便利抽样法选取四川大学华西第二医院和绵阳市中心医院产后门诊就诊的347名产妇为研究对象,以检验汉化版BSS-R信效度。结果:有效回收问卷340份,产妇年龄以30 ~ 39岁居多,共220名占64.7%。BSS-R遵循严格的汉化程序修订后,其涵盖"分娩压力感知、女性自我特征、照护质量"3个维度,由10个条目组成。总量表Cronbach α系数为0.745,各维度为0.523 ~ 0.738,总量表折半信度为0.746,各维度为0.523 ~ 0.733。探索性因子结果显示,汉化版BSS-R共提取3个公因子,其累计方差贡献率为58.868%。验证性因子分析结果显示,汉化版BSS-R模型拟合指数较好。 结论:汉化版BSS-R简洁易懂,语义表达清晰,具有良好的信效度,可以作为我国测量分娩满意度的评估工具。
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abstractsObjective:To translate the Birth Satisfaction Scale-Revised (BSS-R) into Chinese and assesses the psychometric properties of this tool.Methods:Following the Beaton cross-cultural adaptation guidelines, the Chinese version of BSS-R was formed through forward translation, back translation, expert consultation, and pre-testing. The present study was conducted in a sample of 347 women took part between 6-8 weeks postpartum, from the postpartum clinics of two tertiary hospitals in Sichuan province.Results:Totally 340 questionnaires were effectively collected with a majority of respondents aged 30-39 accounting for 64.7% of the total. The Chinese version of BSS-R comprises 10 items, which were classified into three domains as stress experienced during labour, women′s personal attributes, and quality of care provision. The Cronbach α coefficient was 0.745 for the total scale and ranged from 0.523 to 0.738 for sub-scales. The split-half reliability was 0.746 for the total scale, and ranged from 0.523 to 0.733 for sub-scales. Exploratory factor analysis revealed the presence of three components with eigen values greater than 1, explaining a total variance of 58.868%. The fit indices showed that the original correlated three factor model of Chinese version of BSS-R was adequate.Conclusions:The Chinese version of BSS-R can be considered a clear, easily understandable and convenient tool for assessing the women′s birth satisfaction in Chinese cultural context.
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