|
|
Preparation and validity of the willingness scale to assess maternal psychological trauma during childbirth |
RAN Ying1 ZHANG Silian1 LI Yufeng1 BAI Aoshuang1 JIANG Yifei1 LI Fengling1,2 HOU Hailong3 OUYANG Tianrui2 |
1.College of Nursing, North Sichuan Medical College, Sichuan Province, Nanchong 637000, China;
2.Department of Obsetrical, Affiliated Hospital of North Sichuan Medical College, Sichuan Province, Nanchong 637000, China;
3.College of Nursing, China Medical University, Liaoning Province, Shenyang 110000, China
|
|
|
Abstract Objective To develop a scale of maternal willingness to assess psychological trauma during childbirth and test its reliability and validity. Methods By means of qualitative research, expert letter consultation, pre-experiment, and large sample survey, objective sampling method was adopted to conduct qualitative interviews and construct questionnaire item pool among 22 pregnant women from five first-class hospitals in Sichuan Province from November 2021 to January 2022, and then construct the draft scale based on the results of expert letter consultation. From February to June 2022, a total of 171 pregnant women were selected for pre-experiment, items of the scale were optimized through item analysis, exploratory factor analysis was carried out, and a large sample of 264 pregnant women were investigated to measure the reliability and validity of the scale. Results The final scale consisted of one dimension and 15 items. Exploratory factor analysis extracted one common factor and the cumulative variance contribution rate was 80.890%. The confirmatory factor analysis showed that the model fit of the scale was good (χ2/df=2.386,RMSEA=0.069,GFI=0.94,CFI=0.964,RMR=0.032,NFI=0.94,NNFI= 0.958). The I-CVI was 0.800-1.000 and the S-CVI was 0.860. The Cronbach’s α was 0.993. The half-reliability was 0.918, and the retest reliability was 0.885. Conclusion The willingness scale to assess maternal psychological trauma during childbirth has good reliability and validity.
|
|
|
|
|
[1] Ayers S,Wright DB,Thornton A. Development of a Measure of Postpartum PTSD:The City Birth Trauma Scale [J]. Front Psychiatry,2018,9:409.
[2] Beck CT. Middle Range Theory of Traumatic Childbirth:The Ever-Widening Ripple Effect [J]. Glob Qual Nurs Res,2015, 2:2333393615575313.
[3] 孕产妇心理健康管理专家共识(2019年)[J].中国妇幼健康研究,2019,30(7):781-786.
[4] Ajzen I. The theory of planned behavior,organizational beha- vior and human decision processes [J]. J Leis Res,1991, 50 (2):176-211.
[5] Ajzen I. The theory of planned behaviour:reactions and reflections [J]. Psychol Health,2011,26(9):1113-1127.
[6] 樊雪梅,蒲丛珊,张爱霞,等.孕产妇分娩心理创伤的研究进展[J].中华护理杂志,2022,57(10):1256-1262.
[7] Menegol NA,Ribeiro SNS,Okubo R,et al. Quality Assessment of Neonatal Pain Scales Translated and Validated to Brazilian Portuguese:A Systematic Review of Psychometric Properties [J]. Pain Manag Nurs,2022,23(4):559-565.
[8] Liu LG,Russell D,Reading Turchioe M,et al. Faces Scales for Anxiety and Anger:A National Study of Measurement Properties [J]. J Clin Psychiatry,2022,83(5):21m14202.
[9] 彭健,郑苏娜,张晓菊,等.基于COSMIN的胃肠道肿瘤患者化疗期间自我管理测量工具开发[J].护理学杂志,2021,36(18):6-9.
[10] DeVellis RF,Thorpe CT. Scale development:Theory and applications [M]. California:Sage publications,2021.
[11] Baird C,Archer J,Gardner A,et al. Outcomes Evaluating Quality of Life and Their Measurement Properties in Early- onset Scoliosis:A Systematic Review [J]. J Pediatr Orthop, 2022,42(9):e917-e924.
[12] 李晓松.医学统计学[M].3版.北京:高等数学出版社,2014:19-21.
[13] 赵丹,杨艳,杨林宁.认知性访谈在PROMIS慢性病管理自我效能感量表汉化中的应用[J].护士进修杂志,2021,36(11):967-972.
[14] 刘颖,郭娜菲,张兰,等.女性分娩创伤及其影响评估工具研究进展[J].中国护理管理,2020,20(8):1253-1257.
[15] Anderson C. Construct validity of the childbirth trauma index for adolescents [J]. J Perinat Educ,2011,20(2):78-90.
[16] Martínez-Vazquez S,Rodríguez-Almagro J,Hernández-Martínez A,et al. Long-Term High Risk of Postpartum Post-Traumatic Stress Disorder (PTSD) and Associated Factors [J]. J Clin Med,2021,10(3):488.
[17] 王梅芳,郑文凯,杜娟,等.产妇产后不同时段创伤应激障碍与心理弹性变化及相关性分析[J].护理研究,2022, 36(16):2992-2995.
[18] Sexton MB,Hamilton L,McGinnis EW,et al. The roles of resilience and childhood trauma history:main and moderating effects on postpartum maternal mental health and functioning [J]. J Affect Disord,2015,174:562-568.
[19] 蒋国路,李奉玲,蒋莉,等.女性分娩心理创伤评估工具及干预的研究进展[J].中国计划生育学杂志,2022,30(10):2406-2414.
[20] 代玲,曾铁英,张可,等.助产士继发性创伤应激的研究进展[J].护理研究,2021,35(17):3103-3106.
[21] Roy A,Carli V,Sarchiapone M. Resilience mitigates the suicide risk associated with childhood trauma [J]. J Affect Disord,2011,133(3):591-594.
[22] Clapton-Caputo E,Sweet L,Muller A. A qualitative study of expectations and experiences of women using a social media support group when exclusively expressing breastmilk to feed their infant [J]. Women Birth,2021,34(4):370-380.
[23] 刘丹,何悦,王茜.基于计划行为理论的哺乳期妇女捐赠及接受捐赠母乳意愿的调查分析[J].护士进修杂志,2021,36(11):1038-1041.
[24] 程雪,许翠萍,王君芝,等.基于计划行为理论无痛分娩意向自评量表的编制及信效度检验[J].护士进修杂志,2022,37(6):540-546.
[25] Prinsen CAC,Mokkink LB,Bouter LM,et al. COSMIN gui- deline for systematic reviews of patient-reported outcome measures [J]. Qual Life Res,2018,27(5):1147-1157. |
|
|
|