[1]娄艺,郭胜斌,顾丽香,等.分娩态度量表的修订与信效度研究[J].解放军护理杂志,2021,38(11):29-32.[doi:10.3969/j.issn.1008-9993.2021.11.008]
　LOU Yi,GUO Shengbin,GU Lixiang,et al.Revision and Psychometric Testing of Childbirth Attitudes Questionnaire[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(11):29-32.[doi:10.3969/j.issn.1008-9993.2021.11.008]
点击复制

分娩态度量表的修订与信效度研究()
分享到：

《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年11期
页码:
29-32
栏目:
论著
出版日期:
2021-11-15

文章信息/Info

Title:
Revision and Psychometric Testing of Childbirth Attitudes Questionnaire
文章编号:
1008-9993(2021)11-0029-04
作者:
娄艺1; 郭胜斌2;  顾丽香1; 严丽婷1; 张钱敏1; 邱萍萍1
1.福建医科大学 护理学院,福建 福州 350122; 2.福建省妇幼保健院 护理部,福建 福州 350001
Author(s):
LOU Yi1; GUO Shengbin2; GU Lixiang1; YAN Liting1; ZHANG Qianmin1; QIU Pingping1
1.School of Nursing,Fujian Medical University,Fuzhou 350122,Fujian Province,China; 2.Department of Nursing,Fujian Maternity and Child Health Hospital,Fuzhou 35001,Fujian Province,China
关键词:
分娩恐惧;  分娩态度问卷;  Rasch分析;  信度;  效度
Keywords:
fear of childbirth;  childbirth attitudes questionnaire;  rasch analysis;  validity;  reliability
分类号:
R473.71
DOI:
10.3969/j.issn.1008-9993.2021.11.008
文献标志码:
A
摘要:
目的 对中文版分娩态度量表(childbirth attitudes questionnaire,CAQ)进行修订并检验。方法 2020年6月,采取便利抽样的方法选取在福建省福州市三所医院进行产检的621名孕晚期孕妇作为研究对象,采用一般资料问卷、CAQ量表及分娩恐惧量尺(fear of childbirth scale,FOBS)对其进行调查,应用因子分析结合Rasch分析法修订CAQ并检验修订版CAQ的信效度。结果 主成分分析结果显示,CAQ满足单维度标准,经Rasch分析和因子分析,删除2个条目,形成14个条目的修订版CAQ。验证性因子分析显示,修订版CAQ模型拟合理想; Rasch分析显示,修订版CAQ的个体分割指数和项目分割指数分别为2.88和9.50,个体信度和项目信度分别为0.89和0.99; Cronbach’s α系数为0.92,重测信度系数为0.82; 校标关联效度为0.55(P<0.01),已知组别效度显示,初产妇、有剖宫产倾向的孕妇得分更高(t=-2.01～2.05,P<0.05)。结论 修订版CAQ信效度良好,可作为评估孕晚期女性分娩恐惧的有效工具。
Abstract:
Objective To revised and tested the reliability and validity of the Chinese version of the Childbirth Attitudes Questionnaire(CAQ).Methods In June 2020,621 pregnant women in the third trimester of pregnancy who underwent prenatal examination in three hospitals in Fuzhou,Fujian Province were selected as the research objects.They were investigated by general data questionnaire,CAQ scale and fear of childbirth scale(FOBS)were used.The CAQ was revised by factor analysis combined with Rasch analysis,and the reliability and validity of the revised CAQ were tested.Results The principal component analysis showed that the CAQ met the unidimensional criteria.After the factor analysis and Rasch analysis,two items were removed,and a total of 14 items were retained to form the revised CAQ.Confirmatory factor analysis indicated the one-factor model had good fitting indexes.The person and item separation indices were 2.88 and 9.50,respectively.The person and item reliability indices were 0.89 and 0.99,respectively.The Cronbach’s α coefficient of the scale was 0.92,and the retest reliability was 0.82.The Pearson correlation coefficient of criterion validity was 0.55(P<0.01).The known-groups validity showed that the primipara group and the cesarean-section-preference group got higher scores on the revised CAQ.(t=-2.01 to 2.05,P<0.05).Conclusions The revised CAQ has good reliability and validity and can be used as an effective assessment tool to evaluate the fear of childbirth of women in late pregnancy.

参考文献/References:

[1] DENCKER A,NILSSON C,BEGLEY C,et al.Causes and outcomes in studies of fear of childbirth:a systematic review[J].Women Birth,2019,32(2):99-111.
[2] 中华预防医学会心身健康学组.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.
[3] 危娟,刘洁英,张莉芳,等.分娩恐惧量表的汉化及信效度检测[J].护理学杂志,2016,31(2):81-83.
[4] 张明.孕妇产前分娩恐惧及影响因素的研究[D].长春:吉林大学,2016.
[5] 余民宁.量表编制与发展:Rasch测量模型的应用[M].台湾:心理出版社,2020:38,117-276.
[6] LOWE N K.Self-efficacy for labor and childbirth fears in nulliparous pregnant women[J].J Psychosom Obstet Gynaecol,2000,21(4):219-224.
[7] HAINES H,PALLANT J F,KARLSTROM A,et al.Cross-cultural comparison of levels of childbirth-related fear in an Australian and Swedish sample[J].Midwifery,2011,27(4):560-567.
[8] LORD F M.Applications of item response theory to practical testing problems[M].Hillsdale,New Jersey:Lawrence Erlbaum Associates,1980:26-30.
[9] LINACRE J M.Optimizing rating scale category effectiveness[J].J Appl Meas,2002,3(1):85-106.
[10]YAN Z,Bond T G.Developing a rasch measurement physical fitness scale for Hong Kong primary school-aged students[J].Meas Phys Educ Exerc Sci,2011,15(3):182-203.
[11]TANGLAKMANKHONG K,PERRIN N A,LOWE N K.Childbirth self-efficacy inventory and childbirth attitudes questionnaire:psychometric properties of Thai language versions[J].J Adv Nurs,2011,67(1):193-203.
[12]GOUROUNTI K,KOUKLAKI E,LYKERIDOU K.Validation of the childbirth attitudes questionnaire in Greek and psychosocial characteristics of pregnant women with fear of childbirth[J].Women Birth,2015,28(3):e44-e51.
[13]丁琳,陈素虹,吴家岚,等.Barthel指数在长期护理机构老年痴呆患者中的适用性分析[J].中华护理杂志,2019,54(7):1012-1016.
[14]CHRISTIAENS W,VAN De Velde S,BRACKE P.Pregnant women’s fear of childbirth in midwife-and obstetrician-led care in Belgium and the Netherlands:test of the medicalization hypothesis[J].Women Health,2011,51(3):220-239.
[15]DUNCAN P W,BODE R K,LAI S M,et al.Rasch analysis of a new stroke-specific outcome scale:the stroke impact scale[J].Arch Phys Med Rehabil,2003,84(7):950-963.
[16]方积乾.医学统计学与电脑实验[M].4版.上海:上海科学技术出版社,2012:513-514.
[17]RYDING E L,LUKASSE M,VAN P,et al.Fear of childbirth and risk of cesarean delivery:a cohort study in six European countries[J].Birth,2015,42(1):48-55.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-03-25 【 修回日期 】 2021-08-15
【 作者简介 】 娄艺,硕士,护师,从事妇幼保健研究
【 通信作者 】 邱萍萍,电话:0591-22862526
更新日期/Last Update: 2021-11-20