孕期保健质量问卷的跨文化调适及适用性研究

发布时间：2018-03-13 18:19

本文选题：孕期保健　切入点：保健质量　出处：《杭州师范大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的1对孕期保健质量问卷(Quality of Prenatal Care Questionnaire,QPCQ)进行跨文化调适,为我国引进评价孕期保健质量的量化工具。2通过横断面调查性研究对中文版孕期保健质量问卷的信度、效度进行评价,探索其在我国的适用性。方法1遵照国际通用的问卷跨文化调适程序,获得问卷原开发团队的授权和支持后,经过正译、综合、回译、原作者确认、专家委员会评审、认知调查,形成中文版QPCQ。2便利抽样杭州市两家医院350名孕36周后的孕妇,对中文版QPCQ的信效度进行测评。采用结构效度、效标效度、内部一致性信度对中文版QPCQ进行信、效度评价。同时,采用t检验、方差分析、多重线性回归等方法分析孕妇一般资料中与孕期保健质量相关的影响因素。结果1中文版QPCQ条目语义清晰易懂,便于研究者应用和研究对象填写,填写问卷所用时间范围约为5~10分钟,平均用时6.81分钟。2中文版QPCQ的效度评价结果:验证性因子分析结果显示,调查数据与问卷假定理论模型的适配系数为GFI=0.840,AGFI=0.811,RMSEA=0.068,TLI=0.927,IFI=0.938,CFI=0.937,均已达到或接近适配标准。以孕期保健满意度为指标检验中文版QPCQ的效标效度,孕期保健质量得分与孕期保健满意度呈中等显著正相关(r=0.501,P0.001)。3中文版QPCQ的信度评价结果:总问卷Cronbach’sα系数为0.96,信息分享维度分问卷Cronbach’sα系数为0.87,预期指导维度分问卷Cronbach’sα系数为0.88,充足时间维度分问卷Cronbach’sα系数为0.75,易接近性维度分问卷Cronbach’sα系数为0.76,可获得性维度分问卷Cronbach’sα系数为0.87,支持与尊重维度分问卷Cronbach’sα系数为0.93。4本研究中,中文版QPCQ得分的均分为3.61±0.50。各分问卷得分均分从大到小依次为:信息分享、支持与尊重、易接近性、预期指导、充足时间和可获得性。医生接诊的时间、每次候诊的时间、和对孕妇课堂重要性的认知是孕妇一般资料中与孕期保健质量相关的影响因素。结论中文版QPCQ具有良好的信、效度,适合应用于对我国孕妇孕期保健质量的测量,为我国孕期保健质量的量化测评提供依据,未来研究可以利用它测量孕期保健质量与妊娠结局的相关性,探索影响孕期保健质量的影响因素,指导制定干预方案,进而提高我国孕期保健服务的质量。本研究结果显示我国孕期保健质量与国外水平相比仍存在较大的差距,提示我国孕期保健工作质量还需要进行全面的改进和提高。其中,可获得性和充足时间层面质量评价最低,建议医院可以利用互联网和移动通讯等高新技术,为孕产妇和孕期保健人员搭建有效、便捷的沟通平台,切实满足孕产妇的孕期保健需求。
[Abstract]:Objective 1 to carry out cross-cultural adjustment of the quality of Prenatal Care questionnaire QPCQ, and to evaluate the reliability and validity of the Chinese version of QPCQ through cross-sectional investigation. Methods 1 according to the international common cross-cultural adjustment procedure of questionnaire, after obtaining the authorization and support of the original development team of the questionnaire, after correct translation, synthesis, back translation, the original author confirmed, the expert committee reviews, The cognitive survey showed that the Chinese version of QPCQ.2 was convenient to sample 350 pregnant women after 36 weeks of pregnancy in two hospitals in Hangzhou. The reliability and validity of the Chinese version of QPCQ were evaluated. The reliability of the Chinese version of QPCQ was tested by structural validity, standard validity and internal consistency reliability. At the same time, t test, ANOVA and multiple linear regression were used to analyze the factors related to the quality of pregnancy care in the general data of pregnant women. Results 1 the semantics of the Chinese version of QPCQ items were clear and easy to understand. It was convenient for the researchers to fill out the questionnaire. The time taken to fill out the questionnaire was about 5 minutes, and the average time used was 6.81 minutes. 2. The validity evaluation results of the Chinese version of QPCQ were as follows: confirmatory factor analysis showed that, The fitting coefficient of the data and the hypothetical theoretical model of the questionnaire is GFI / 0.840 / AGFI / 0.811 / RMSEAA 0.068 / TLI / 0.927 / 0.937, which has met or approached the fitting standard. The validity of the Chinese version of QPCQ was tested by using the degree of satisfaction of pregnancy care as an indicator. There was a moderate significant positive correlation between pregnancy health care quality score and maternal health care satisfaction. The reliability evaluation results of the Chinese version of QPCQ were as follows: the Cronbach's 伪 coefficient of the total questionnaire was 0.96, the Cronbach's 伪 coefficient of the information sharing dimension questionnaire was 0.87, and the expected guidance dimension questionnaire was Cronbach's 伪 family. The number is 0.88, the Cronbach's 伪 coefficient of adequate time dimension questionnaire is 0.75, the Cronbach's 伪 coefficient of accessibility dimension questionnaire is 0.76, the Cronbach's 伪 coefficient of available dimension subquestionnaire is 0.87, and the Cronbach's 伪 coefficient of support and respect dimension questionnaire is 0.93.4 in this study. The scores of the Chinese version of QPCQ were 3.61 卤0.50.The average scores of each questionnaire were as follows: information sharing, support and respect, accessibility, expected guidance, sufficient time and availability. Conclusion the Chinese version of QPCQ has good reliability and validity and is suitable for the measurement of pregnant women's health care quality in China. It can be used to measure the relationship between pregnancy care quality and pregnancy outcome, to explore the influencing factors of pregnancy care quality, and to guide the formulation of intervention plan. The results of this study show that there is still a big gap between the quality of health care during pregnancy in China and that of foreign countries, suggesting that the quality of health care during pregnancy needs to be comprehensively improved and improved. Quality evaluation at the level of availability and sufficient time is the lowest. It is suggested that hospitals can use new technologies such as the Internet and mobile communications to build an effective and convenient communication platform for pregnant women and pregnant health workers. To meet the maternal health care needs during pregnancy.
【学位授予单位】：杭州师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R715.3

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