围生期产妇健康素养量表的编制及信效度测试

发布时间：2018-04-25 18:32

本文选题：围生期 + 健康素养　；参考：《中南大学》2014年硕士论文

【摘要】：目的：探索围生期产妇健康素养结构,编制适合我国的围生期产妇健康素养量表,并进行信、效度评估。方法：以卫生部2012颁布的《母婴健康素养----基本知识与技能(试行)》55条为蓝本,综合相关文献,针对围生期产妇自身及对新生儿抚养的健康素养,编制相应测评量表。根据Delphi专家函询法经过两轮、7位专家函询的反馈建议,修改完善量表条目池,形成围生期产妇自身及对新生儿抚养健康素养量表(调查版)。运用此调查版量表,采用整群抽样方法,抽取长沙市三所三级甲等医院350名围生期产妇进行问卷调查。调查结果采用Epidata3.02建立数据库,运用SPSS19.0及LISREL8.70软件通过t检验法、反应度分析、相关系数法、因子分析法、可靠性分析对量表条目进行筛选。保留条目组成围生期产妇健康素养量表(测试版),对量表的内部一致性信度、内容效度、结构效度进行检验。结果：1、编制成的围生期产妇健康素养量表(测试版)包含34个条目,分为基本知识与理念、生活方式与行为、基本技能三个维度。经筛选后量表的反应度和区分度均较好； 2、量表总克朗巴赫α系数为0.819,表示所制成量表的内部一致性信度较好； 3、探索性因子分析提取3个公因子,累积方差贡献率34.65%,验证性因子分析模型评价指标中,x2/df为2.47,RMSEA为0.067,NFI为0.81,NNFI为0.88,CFI为0.88,表明量表模型结构拟合,结构效度尚可接受。结论编制成的围生期产妇健康素养量表(测试版)信、效度尚可接受,为有效、敏感的测评工具,可为围生期产妇健康素养测评提供依据。
[Abstract]:Objective: to explore the structure of perinatal maternal health literacy and to compile perinatal health literacy scale and evaluate its reliability and validity. Methods: taking 55 items of "Maternal and Child Health Literacy-basic knowledge and skills (trial)" issued by Ministry of Health 2012 as the blueprint, and synthesizing the relevant literature, the relevant scales were compiled for the perinatal women's health literacy and their newborns' upbringing. According to the feedback advice of two rounds and seven experts of Delphi expert inquiry method, the questionnaire pool was modified to form the perinatal maternal health literacy scale for their own and newborn care (investigation version). Using this questionnaire, 350 perinatal parturients in three Grade 3A hospitals in Changsha were investigated by cluster sampling. Results Epidata3.02 was used to establish database and SPSS19.0 and LISREL8.70 software were used to screen the items of the scale by t-test method, reaction degree analysis, correlation coefficient method, factor analysis method and reliability analysis. Perinatal Maternal Health Literacy scale (test version) was used to test the internal consistency reliability, content validity and structural validity of the perinatal maternal health literacy scale. Results the perinatal Maternal Health Literacy scale (test version) consists of 34 items, which are divided into three dimensions: basic knowledge and concept, lifestyle and behavior, and basic skills. After screening, the response and differentiation of the scale were good. 2, the 伪 coefficient of total kronbach was 0.819, which indicated that the internal consistency reliability of the scale was better; 3. Three common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 34.65. In the evaluation index of confirmatory factor analysis, the RMSEA was 2.47% and the NFI was 0.81 NNFI (0.88), which indicated that the model structure fit and the structural validity was acceptable. Conclusion the perinatal perinatal health literacy scale (test version) has acceptable validity. It is an effective and sensitive tool for perinatal maternal health literacy evaluation.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R714.7

【参考文献】