基于计划行为理论的无痛分娩意向自评量表构建

Construction of Painless Labor Intention Self-rating Scale Based on Theory of Planned Behavior

目的构建适合我国国情的孕妇的无痛分娩意向自评量表。方法在查阅文献、专家访谈的基础上,根据计划行为理论模型,利用德尔菲专家咨询法对5个省、直辖市涉及7个单位的24名专家进行3轮函询,确立无痛分娩意向自评量表的条目。结果3轮函询专家的积极系数为0.958、0.957、1.000,群体权威系数为0.876、0.883、0.805,协调系数为0.128、0.181、0.333。最终确立了5个一级指标(基本知识、行为态度、主观规范、知觉行为控制、行为意向),35个二级指标的无痛分娩意向自评量表。该量表S-CVI为0.983,I-CVI为0.909~1.000,均高于参考值,表明该量表内容效度较好。结论初步建立的无痛分娩自评量表较全面、科学,专家组成员积极性、权威性、协调性较高,量表内容效度较高,结果可信性高,可为今后孕妇是否选择无痛提供解释,为科学提高无痛分娩率奠定基础。

Objective To establish a painless labor intention self-rating scale for pregnant women in China.Methods After literature review and expert interview,according to theory of planned behavior,Delphi expert consultation method was used to conduct 3 rounds of correspondence consultation among 24 experts in 5 provinces and municipalities directly under the Central Government,and the items of painless delivery intention self-rating scale were identified.Results The positive coefficient of the 3 rounds of expert consultation was 0.958,0.957 and 1.000 respectively;group coefficient of authority 0.876,0.883 and 0.805 respectively,and coordination coefficient 0.128,0.181 and 0.333 respectively.Finally,five first-level indicators including basic knowledge,behavioral attitude,subjective norms,perceived behavioral control and behavioral intention and 35 secondary-level indicators were identified for the self-rating scale of painless labor intention.The S-CVI of the scale was 0.983,and the I-CVI ranged from 0.909 to 1.000,both of which were higher than the reference value,indicating good content validity.Conclusion Thanks to positive,and coordinated expert group,the developed scale is comprehensive and scientific.It may provide reference for painless labor intention and lay a foundation for the improvement of painless delivery rate.