产妇分娩体验量表的汉化及信效度检验

Sinicization and reliability and validity test of Questionnaire Assessing the Childbirth Experience

目的对英文版产妇分娩体验量表(QACE)进行汉化并检验其信效度,丰富我国用于分娩体验的评估工具,为医务人员评估产妇的分娩感受提供指导,为提高产妇的分娩体验提供参考。方法基于Beaton跨文化调适指南进行汉化,包括正译、综合、回译、专家咨询、预试验,以形成中文版QACE。选取2023年5—8月在四川大学华西第二医院、绵阳市中心医院产后门诊就诊的235名产妇进行中文版QACE调查,并检验其信效度。结果235名产妇中,年龄20~29岁79名,30~39岁152名,40~43岁4名。中文版QACE包括情绪状态、与医务人员的关系、初次与新生儿相处、产后1个月的感受4个维度共13个条目,量表的Cronbachα系数为0.812,各维度的Cronbachα系数为0.661~0.844,折半信度为0.527。量表水平的内容效度指数为0.95,通过探索性因子分析提取4个公因子,累计方差贡献率为67.682%。结论中文版QACE具有良好的信效度,可作为评估产妇分娩体验的工具。

ObjectiveTo translate the English version of the Questionnaire Assessing the Childbirth Experience(QACE)into Chinese and test its reliability and validity,enriching the evaluation tools used for delivery experience in China,providing guidance for medical personnel to evaluate the delivery experience of mothers,and providing reference for improving the delivery experience of mothers in the future.MethodsBased on Beaton′s cross-cultural debugging guide,the Chinese version of QACE was developed,including correct translation,comprehensive,back translation,expert consultation and pre-test.The reliability and validity of the questionnaire survey was carried out on 235 participants who visited the postpartum clinic in West China Second Hospital,Sichuan University and Mianyang Central Hospital.ResultsIn 235 participants,aged 20-29 years old with 79 cases,aged 30-39 years old with 152 years old,aged 40-43 years old with 4 cases.The Chinese version of QACE consisted of 4 dimensions(emotional state,relationship with medical staff,first time spent with newborns,and feelings after 1 month postpartum)and 13 items.The Cronbachαcoefficient of the scale was 0.812,the Cronbachαcoefficient of each dimension was 0.661-0.844,and the broken half reliability was 0.527.The scale level content validity index was 0.95.Four common factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was 67.682%.ConclusionsThe Chinese version of QACE has significant reliability and validity,and can be used to evaluate maternal delivery experiences.