母乳喂養(yǎng)評估量表的初步修訂與應用
發(fā)布時間：2018-11-25 22:11
【摘要】：目的 1.翻譯英文版母乳喂養(yǎng)評估量表(MBFES),并對其進行文化調適,使之適合中國文化特征。 2.測定中文版MBFES量表的心理學特征。 3.了解長沙市三級醫(yī)院產婦母乳喂養(yǎng)現狀及其主要影響因素,從而為臨床干預提供理論依據。 方法 1.采用Brislin翻譯法對英文版MBFES量表進行翻譯、回譯和文化調適。采用探索性因素分析對量表進行建構。選用Cronbach's α信度、分半信度、重測信度檢驗量表的信度；選用內容效度、結構效度、校標效度考察量表的效度。 2.運用中文版MBFES量表對湖南省長沙市三級醫(yī)院的166名產婦進行橫斷面調查。采用單因素方差分析、t檢驗和多元線性回歸分析長沙市三級醫(yī)院產婦的母乳喂養(yǎng)現狀及影響因素。 結果 1.通過項目分析和探索性因子分析,MBFES量表1個條目被刪除,修訂后的中文版MBFES量表由29個條目3個維度組成。 2.信度檢驗結果：(1)Cronbach's α系數:MBFES各維度的Cronbach's α系數為0.839-0.919,總量表的Cronbach's α系數為0.952。(2)分半信度：MBFES各維度的分半信度系數在0.849-0.901,總量表的分半信度系數為0.949。(3)重測信度：MBFES量表各維度的重測信度系數在0.712-0.790之間,總量表的重測信度為0.805。(4)量表內部一致性：各條目與維度的相關系數在0.574-0.894之間,各維度間相關系數為0.602-0.712,各維度與量表總分間的相關系數為0.851-0.926。 3.效度檢驗結果：(1)內容效度：MBFES量表經過5名專家的評估,內容效度指數為0.896。(2)校標效度：MBFES量表與母乳喂養(yǎng)自信心量表總分相關系數為0.49,MBFES量表與艾氏產后抑郁量表總分相關系數為0.42,均有統計學意義(P0.01)。(3)結構效度：探索性因子分析顯示MBFES量表的3因子模型條目適當,方差累積貢獻率達56.788%。 4.本研究樣本的MBFES量表的總分均分為108.65±16.27分,逐步多元線性回歸分析結果顯示,產婦母乳喂養(yǎng)評估得分主要與產婦年齡、食欲、居住環(huán)境、喂養(yǎng)方式、是否做出喂養(yǎng)計劃、初乳出現的時間、乳頭疼痛、產后乳房按摩、以及預計返回工作崗位的時間有關,可以解釋65.9%的變異。 結論 1. MBFES量表的信度研究表明,該量表的Cronbach's α系數、分半系數和重測信度均達到測量學的要求。 2.3因子模型很好的解釋了MBFES量表的結構,與原作者理論構想擬合較好。 3. MBFES量表可以用來評估中國內地產婦的母乳喂養(yǎng)情況,乳頭疼痛程度和喂養(yǎng)方式是影響產婦母乳喂養(yǎng)滿意度的主要因素。
[Abstract]:Objective 1. English Breastfeeding Assessment scale (MBFES),) is translated and adapted to Chinese culture. 2. The psychological characteristics of the Chinese version of MBFES scale were measured. 3. To understand the current situation of breast-feeding and its main influencing factors in the third class hospital of Changsha, and to provide theoretical basis for clinical intervention. Method 1. The English version of MBFES was translated, translated and culturally adjusted by Brislin. Exploratory factor analysis was used to construct the scale. Cronbach's 偽 reliability, split-half reliability, test-retest reliability test, content validity, structural validity and calibration validity were used to investigate the validity of the scale. 2. The Chinese version of MBFES scale was used to investigate 166parturients in the third class hospital of Changsha, Hunan Province. Single factor analysis of variance (ANOVA), t test and multivariate linear regression analysis were used to analyze the current situation and influencing factors of breast-feeding of parturient in tertiary hospitals of Changsha. Result 1. Through item analysis and exploratory factor analysis, one item of MBFES scale was deleted, and the revised Chinese version of MBFES scale consisted of 29 items and 3 dimensions. 2. The results of reliability test were as follows: (1) Cronbach's 偽 coefficient: the Cronbach's 偽 coefficient of each dimension of MBFES was 0.839-0.919, The Cronbach's 偽 coefficient of the total table is 0.952. (2) split-half reliability: the split-half reliability coefficient of each dimension of MBFES is 0.849-0.901. The split-half reliability coefficient of the total scale is 0.949. (3) retest reliability: the retest reliability coefficient of each dimension of MBFES scale is between 0.712 and 0.790. The test-retest reliability of the total scale was 0.805. (4) the internal consistency of the scale: the correlation coefficient between each item and dimension was 0.574-0.894, and the correlation coefficient between each dimension was 0.602-0.712. The correlation coefficient between each dimension and the total score of the scale was 0.851-0.926. 3. Results of validity test: (1) content validity: the content validity index of MBFES scale was 0.896. (2) calibration validity: the correlation coefficient between MBFES scale and breast feeding self-confidence scale was 0.49. The correlation coefficient between the MBFES scale and the total score of the Ehrlich postpartum depression scale was 0.42, which had statistical significance (P0.01). (3) structural validity. Exploratory factor analysis showed that the 3-factor model items of the MBFES scale were appropriate. The cumulative contribution rate of variance was 56.788%. 4. The total score of MBFES scale of this study was 108.65 鹵16.27. The results of stepwise multiple linear regression analysis showed that the evaluation scores of breast-feeding were mainly related to maternal age, appetite, living environment, feeding mode, whether to make feeding plan or not. The timing of colostrum, nipple pain, postpartum breast massage, and estimated time to return to work could account for 65.9 percent of the variation. Conclusion 1. The reliability of MBFES scale showed that the Cronbach's 偽 coefficient, split-half coefficient and test-retest reliability of the scale met the requirements of measurement. The 2. 3 factor model explained the structure of MBFES well and fitted well with the original author's theory. 3. The MBFES scale can be used to assess the breast feeding status in mainland Chinese women. The degree of nipple pain and feeding style are the main factors affecting the maternal breastfeeding satisfaction.
【學位授予單位】：中南大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R174
本文編號：2357515
[Abstract]:Objective 1. English Breastfeeding Assessment scale (MBFES),) is translated and adapted to Chinese culture. 2. The psychological characteristics of the Chinese version of MBFES scale were measured. 3. To understand the current situation of breast-feeding and its main influencing factors in the third class hospital of Changsha, and to provide theoretical basis for clinical intervention. Method 1. The English version of MBFES was translated, translated and culturally adjusted by Brislin. Exploratory factor analysis was used to construct the scale. Cronbach's 偽 reliability, split-half reliability, test-retest reliability test, content validity, structural validity and calibration validity were used to investigate the validity of the scale. 2. The Chinese version of MBFES scale was used to investigate 166parturients in the third class hospital of Changsha, Hunan Province. Single factor analysis of variance (ANOVA), t test and multivariate linear regression analysis were used to analyze the current situation and influencing factors of breast-feeding of parturient in tertiary hospitals of Changsha. Result 1. Through item analysis and exploratory factor analysis, one item of MBFES scale was deleted, and the revised Chinese version of MBFES scale consisted of 29 items and 3 dimensions. 2. The results of reliability test were as follows: (1) Cronbach's 偽 coefficient: the Cronbach's 偽 coefficient of each dimension of MBFES was 0.839-0.919, The Cronbach's 偽 coefficient of the total table is 0.952. (2) split-half reliability: the split-half reliability coefficient of each dimension of MBFES is 0.849-0.901. The split-half reliability coefficient of the total scale is 0.949. (3) retest reliability: the retest reliability coefficient of each dimension of MBFES scale is between 0.712 and 0.790. The test-retest reliability of the total scale was 0.805. (4) the internal consistency of the scale: the correlation coefficient between each item and dimension was 0.574-0.894, and the correlation coefficient between each dimension was 0.602-0.712. The correlation coefficient between each dimension and the total score of the scale was 0.851-0.926. 3. Results of validity test: (1) content validity: the content validity index of MBFES scale was 0.896. (2) calibration validity: the correlation coefficient between MBFES scale and breast feeding self-confidence scale was 0.49. The correlation coefficient between the MBFES scale and the total score of the Ehrlich postpartum depression scale was 0.42, which had statistical significance (P0.01). (3) structural validity. Exploratory factor analysis showed that the 3-factor model items of the MBFES scale were appropriate. The cumulative contribution rate of variance was 56.788%. 4. The total score of MBFES scale of this study was 108.65 鹵16.27. The results of stepwise multiple linear regression analysis showed that the evaluation scores of breast-feeding were mainly related to maternal age, appetite, living environment, feeding mode, whether to make feeding plan or not. The timing of colostrum, nipple pain, postpartum breast massage, and estimated time to return to work could account for 65.9 percent of the variation. Conclusion 1. The reliability of MBFES scale showed that the Cronbach's 偽 coefficient, split-half coefficient and test-retest reliability of the scale met the requirements of measurement. The 2. 3 factor model explained the structure of MBFES well and fitted well with the original author's theory. 3. The MBFES scale can be used to assess the breast feeding status in mainland Chinese women. The degree of nipple pain and feeding style are the main factors affecting the maternal breastfeeding satisfaction.
【學位授予單位】：中南大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R174
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