本文選題：孕期保健　切入點(diǎn)：保健質(zhì)量　出處：《杭州師范大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的1對(duì)孕期保健質(zhì)量問卷(Quality of Prenatal Care Questionnaire,QPCQ)進(jìn)行跨文化調(diào)適,為我國(guó)引進(jìn)評(píng)價(jià)孕期保健質(zhì)量的量化工具。2通過橫斷面調(diào)查性研究對(duì)中文版孕期保健質(zhì)量問卷的信度、效度進(jìn)行評(píng)價(jià),探索其在我國(guó)的適用性。方法1遵照國(guó)際通用的問卷跨文化調(diào)適程序,獲得問卷原開發(fā)團(tuán)隊(duì)的授權(quán)和支持后,經(jīng)過正譯、綜合、回譯、原作者確認(rèn)、專家委員會(huì)評(píng)審、認(rèn)知調(diào)查,形成中文版QPCQ。2便利抽樣杭州市兩家醫(yī)院350名孕36周后的孕婦,對(duì)中文版QPCQ的信效度進(jìn)行測(cè)評(píng)。采用結(jié)構(gòu)效度、效標(biāo)效度、內(nèi)部一致性信度對(duì)中文版QPCQ進(jìn)行信、效度評(píng)價(jià)。同時(shí),采用t檢驗(yàn)、方差分析、多重線性回歸等方法分析孕婦一般資料中與孕期保健質(zhì)量相關(guān)的影響因素。結(jié)果1中文版QPCQ條目語(yǔ)義清晰易懂,便于研究者應(yīng)用和研究對(duì)象填寫,填寫問卷所用時(shí)間范圍約為5~10分鐘,平均用時(shí)6.81分鐘。2中文版QPCQ的效度評(píng)價(jià)結(jié)果:驗(yàn)證性因子分析結(jié)果顯示,調(diào)查數(shù)據(jù)與問卷假定理論模型的適配系數(shù)為GFI=0.840,AGFI=0.811,RMSEA=0.068,TLI=0.927,IFI=0.938,CFI=0.937,均已達(dá)到或接近適配標(biāo)準(zhǔn)。以孕期保健滿意度為指標(biāo)檢驗(yàn)中文版QPCQ的效標(biāo)效度,孕期保健質(zhì)量得分與孕期保健滿意度呈中等顯著正相關(guān)(r=0.501,P0.001)。3中文版QPCQ的信度評(píng)價(jià)結(jié)果:總問卷Cronbach’sα系數(shù)為0.96,信息分享維度分問卷Cronbach’sα系數(shù)為0.87,預(yù)期指導(dǎo)維度分問卷Cronbach’sα系數(shù)為0.88,充足時(shí)間維度分問卷Cronbach’sα系數(shù)為0.75,易接近性維度分問卷Cronbach’sα系數(shù)為0.76,可獲得性維度分問卷Cronbach’sα系數(shù)為0.87,支持與尊重維度分問卷Cronbach’sα系數(shù)為0.93。4本研究中,中文版QPCQ得分的均分為3.61±0.50。各分問卷得分均分從大到小依次為:信息分享、支持與尊重、易接近性、預(yù)期指導(dǎo)、充足時(shí)間和可獲得性。醫(yī)生接診的時(shí)間、每次候診的時(shí)間、和對(duì)孕婦課堂重要性的認(rèn)知是孕婦一般資料中與孕期保健質(zhì)量相關(guān)的影響因素。結(jié)論中文版QPCQ具有良好的信、效度,適合應(yīng)用于對(duì)我國(guó)孕婦孕期保健質(zhì)量的測(cè)量,為我國(guó)孕期保健質(zhì)量的量化測(cè)評(píng)提供依據(jù),未來研究可以利用它測(cè)量孕期保健質(zhì)量與妊娠結(jié)局的相關(guān)性,探索影響孕期保健質(zhì)量的影響因素,指導(dǎo)制定干預(yù)方案,進(jìn)而提高我國(guó)孕期保健服務(wù)的質(zhì)量。本研究結(jié)果顯示我國(guó)孕期保健質(zhì)量與國(guó)外水平相比仍存在較大的差距,提示我國(guó)孕期保健工作質(zhì)量還需要進(jìn)行全面的改進(jìn)和提高。其中,可獲得性和充足時(shí)間層面質(zhì)量評(píng)價(jià)最低,建議醫(yī)院可以利用互聯(lián)網(wǎng)和移動(dòng)通訊等高新技術(shù),為孕產(chǎn)婦和孕期保健人員搭建有效、便捷的溝通平臺(tái),切實(shí)滿足孕產(chǎn)婦的孕期保健需求。
[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 偽 coefficient of the total questionnaire was 0.96, the Cronbach's 偽 coefficient of the information sharing dimension questionnaire was 0.87, and the expected guidance dimension questionnaire was Cronbach's 偽 family. The number is 0.88, the Cronbach's 偽 coefficient of adequate time dimension questionnaire is 0.75, the Cronbach's 偽 coefficient of accessibility dimension questionnaire is 0.76, the Cronbach's 偽 coefficient of available dimension subquestionnaire is 0.87, and the Cronbach's 偽 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 鹵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.
【學(xué)位授予單位】：杭州師范大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R715.3

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