本文關(guān)鍵詞： 妊娠 應(yīng)激 項(xiàng)目分析 信度 效度　出處：《安徽醫(yī)科大學(xué)》2013年碩士論文　論文類型：學(xué)位論文

【摘要】：目的編制適合我國孕婦使用的評(píng)定妊娠期心理社會(huì)應(yīng)激狀況的問卷,并對(duì)其信度、效度進(jìn)行評(píng)價(jià),為婦女妊娠期心理社會(huì)應(yīng)激癥狀的篩查提供依據(jù)。方法在廣泛查閱文獻(xiàn)和參考相關(guān)心理社會(huì)應(yīng)激問卷的基礎(chǔ)上提出理論構(gòu)想,將妊娠期心理社會(huì)應(yīng)激分為7個(gè)維度,分別為人際交往障礙、家庭經(jīng)濟(jì)問題、工作壓力、失業(yè)、擔(dān)心胎兒、擔(dān)心自我、擔(dān)心分娩,由此建立量表的初始項(xiàng)目庫。并通過專題小組討論、專家咨詢等方法對(duì)項(xiàng)目進(jìn)行修改,初步確定問卷由2個(gè)分問卷共50個(gè)條目(生活事件評(píng)定項(xiàng)目35條,妊娠相關(guān)焦慮評(píng)定項(xiàng)目15條)組成。以2011年5月16日至2013年2月28日合肥市第一人民醫(yī)院產(chǎn)科門診就診的孕早期孕婦3 195名為受試者,建立孕早期婦女隨訪隊(duì)列,收集孕期心理社會(huì)應(yīng)激信息,回收有效量表3 123份。檢驗(yàn)項(xiàng)目的遺漏率和應(yīng)答率,采用兩樣本t檢驗(yàn)的方法比較極端組,運(yùn)用相關(guān)性分析、因子分析等方法對(duì)問卷的項(xiàng)目進(jìn)行篩選。最終初步編制成由23個(gè)項(xiàng)目組成的《妊娠期多維心理社會(huì)應(yīng)激評(píng)定問卷》(MPPQ)。進(jìn)一步對(duì)問卷的信度和效度進(jìn)行評(píng)價(jià)。對(duì)34名孕婦在2~4周內(nèi)進(jìn)行重測,采用Pearson相關(guān)系數(shù)法分析問卷的重測信度系數(shù),計(jì)算Cronbach’sα系數(shù)評(píng)價(jià)問卷的內(nèi)部一致性信度。收集1 075名孕婦的妊娠結(jié)局,運(yùn)用F檢驗(yàn)考察孕婦在不同年齡段、不同學(xué)歷、不同家庭月收入等的得分差異,考察問卷的區(qū)分效度。運(yùn)用χ2檢驗(yàn)考察問卷得分與妊娠結(jié)局的關(guān)聯(lián),評(píng)價(jià)問卷的預(yù)測效度。結(jié)果通過分析項(xiàng)目的陽性應(yīng)答率,刪除應(yīng)答率0.1的12個(gè)項(xiàng)目;采用t檢驗(yàn)法分析項(xiàng)目的鑒別度,刪除生活事件問卷中的一個(gè)項(xiàng)目,妊娠相關(guān)焦慮問卷的所有項(xiàng)目均入選;生活事件問卷和妊娠相關(guān)焦慮問卷中各有3個(gè)和5個(gè)項(xiàng)目的因子分析值0.4,考慮刪除;生活事件問卷中,有3個(gè)項(xiàng)目刪除后,問卷的Cronbach’sα系數(shù)升高,妊娠相關(guān)焦慮問卷中,有1個(gè)項(xiàng)目刪除后,問卷的Cronbach’sα系數(shù)升高,這4個(gè)項(xiàng)目都應(yīng)刪除;相關(guān)系數(shù)篩選方法中共計(jì)3項(xiàng)指標(biāo),若達(dá)到規(guī)定標(biāo)準(zhǔn)的指標(biāo)總數(shù)小于2項(xiàng)者,考慮刪除該項(xiàng)目,分析后,所有的項(xiàng)目均入選。最終共刪除27個(gè)項(xiàng)目(其中生活事件問卷20個(gè),妊娠相關(guān)焦慮問卷7個(gè)),從而初步確定了妊娠期多維心理社會(huì)評(píng)價(jià)量表由23個(gè)項(xiàng)目組成。MPPQ的兩個(gè)分問卷的重測相關(guān)系數(shù)分別為0.679、0.615,Cronbach’sα系數(shù)分別為0.637、0.758。MPPQ分為人際關(guān)系問題、家庭經(jīng)濟(jì)問題、工作壓力問題、丈夫工作問題、自我工作問題、擔(dān)心胎兒、擔(dān)心分娩、擔(dān)心自我8個(gè)維度,與最初的理論構(gòu)想基本一致。生活事件問卷的因子分析提取5個(gè)公因子,累積方差貢獻(xiàn)率為55.363%;妊娠相關(guān)焦慮問卷的因子分析提取3個(gè)公因子,累積方差貢獻(xiàn)率為66.193%。不同孕婦年齡、文化程度和丈夫吸煙頻率的MPPQ得分差異有統(tǒng)計(jì)學(xué)意義(P0.5),說明MPPQ的區(qū)分效度良好。未發(fā)現(xiàn)MPPQ的得分與不良妊娠結(jié)局的關(guān)聯(lián)有統(tǒng)計(jì)學(xué)意義,MPPQ的預(yù)測效度需要進(jìn)一步考證。結(jié)論初步完成了MPPQ的編制及信效度評(píng)價(jià)的工作,《妊娠期心理社會(huì)評(píng)定問卷》(MPPQ)基本上是可信、有效的,可以作為妊娠期孕婦社會(huì)心理應(yīng)激的基本檢測工具。尚需進(jìn)一步的研究考察問卷的預(yù)測效度。
[Abstract]:Objective to prepare for evaluation of Chinese pregnant women during pregnancy psychosocial stress status questionnaire, and to evaluate its reliability, validity, provide the basis for the screening of pregnant women psychological stress symptoms. Methods the theory based on extensive literature review and reference to the relevant psychosocial stress questionnaire, pregnancy psychological society stress can be divided into 7 dimensions, respectively, interpersonal disturbances, family economic problems, work pressure, unemployment, fear of fetal, fear self, fear of childbirth, the scale of the initial project library. And through focus group discussion, expert consultation method to modify the project, determine the preliminary questionnaire consists of 2 sub questionnaires 50 items (life events evaluation project 35, pregnancy related anxiety assessment project 15). In the first people's Hospital of Hefei city from May 16, 2011 to February 28, 2013 on the maternity clinic Diagnosis of early pregnancy in 3195 pregnant women as subjects, the establishment of early pregnant women during pregnancy cohort, psychosocial stress information collection, recycling 3123 valid scales. The omission rate and response rate of test items, the method using two sample t test compared to the extreme group, using correlation analysis and factor analysis methods of questionnaire the preliminary screening. The final program consists of 23 items: period of multidimensional psychosocial stress questionnaire "(MPPQ) to evaluate pregnancy. Further reliability and validity of the questionnaire. On 34 pregnant women at 2~4 weeks test-retest, test-retest reliability coefficient analysis questionnaire using Pearson correlation coefficient method, calculation Cronbach 's alpha coefficient to evaluate the internal consistency of the questionnaire reliability. The pregnancy outcome of 1075 pregnant women were collected, using F inspection of pregnant women in different ages, different degree, different family income differences, investigation The validity of questionnaire. Using 2 test investigation questionnaire score and the outcome of pregnancy associated predictive validity evaluation questionnaire. Results the positive rate of project through response analysis, delete 12 items a response rate of 0.1; t test was used to analyze the project identification, delete life events ask a project volume, all project related anxiety questionnaire of pregnancy were selected; life events questionnaire and pregnancy related anxiety questionnaire has 3 factors and 5 items of value 0.4, consider deleting; life events questionnaire, there are 3 items removed, increased Cronbach questionnaire s alpha coefficient, pregnancy related anxiety questionnaire, 1 a project after deletion, increased Cronbach s alpha coefficient of questionnaire, the 4 projects should be deleted; the correlation coefficient method for screening a total of 3 indicators, if the required total standard index less than 2, consider deleting the item analysis after all. The projects were selected. The final is to delete 27 items (including life events questionnaire 20, pregnancy related anxiety questionnaire 7), and determine the evaluation of multidimensional psychosocial pregnancy scale consisted of 23 items of.MPPQ two questionnaires test-retest correlation coefficients were 0.679,0.615, Cronbach, s' alpha coefficient 0.637,0.758.MPPQ were divided into interpersonal problems, family economic problems, work stress, husband work, self work, worry about the fetus, fear of childbirth, worried about their 8 dimensions, consistent with the initial theoretical hypothesis. The factors of life events questionnaire analysis extracted 5 common factors, the cumulative variance contribution rate was 55.363%; factors related to pregnancy anxiety questionnaire analysis extracted 3 common factors, the cumulative variance contribution rate of 66.193%. different maternal age, culture degree and the husband smoking frequency of MPPQ was statistically significant difference ( P0.5), that the validity of MPPQ. No significant statistical difference was found between MPPQ score and adverse pregnancy outcomes, the predictive validity of MPPQ need further research. Conclusion the initial completion of the evaluation system and the reliability and validity of the MPPQ work, psychosocial questionnaire > < period of pregnancy (MPPQ) is basically credible, effective that can be used as a basic tool for detection of pregnant women psychological stress during pregnancy. Further research is needed to examine the predictive validity of the questionnaire.

【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R173

【參考文獻(xiàn)】

相關(guān)期刊論文 前6條

1 高延,楊玉鳳;妊娠期社會(huì)心理應(yīng)激對(duì)子代發(fā)育的影響[J];臨床兒科雜志;2005年07期

2 楊國強(qiáng);羅曉明;邵佩云;;孕婦心理對(duì)妊娠結(jié)局的影響[J];中國生育健康雜志;2006年04期

3 肖亞男;陶芳標(biāo);;妊娠期心理社會(huì)應(yīng)激與妊娠結(jié)局及兒童生長發(fā)育[J];實(shí)用兒科臨床雜志;2008年03期

4 陸林,王學(xué)義,李靜,黃明生,劉協(xié)和,MedickSA;妊娠期應(yīng)激對(duì)大鼠子代神經(jīng)行為發(fā)育的影響[J];中國行為醫(yī)學(xué)科學(xué);1999年04期

5 叢中,安莉娟;安全感量表的初步編制及信度、效度檢驗(yàn)[J];中國心理衛(wèi)生雜志;2004年02期

6 孫紅兵;雷華江;廖治;;地震對(duì)孕婦心理狀態(tài)及妊娠結(jié)局的影響[J];職業(yè)衛(wèi)生與病傷;2009年04期

，

本文編號(hào)：1448228