住院期间母乳喂养支持需求量表的汉化及信效度检验

doi:10.3761/j.issn.0254-1769.2022.08.020

摘要/Abstract

摘要：

目的汉化住院期间母乳喂养支持需求量表,对其进行文化调试并验证信效度。方法运用Brislin翻译模型对原量表进行翻译、回译及文化调试,形成中文版住院期间母乳喂养支持需求量表。采用便利抽样法,于2021年3月—7月对上海市某三级甲等专科医院的360名产妇进行调查,分析量表的信效度。结果中文版住院期间母乳喂养支持需求量表包括情感支持、技能支持、知识支持及评价支持4个维度,共18个条目。该量表条目水平的内容效度指数为0.830~1.000,量表水平的内容效度指数为0.930。探索性因子分析提取出4个公因子,累计方差贡献率为76.152%。经过验证性因子分析,卡方/自由度比值为2.568,渐进残差均方和平方根为0.023,方程拟合良好。以中国香港版母乳喂养自我效能简易量表作为校标,相关系数为0.714。该量表的Cronbach’s α系数为0.947,折半信度为0.953,重测信度为0.912。结论中文版住院期间母乳喂养支持需求量表具有良好的信效度,可作为住院期间母乳喂养支持需求的评定工具。

关键词: 住院期间, 母乳喂养, 支持需求, 信度, 效度, 护理

Abstract:

Objective To translate the English version of the Supportive Needs of Breastfeeding Scale（SNB） during hospitalization into Chinese,and to verify its reliability and validity. Methods The original scale was translated,back-translated,culturally adapted using the Brislin translation model to form the Chinese version of the scale. A convenience sampling method was used to survey 360 mothers in a tertiary specialized hospital in Shanghai from March to July 2021,in order to analyze the reliability and validity of the scale. Results The Chinese version of the scale included 4 dimensions of emotional needs,skill needs,informational needs and appraisal needs,with a total of 18 items. The content validity of the scale I-CVI content validity index ranged from 0.830 to 1.000,and the S-CVI mean content validity index was 0.930. Exploratory factor analysis used principal component analysis to extract 4 common factors with a cumulative variance contribution rate of 76.152%. After confirmatory factor analysis, χ²/df was 2.568;RMSEA was 0.023;the equations fit well. The Chinese version of the Breastfeeding Self-Efficacy Scale Short-Form was used as the calibration standard,and the calibration standard correlation validity was 0.714. The Cronbach’s alpha coefficient of the scale was 0.947;the split-half reliability was 0.953,and the test-retest reliability was 0.912. Conclusion The scale has good reliability and validity,and it can be used as an assessment tool for breastfeeding support needs during hospitalization.

Key words: Hospitalization, Breastfeeding, Support Needs, Reliability, Validity, Nursing Care

江欣, 江会. 住院期间母乳喂养支持需求量表的汉化及信效度检验[J]. 中华护理杂志, 2022, 57(8): 1019-1024.

JIANG Xin, JIANG Hui. Sinicization of the Supportive Needs of Breastfeeding Scale during hospitalization and the test of its reliability and validity[J]. Chinese Journal of Nursing, 2022, 57(8): 1019-1024.

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