柬埔寨政府卫生机构以人为本的孕产妇护理量表的验证。
PLOS ONE
(
IF
2.9
)
Pub Date : 2023-07-06
, DOI:
10.1371/journal.pone.0288051
Yuko Takahashi Naito
1
,
Rieko Fukuzawa
2
,
Togoobaatar Ganchimeg
2
,
Patience A Afulani
3
,
Hirotsugu Aiga
4
,
Rattana Kim
5
,
Asako Takekuma Katsumata
2
Affiliation
Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan.
Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.
Departments of Epidemiology & Biostatistics and Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Francisco (UCSF), San Francisco, CA, United States of America.
School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
National Maternal and Child Health Center, Phnom Penh, Cambodia.
背景技术 女性分娩经历中的人际护理是护理质量的一个重要方面。由于缺乏可靠的柬埔寨版本的测量工具来评估以人为本的产妇护理，惠阳保姆13825404095本研究旨在将“以人为中心的产妇护理（PCMC）量表”适应柬埔寨的情况，并进一步确定其心理测量特性。方法 使用团队翻译方法将 PCMC 量表翻译成高棉语。高棉版 PCMC (Kh-PCMC) 量表通过认知访谈在 20 名柬埔寨产后妇女中进行了预测试。随后，对两家政府卫生机构的 300 名柬埔寨产后妇女进行了一项调查，采用了 Kh-PCMC 量表。根据健康状况测量仪器选择共识标准（COSMIN）标准，我们进行了心理测量分析，包括内容效度、结构效度、标准效度、跨文化效度和内部一致性。结果 Kh-PCMC 量表开发的初步过程（包括认知访谈和专家评审）确保了具有四点频率响应的 Kh-PCMC 量表的适当水平的内容效度和可接受的跨文化效度水平。30 项 Kh-PCMC 量表的量表级别内容效度指数平均值 (S-CVI/Avg) 为 0.96。然而，有二十个项目在柬埔寨数据的心理测量分析中表现最佳。20 项 Kh-PCMC 量表产生的全量表 Cronbach's alpha 为 0.86，子量表为 0.76-0.91，表明内部一致性足够高。假设检验发现 20 项 Kh-PCMC 量表与参考测量之间存在正相关，这意味着可接受的标准有效性。结论 本研究制定了 Kh-PCMC 量表，可以定量测量女性的分娩经历。Kh-PCMC 量表可以从妇女的角度确定产时需求，以提高柬埔寨的质量。然而，随着时间的推移，柬埔寨各省文化背景的动态变化和多样化差异要求Kh-PCMC量表定期重新审查，并在需要时进一步调整。Kh-PCMC 量表可以从妇女的角度确定产时需求，以提高柬埔寨的质量。然而，随着时间的推移，柬埔寨各省文化背景的动态变化和多样化差异要求Kh-PCMC量表定期重新审查，并在需要时进一步调整。Kh-PCMC 量表可以从妇女的角度确定产时需求，以提高柬埔寨的质量。然而，随着时间的推移，柬埔寨各省文化背景的动态变化和多样化差异要求Kh-PCMC量表定期重新审查，并在需要时进一步调整。
Validation of the person-centered maternity care scale at governmental health facilities in Cambodia.
BACKGROUND
Women's childbirth experience of interpersonal care is a significant aspect of quality of care. Due to the lack of a reliable Cambodian version of a measurement tool to assess person-centered maternity care, the present study aimed to adapt the "Person-Centered Maternity Care (PCMC) scale" to the Cambodian context and further determine its psychometric properties.
METHODS
The PCMC scale was translated into Khmer using the team translation approach. The Khmer version of PCMC (Kh-PCMC) scale was pretested among 20 Cambodian postpartum women using cognitive interviewing. Subsequently, the Kh-PCMC scale was administered in a survey with 300 Cambodian postpartum women at two governmental health facilities. According to the COnsensus-based Standards for the Selection of health status Measurement Instruments (COSMIN) standard, we performed psychometric analysis, including content validity, construct validity, criterion validity, cross-cultural validity, and internal consistency.
RESULTS
The preliminary processes of Kh-PCMC scale development including cognitive interviewing and expert review ensured appropriate levels of content validity and acceptable levels of cross-cultural validity of the Kh-PCMC scale with four-point frequency responses. The Scale-level Content Validity Index, Average (S-CVI/Avg) of 30-item Kh-PCMC scale was 0.96. Twenty items, however, performed optimally in the psychometric analysis from the data in Cambodia. The 20-item Kh-PCMC scale produced Cronbach's alpha of 0.86 for the full scale and 0.76-0.91 for the subscales, indicating adequately high internal consistency. Hypothesis testing found positive correlations between the 20-item Kh-PCMC scale and reference measures, which implies acceptable criterion validity.
CONCLUSIONS
The present study produced the Kh-PCMC scale that enables women's childbirth experiences to be quantitatively measured. The Kh-PCMC scale can identify intrapartum needs from women's perspectives for quality improvement in Cambodia. However, dynamic changes in and diverse differences of cultural context over time across provinces in Cambodia require the Kh-PCMC scale to be regularly reexamined and, when needed, to be further adjusted.
