母乳喂養(yǎng)評(píng)估量表的初步修訂與應(yīng)用
發(fā)布時(shí)間：2018-11-25 22:11
【摘要】：目的 1.翻譯英文版母乳喂養(yǎng)評(píng)估量表(MBFES),并對(duì)其進(jìn)行文化調(diào)適,使之適合中國(guó)文化特征。 2.測(cè)定中文版MBFES量表的心理學(xué)特征。 3.了解長(zhǎng)沙市三級(jí)醫(yī)院產(chǎn)婦母乳喂養(yǎng)現(xiàn)狀及其主要影響因素,從而為臨床干預(yù)提供理論依據(jù)。 方法 1.采用Brislin翻譯法對(duì)英文版MBFES量表進(jìn)行翻譯、回譯和文化調(diào)適。采用探索性因素分析對(duì)量表進(jìn)行建構(gòu)。選用Cronbach's α信度、分半信度、重測(cè)信度檢驗(yàn)量表的信度；選用內(nèi)容效度、結(jié)構(gòu)效度、校標(biāo)效度考察量表的效度。 2.運(yùn)用中文版MBFES量表對(duì)湖南省長(zhǎng)沙市三級(jí)醫(yī)院的166名產(chǎn)婦進(jìn)行橫斷面調(diào)查。采用單因素方差分析、t檢驗(yàn)和多元線性回歸分析長(zhǎng)沙市三級(jí)醫(yī)院產(chǎn)婦的母乳喂養(yǎng)現(xiàn)狀及影響因素。 結(jié)果 1.通過(guò)項(xiàng)目分析和探索性因子分析,MBFES量表1個(gè)條目被刪除,修訂后的中文版MBFES量表由29個(gè)條目3個(gè)維度組成。 2.信度檢驗(yàn)結(jié)果：(1)Cronbach's α系數(shù):MBFES各維度的Cronbach's α系數(shù)為0.839-0.919,總量表的Cronbach's α系數(shù)為0.952。(2)分半信度：MBFES各維度的分半信度系數(shù)在0.849-0.901,總量表的分半信度系數(shù)為0.949。(3)重測(cè)信度：MBFES量表各維度的重測(cè)信度系數(shù)在0.712-0.790之間,總量表的重測(cè)信度為0.805。(4)量表內(nèi)部一致性：各條目與維度的相關(guān)系數(shù)在0.574-0.894之間,各維度間相關(guān)系數(shù)為0.602-0.712,各維度與量表總分間的相關(guān)系數(shù)為0.851-0.926。 3.效度檢驗(yàn)結(jié)果：(1)內(nèi)容效度：MBFES量表經(jīng)過(guò)5名專(zhuān)家的評(píng)估,內(nèi)容效度指數(shù)為0.896。(2)校標(biāo)效度：MBFES量表與母乳喂養(yǎng)自信心量表總分相關(guān)系數(shù)為0.49,MBFES量表與艾氏產(chǎn)后抑郁量表總分相關(guān)系數(shù)為0.42,均有統(tǒng)計(jì)學(xué)意義(P0.01)。(3)結(jié)構(gòu)效度：探索性因子分析顯示MBFES量表的3因子模型條目適當(dāng),方差累積貢獻(xiàn)率達(dá)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(jié)果顯示,產(chǎn)婦母乳喂養(yǎng)評(píng)估得分主要與產(chǎn)婦年齡、食欲、居住環(huán)境、喂養(yǎng)方式、是否做出喂養(yǎng)計(jì)劃、初乳出現(xiàn)的時(shí)間、乳頭疼痛、產(chǎn)后乳房按摩、以及預(yù)計(jì)返回工作崗位的時(shí)間有關(guān),可以解釋65.9%的變異。 結(jié)論 1. MBFES量表的信度研究表明,該量表的Cronbach's α系數(shù)、分半系數(shù)和重測(cè)信度均達(dá)到測(cè)量學(xué)的要求。 2.3因子模型很好的解釋了MBFES量表的結(jié)構(gòu),與原作者理論構(gòu)想擬合較好。 3. MBFES量表可以用來(lái)評(píng)估中國(guó)內(nèi)地產(chǎn)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(chǎn)婦母乳喂養(yǎng)滿(mǎn)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(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類(lèi)號(hào)】：R174
本文編號(hào)：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(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類(lèi)號(hào)】：R174
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