不确定性压力尺度的验证-高风险怀孕 - 中文简要版本:拉什分析
Yi Jing Tsai1, Chi Chen Chen2, Yu Yun Hsu3,4
1Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
BMC pregnancy and childbirth
|January 6, 2025
概括
一个新的17项尺度有效地衡量高风险怀孕中的不确定性和压力. 不确定性压力尺度高风险怀孕版本 (USS-HRPV-C) 的这个简短版本为医疗保健提供者提供了一个简洁的评估.
科学领域:
- 心理测量 心理测量 心理测量
- 临床心理学 临床心理学
- 生殖健康 生殖健康
背景情况:
- 高风险的怀孕会给孕妇带来很大的不确定性和压力.
- 不确定性压力尺度高风险怀孕版本 (USS-HRPV-C) 的54项中文版本被广泛使用,但很长.
- 为了有效评估高风险怀孕中心理社会痛苦,需要一个较短,经过验证的尺度.
研究的目的:
- 为了缩短现有的54个项目USS-HRPV-C.
- 验证USS-HRPV-C的简要版本,用于评估高风险怀孕中的不确定性和压力.
主要方法:
- 对200名高危孕妇进行横截面研究.
- 确认因素分析 (CFA) 和拉什建模来完善规模.
- 使用Rasch分析进行项目选择,以确保合适性和无差异性项目功能 (DIF).
- 使用Cronbach的alpha评估内部一致性;评估尺度相关性.
主要成果:
- 17项简要版本显示了强大的心理测量特性.
- 拉什分析成功地将规模从54个项目减少到17个项目,没有DIF.
- 简短的尺度显示了令人满意的匹配统计数据 (入口/出口MS在0.71-1.35之间).
- 观察到高的内部一致性 (Cronbach的α=0.90和0.92的子尺度) 和与原始尺度的显著相关性.
结论:
- 一个验证的17项简要版本的USS-HRPV-C已经开发出来.
- 这种简短的尺度具有令人满意的心理测量特性,适用于临床使用.
- 医疗保健提供者可以有效地利用简要的USS-HRPV-C来评估孕妇的心理社会压力和不确定性.
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