基于COSMIN指南的分娩经验评估工具:系统审查
Yifan Cheng1, Ruxue Bai1, Siyu Shan1
1Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
International journal of nursing sciences
|February 24, 2025
概括
这次审查评估了分娩经验评估工具,发现大多数缺乏内容有效性和其他关键措施. 暂时建议使用"评估分娩经验问卷" (QACE),等待进一步验证.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
背景情况:
- 出生经历显著影响母亲的福祉和未来的医疗保健决策.
- 高质量的评估工具对于评估和改善产妇护理至关重要.
- 评估分娩经验的现有工具需要对其测量特性和方法质量进行严格的评估.
研究的目的:
- 系统地评估分娩经验评估工具的测量特性和方法质量.
- 为医疗保健专业人员提供信息,帮助他们选择可靠的工具来评估分娩经历.
- 发现现有评估工具的验证中存在的差距.
主要方法:
- 在多个数据库 (PubMed, Web of Science, Embase, CINAHL, SinoMed, CNKI, Wanfang) 进行系统的文献搜索,截至2024年2月29日.
- 包括15项评估11项分娩经验评估工具的研究.
- 使用COSMIN偏差风险检查清单和使用COSMIN标准测量属性的方法质量评估.
- 使用修改后的GRADE系统评估证据确定性.
主要成果:
- 评估了11个分娩经验评估工具.
- 八项研究在内容有效性方面表现出可疑的方法质量;其他研究没有报告.
- 没有工具报告测量错误,跨文化有效性或响应性.
- 大多数工具的证据质量中等或低于中等,所有11种工具都被推为B级.
结论:
- 大多数当前的分娩经验评估工具在内容有效性和其他心理测量属性方面存在重大限制.
- 评估分娩经验问卷 (QACE) 由于其可接受的属性,因此有望暂时使用.
- 进一步的验证研究是必要的,以确认QACE和其他工具的测量特性.
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