为低收入和中等收入国家开发和验证以人为中心的产后护理规模
Research square
|May 19, 2025
概括
开发并验证了一种新的38项人为中心的产后护理 (PCPNC) 规模,以衡量尊重和响应的护理. 该工具将有助于监测和改善产后护理期间的母亲和新生儿经验.
科学领域:
- 生殖健康 生殖健康
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高质量的产后护理 (PNC) 对孕产妇和新生儿健康结果至关重要.
- 以人为中心的产后护理 (PCPNC) 尊重女性的偏好,需求和价值观.
- 现有的工具不能全面测量PCPNC,特别是在低收入和中等收入国家 (LMICs).
研究的目的:
- 开发和验证一个全面的工具来测量PCPNC.
- 确保该工具与LMIC女性的经验相关.
主要方法:
- 进行了文献评论,专家评论和认知访谈.
- 通过代分析开发和改进了一个38项规模.
- 对来自加纳和肯尼亚的1394名妇女的数据进行了心理测量分析 (包括因子分析和可靠性测试).
主要成果:
- 最后的38项PCPNC尺度表现出强大的心理测量特性,克伦巴赫α为0.93.
- 规模的项目加载在一个主导因素上,并被分为三个概念领域:尊严/尊重,沟通/自治和响应性/支持性护理.
- PCPNC分数与满意度和未来使用同一卫生设施的意图相关联,表明标准有效性良好.
结论:
- PCPNC尺度是衡量尊重和响应性产后护理的有效和可靠的工具.
- 这种经过验证的工具将有助于监测和增强妇女和新生儿在PNC期间的经验.
- 该尺度的开发解决了在LMICs中测量以人为中心的护理的关键差距.
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