[使用物件响应理论的医院分娩满意度表的有效性证据]
Camila Bonalume Dall'Aqua1, Stela Maris de Jezus Castro1, Betine Pinto Moehlecke Iser2
1Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil.
Cadernos de saude publica
|February 19, 2026
概括
这项研究使用物件响应理论 (IRT) 对超过15,000名巴西妇女的医院分娩护理满意度表进行了改进. 经过验证的九项尺度提供了对分娩满意度的改进测量.
科学领域:
- 心理测量 心理测量 心理测量
- 医疗保健服务研究 医疗服务研究
- 产科 产科 产科 产科 产科
背景情况:
- 评估妇女对分娩的满意度对于评估医疗保健质量至关重要.
- 现有措施需要强大的心理测量验证才能准确解释.
- 巴西的出生:国家劳动和出生调查为此验证提供了大量数据集.
研究的目的:
- 为衡量分娩满意度产生有效性的证据.
- 通过物品响应理论 (IRT) 改进医院分娩护理满意度表.
- 开发一种心理测量学上健全的仪器,用于测量潜在特征对分娩的满意度.
主要方法:
- 应用了物品响应理论 (IRT),特别是萨米吉马的分级响应模型.
- 使用了来自巴西出生调查的15965名女性的样本.
- 进行了探索性和确认性因子分析,以确定构造的有效性.
主要成果:
- 分级响应模型提供了最适合数据的模型.
- 一个由9项组成的尺度,从原来的11项中改进,显示出足够的心理测量特性.
- 使用克伦巴赫的alpha,麦当劳的omega和斯皮尔曼-布朗系数来评估可靠性.
- 探索性和确认性因子分析支持一个三维的潜在结构.
结论:
- 精致的9项医院分娩护理满意度表显示了足够的心理测量特性.
- 通过IRT分析,成功地提高了分娩满意度的测量.
- 该尺度的有效性进一步得到了与外部变量的关联的支持.
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