摘要
目的 研制适用于孕产妇的母婴健康素养问卷,为今后评估孕产妇母婴健康素养水平提供测评工具。方法 通过文献查阅和德尔菲(Delphi)专家咨询法筛选确定初选条目,通过预调查修改完善母婴健康素养问卷,并应用其对2022年4—5月期间在重庆市妇幼保健院就诊的350例孕产妇进行测评,评价问卷信度和效度。结果 初始问卷共有64个条目,包括基本知识和理念、健康生活方式与行为和基本技能3个维度。采用临界比值法、相关系数法和内部一致性分析法对项目进行分析筛选,最终形成57个条目的孕产妇母婴健康素养问卷。总问卷Cronbach′s α系数为0.865,重测信度为0.797,分半信度为0.826;经验证性因子分析,模型拟合良好(基本知识与理念:χ^(2)/df=1.869,RMSEA=0.050,GFI=0.854,AGF=0.824;健康生活方式与行为:χ^(2)/df=1.968,RMSEA=0.053,GFI=0.938,AGF=0.916;基本技能:χ^(2)/df=1.555,RMSEA=0.040,GFI=0.974,AGF=0.956)。结论 此次研制的孕产妇母婴健康素养问卷具有较好的信度和效度。
Objective To establish maternal and infant health literacy scale and provide an evaluation tool for accessing maternal and infant health literacy.Methods Through systematic literature reviews,interviews with experts and Delphi expert consultations,a scale was developed and then modified by preliminary investigation.The reliability and validity of the scale was examined through investigating maternal and infant health literacy among 350 pregnant woman and infant of mothers treated in Chongqing Health Center for Women and Children.Results The initial item pool contained 64 items,which included three dimensions of basic knowledge and ideas,healthy lifestyle and behavior,and basic skills.Critical ratio method,correlation coefficient method and internal consistency analysis were used to analyze the items and ultimately the scale contained 55 items to evaluate maternal and child health literacy.The Cronbach′sαof general scale was 0.865.Its retest reliability was 0.797,and the split⁃half reliability was 0.826.The results of confirmatory factor analysis demonstrated that the fitting was good for each part of the theoretical framework model(for basic knowledge and ideas:χ^(2)/df=1.869,root mean square error of approximation[RMSEA]=0.050,goodness of fit index[GFI]=0.854,adjusted goodness of fit index[AGFI]=0.824;for healthy lifestyle and behavior:χ^(2)/df=1.968,RMSEA=0.053,GFI=0.938,AGF=0.916;and for basic skills:χ^(2)/df=1.555,RMSEA=0.040,GFI=0.974,AGF=0.956).Conclusion The maternal and infant health literacy scale designed in this study demonstrates good reliability and validity.
作者
蒋秋静
顾悦
盛利
JIANG Qiu-jing;GU Yue;SHEGN Li(Chongqing Health Center for Women and Children(Women and Children′s Hospital of Chongqing Medical University),Chongqing 401147,China)
出处
《中国健康教育》
北大核心
2024年第2期132-135,共4页
Chinese Journal of Health Education
基金
中国疾病预防控制中心妇幼保健中心2020年度“母婴营养与健康研究项目”(2020FYH034)
重庆市妇幼疾病预防控制与公共卫生研究中心项目。
关键词
健康素养
母婴
信度
效度
Health literacy
Maternal and infant
Reliability
Validity
