基于共识的健康测量工具遴选标准对分娩恐惧量表测量属性的系统评价

doi:10.3761/j.issn.1672-9234.2022.04.017

摘要/Abstract

摘要：

目的采用基于共识的健康测量工具遴选标准（Consensus-based Standards for the Selection of Health Measurement Instruments,COSMIN）系统评价分娩恐惧量表的测量属性。方法计算机检索PubMed、Scopus、CINAHL、Web of Science、中国生物医学文献数据库、知网和万方数据库中有关分娩恐惧测量工具的研究,检索时限为建库至2021年3月。由2名研究者独立筛选文献及提取数据,采用COSMIN偏倚风险清单及质量标准对测量工具属性进行系统评价。结果共纳入27项研究,包括5种分娩恐惧测量工具。其中,分娩预期/体验问卷（Wijma Delivery Expectancy/Experience Questionnaire,W-DEQ）内容效度质量为充分,证据质量水平为低级;结构效度质量为充分,证据质量水平为中级;内部一致性质量为充分,证据质量水平为中级;稳定性质量为充分,证据质量水平为高级;假设检验质量为充分,证据质量水平为高级。结论推荐应用W-DEQ测量分娩恐惧,其余分娩恐惧量表测量属性质量尚不完善,有待于进一步探究。

关键词: 分娩, 恐惧, 问卷调查, 系统评价, 基于共识的健康测量工具遴选标准

Abstract:

Objectives To identify the most commonly used instruments measuring fear of childbirth （FOC） and assess risk of bias,measurement properties,and level of evidence based on the Consensus-based Standards for the Selection of Health Measurement Instruments （COSMIN） guidelines. Methods PubMed,Scopus,CINAHL,Web of Science,SinoMed,Wanfang Data and CNKI databases were electronically searched to collect studies on the instruments of measuring FOC from their inception to March 2021. Two reviewers independently screened literatures,extracted data and assessed risk of bias of included studies. Methodological quality of the studies,quality of measurement properties,and level of evidence were determined using the COSMIN checklist and criteria. Results A total of 27 studies were included,including 5 measurement tools for FDC. The content validity quality of Wijma Delivery Expectancy/Experience Questionnaire（W-DEQ） was sufficient,and the evidence quality level is low. The structural validity quality was sufficient,and the evidence quality level was intermediate. The internal consistency quality was sufficient,and the evidence quality level was intermediate. The stability quality was sufficient and the evidence quality level was high. The hypothesis testing quality was sufficient and the evidence quality level was high. Conclusion The W-DEQ is recommended to be used in the measurement of childbirth FDC. The quality of the measurement attributes of the other parturition fear scales is still incomplete and needs to be further investigated.

Key words: Parturition, Fear, Questionnaires, Systematic review, Consensus-based standards for the selection of health measurement instruments

赵亚楠,李燕,张静,侯佳文,马喜梅,庄思敏,肖光红,王艳红. 基于共识的健康测量工具遴选标准对分娩恐惧量表测量属性的系统评价[J]. 中华护理教育, 2022, 19(4): 378-384.

ZHAO Ya-nan,LI Yan,ZHANG Jing,HOU Jia-wen,MA Xi-mei,ZHUANG Si-min,XIAO Guang-hong,WANG Yan-hong. The instruments of measuring fear of childbirth in pregnancy based on COSMIN：a systematic review of psychometric properties[J]. Chinese Journal of Nursing Education, 2022, 19(4): 378-384.

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