产后康复评估量表的研制与检验  

Development and validation of postpartum rehabilitation assessment scale

作　　者：王月婷 刘鸿[2] 张爽 董敏 杨振宁 彭佩强 郑旭飞 于秀霞[3] WANG Yueting;LIU Hong;ZHANG Shuang(School of Nursing,Jilin University,Changchun,130021;不详)

机构地区：[1]吉林大学护理学院,吉林省长春市130021 [2]吉林大学第二医院康复医学科 [3]长春医学高等专科学校护理学院

出　　处：《中国康复医学杂志》2025年第4期566-573,共8页Chinese Journal of Rehabilitation Medicine

基　　金：吉林省教育科学规划课题(GH20535);吉林省职业教育与成人教育教学改革研究课题(2021ZCY213)。

摘　　要：目的:研制产后康复评估量表,为产后康复评定及治疗提供科学有效的评估工具。方法:通过文献回顾、理论分析、半结构式访谈形成量表初版。两轮Delphi专家函询法进行条目筛选及重要性评分。采用相关系数法、离散度法、Cronbachα值、组合信度、分半信度、因子分析法进行信度评价。内容效度、结构效度、预测效度进行效度评价。结果:Delphi专家函询法对条目筛选及重要性评分,确定总条目24条,条目水平的内容效度指数(I-CVI)为1,总量表水平的内容效度指数(S-CVI)为1。最终确定量表总条目12个,内部一致性系数为0.738,分半系数0.817;探索性因子分析8个因子,累积方差贡献率64.380%。量表预测效度为0.956。结论:产后女性功能障碍评估量表科学、合理,具有较好的信度和效度,可在临床上作为产后评估工具应用。Objective:To create a reliable and efficient evaluation tool for postpartum rehabilitation assessment and treatment by developing the Postpartum Rehabilitation Assessment Scale.Method:The initial version of the scale was developed through a comprehensive literature review,theoretical analysis,and semi-structured interviews.The Delphi expert consensus method was used in two rounds to determine item importance.Reliability was evaluated using correlation coefficients,dispersion,Cronbach's alpha,combinatory reliability,split-half reliability,and factor analysis.Validity was evaluated based on content,structure,and predictive aspects.Result:Twenty-four items were selected and rated by Delphi expert correspondence.The item level content validity index(I-CVI)was 1,and the total table level content validity index(S-CVI)was 1.After selection,the scale was refined to include 12 items.It demonstrated good internal consistency with a coefficient of 0.738 and high half reliability of 0.817.The cumulative variance contribution of 8 factors was 64.380%.The prediction accuracy of the scale was 0.956.Conclusion:The evaluation scale of postpartum female dysfunction is scientific,reasonable,reliable and valid.It serves as a robust evaluation tool for postpartum female patients.

关 键 词：产后康复 量表 康复评估 信效度 

分 类 号：R493[医药卫生—康复医学] R714.1[医药卫生—临床医学]