Development Of Self-nursing Ability And Self-rating Scale For Puerperal Women

Objective:1.The purpose of this study is to build a self-assessment scale for puerperal women based on Orem's self-care theory and to perform a reliability and validity test.2.This study provides an appraisal tool for assessing the self-care ability of women during the puerperium period,and gives a reference for maternal and child health care during the puerperium period.Method:1.Literature search.According to the literature search method,consult the relevant literature,and choose the keywords“scale”,“self-care ability scale”,and“the puerperium-related women scale”to search relevant data to understand the current research progress in the self-care ability assessment tools for the puerperal women.2.Semi-structured interview.Semi-structured interviews are conducted among 15representative puerperal women who were screened.Four themes are identified.The initial dimensions and item pool of the self-assessment scale for women in the puerperium are initially established.3.Delphi expert consultation method and Pretest method.The Delphi method is conducted through three rounds of expert consultations,and statistical analysis is performed on each round of consultation results.The items are screened by analyzing the importance of items such as assignment,mean,and coefficient of variation.Thirty mothers were selected to evaluate the items of the scale and their rating methods.After the research team and experts analyzed and discussed,the initial scale of self-assessment of self-care ability for puerperal women is constructed.4.Questionnaire method.This method screens respondents according to inclusion and exclusion criteria,and a sample survey of 346 selected puerperal women.The result data is selected and determined by the item's coefficient of variation method,item selection analysis method,discrimination method,and correlation analysis method.The reliability and validity test is also performed.The study aimed to develop a self-evaluation scale for the self-care ability of puerperal women.Result:1.The 42 items of a self-evaluation scale for the self-care ability of puerperal women are determined by the item's coefficient of variation method,discrimination method,correlation analysis method,and item selection analysis method.2.The reliability test of the scale:the total Cronbach's?coefficient of the scale is0.937,and the normalized Cronbach's?coefficient is 0.938.The Cronbach's?coefficients of the three dimensions of self-care attitude,self-protection knowledge,and self-care skills are 0.848,0.865,0.912,respectively.The total test-retest reliability r coefficient of the scale is 0.830.The simple correlation coefficient r of self-protection attitude in the retest dimension is 0.907.The simple correlation coefficient r of self-care knowledge is 0.961,and the simple correlation coefficient r of self-care skill is 0.910.The split-half reliability r-factor of this scale is 0.952.The above indicators show that the scale has a good degree of confidence.3.The validity of the scale:Content validity:According to Delphi's expert review method,the content validity of the average scale is 0.945,and the content validity of each item of the scale is between 0.80 to 1.00.The spearman correlation coefficient r between each item of the scale and the total score is between 0.369 and 0.674,which is higher than0.35.Set validity and discriminant validity:The correlation coefficient of the item and its dimension is r?0.4,suggesting the success of the item's set validity.The correlation coefficients between items and their underlying factors range from 0.563 to 0.769.The test success rate is 100%.The correlation coefficients between items and other common factors range from 0.167 to 0.518.The success rate of discriminating validity test in three dimensions in this scale is 100%.The results indicate that the scale has a certain degree of discriminant validity and set validity.4.The validity of the scale:Confirmatory factor analysis results:The chi-square fitting index is 2535.52,^?2/dfis 3.125.The estimation error root mean square RMSEA is 0.078,the comparative fit index CFI is 0.93.The model's adjusted goodness of fit index AGFI is 0.71.These show that the scale has good structural validity,and the set model is more in line with the structural framework of the measurement scale.Conclusion:1.The scale includes 3 dimensions and 42 items.The scale also has good reliability and validity.It can be used as a tool for assessing the self-care ability of women during the puerperium period,and provides reference for maternal and child health evaluation.2.The scale of self-assessment and self-care ability for puerperal women in this study greatly reflects the connotation of Orem's self-care theory.The dimension and content of the scale are reasonable,and it has certain guiding significance for future related research.