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  • 學位論文

台灣版孕期噁心嘔吐之健康相關生活品質量表的信效度測試

Test the Validity and Reliability of the Mandarin Health-Related Quality of Life for Nausea and Vomiting during Pregnancy

指導教授 : 周汎澔
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摘要


本研究目的為測試台灣版孕期噁心嘔吐之健康相關生活品質量表的信效度;屬描述性的相關研究設計,以橫斷式研究方式,採方便取樣,以南部地區婦產專科醫院及醫學中心產檢門診為收案場所,共收集416位懷孕婦女(第一孕期201位與第二孕期215位)之相關資料。配合原量表經因素分析萃取4個因素,因素一「限制」(10題)、因素二「生理症狀與惡化因素」(9題)、因素三「情緒」(6題)、因素四「疲憊」(4題),解釋總變異量為67.45%。分量表與總量表的相關係數介於.78至.85之間(p<.01),表示聚斂效度良好;各分量表之間的相關係數介於.48至.68之間(p<.01),表示區辨性效度良好;總量表與台灣簡明生活品質量表之相關係數-.37(p<.01),顯示有良好的效標關聯效度。總量表的信度Cronbach's α值為.96,各分量表的Cronbach's α值皆達.70以上,表示量表內在一致性良好,而兩週再測信度之類組內相關係數(ICC)值為.92(n=37 p<.01),顯示總量表再測信度良好。 本研究「台灣版孕期噁心嘔吐之健康相關生活品質量表」,可做為日後研究和當作臨床孕期噁心嘔吐生活品質的評估工具,增進護理人員了解噁心嘔吐對孕婦生活品質所造成的影響程度,以適時提供合宜的護理措施,協助孕婦能有一個喜樂平順的懷孕期。

並列摘要


The purpose of this study was to test the validity and reliability of the Mandarin Health-related Quality of Life for Nausea and Vomiting during Pregnancy. It was a cross-sectional descriptive correlational study design. A convenience sample of 416 pregnant women who have the prenatal clinical visiting in the southern Taiwan. Factor analysis extracted four factors, factor 1 "limitations" (10 items), factor 2 "physical symptoms/aggravating factors" (9 items), factor 3 "emotions" (6 items), factor 4 "fatigue" (4 items), accounting for 67.45% of the total variance. The convergent validity and discriminate validity were good, because the correlation coefficients between subscales and the total scale as well as subscales and subscales were .78 to .85 and .48 to .68(p <.01) respectively. The Cronbach's α was .96 for the total scale. Cronbach's α of four subscales were all more than .70. The intra-class correlation coefficient (ICC) value was .92(p <.01) for the test-retest of two weeks. NVP-specific QOL as measured by the Mandarin NVPQOL was significantly associated with the Taiwan version of WHOQOL-BREF(p <.01), indicating a good concurrent validity. In this study, " the Mandarin Health-related Quality of Life for Nausea and Vomiting during Pregnancy" can be used to future research and clinical assessment tools to enhance nurses understand the quality of life for women with nausea and vomiting during pregnancy and timely provide appropriate nursing interventions to assist pregnant women having a joyful pregnancy.

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