台灣版產後婦女生活品質量表之信效度測試

Testing the Reliability and Validity of the Maternal Postpartum Quality of Life Questionnaire-Taiwan Version

洪意華(Yi-Hua Hung)

指導教授 ： 周汎澔教授

高雄醫學大學/護理學院/護理學系碩士班/碩士(2016年)

摘要

本研究目的為測試台灣版產後婦女生活品質量表的信效度；以橫斷式研究方式，採方便取樣，調查南部地區某醫學中心、區域教學醫院及地區醫院之產後病房263位產後婦女的相關資料。經因素分析萃取4個因素：「社會/經濟」(12題)、「健康/功能」(10題)、「家庭/嬰兒」(10題)、「關係/心理」(7題)，解釋總變異量為57.18％。分量表與總量表的相關係數介於.83至.88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.60至.67之間 (p< .01)，表示區辨效度良好；總量表與台灣簡明版生活品質量表之相關係數.73 (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.88以上，表示量表內在一致性良好；兩週再測信度之類組內相關係數(ICC)值為.89 (n=24, p<.01)，顯示總量表再測信度良好。本研究「台灣版產後婦女生活品質量表」，可做為日後研究和當作臨床產後婦女生活品質的評估工具，增進護理人員了解產後婦女的生活品質，以適時提供合宜的護理措施，協助產婦因應產後的調適與改變。

關鍵字

產後婦女 ； 生活品質 ； 信度 ； 效度

並列摘要

The purpose of this study was to test the validity and reliability of the Taiwan version of Maternal Postpartum Quality of Life Questionnaire. A cross-sectional study was conducted. A convenience sampling was used to recruit 263 postpartum women from postpartum wards of a medical center, local teaching hospital and local hospital located in Southern Taiwan. Factor analysis showed that this questionnaire has four factors: socioeconomic (12 items), health/functioning (10 items), family/baby (10 items), relational/psychological (7 items), accounting for 57.18% of the total variance. The questionnaire showed good convergent and discriminate validities, because the correlation coefficients between subscales and the total scale as well as subscales and subscales were .83 to .88 and .60 to .67 (p <.01) respectively. The Cronbach’s α was .96 for the total scale. Cronbach’s α values of four subscales were all more than .88, indicating good internal consistency. The intra-class correlation coefficient value was .89 (n=24, p < .01) for the test-retest reliability in two weeks. The findings of the current study could be applied clinically in the future for studying and evaluating the quality of life of postpartum women. This will aid the nursing staff to better understand postpartum women’s quality of life, in order to provide timely nursing intervention and thus help women cope with postpartum changes.

並列關鍵字

quality of life ； maternal postpartum ； reliability ； validity

參考文獻

王麗惠、劉芹芳（2005）．生活品質概念分析於護理之應用．高雄護理雜誌，22(2)，41-50。

Jarvis, C. B., MacKenzie, S. B., & Podsakoff, P. M. (2003). A critical review of construct indicators and measurement model misspecification in marketing and consumer research. Journal of Consumer Research, 30(2), 199-218. doi: 10.1086/376806

中文部分

內政部統計處（2015）．104年第22週內政統計通報（103年新生嬰兒生母狀況分析）．取自http://www.moi.gov.tw/files/news_file/week10422.pdf

戈依莉（2004）．産後疲倦．護理雜誌，51(6)，75-79。