DOI QR코드

DOI QR Code

Validity and Reliability of the Korean Version Scale for Measuring Maternal Satisfaction in Normal Birth

한국형 질분만만족 측정도구의 타당도와 신뢰도

  • 김선희 (대구가톨릭대학교 간호대학/간호과학연구소) ;
  • 이유진 (대구과학대학교 간호학과)
  • Received : 2017.06.30
  • Accepted : 2017.08.18
  • Published : 2017.08.28

Abstract

This study was conducted in order to evaluate validity and reliability of the Korean version scale to measure maternal satisfaction in normal birth(KSMMS-normal birth). The SMMS-normal birth was administered to 205 postnatal women, together with the perception of birth experience scale. An exploratory factor analysis revealed six factors solution for the twenty three-item scale. Confirmatory factor analysis supported good convergent and discriminant validities, and factor correlations ranged from 0.11 to 0.57. The KSMMS-normal birth showed good concurrent validity with the perception of birth experience scale. The Cronbach alpha for the total scale was .91. It ranged between .80 to .90 for six subscales. The KSMMS-normal birth is reliable and valid instrument to measure maternal satisfaction. Therefore this scale can be used to assess maternal satisfaction in normal birth at hospital during the postpartum 2nd and 3rd day.

본 연구의 목적은 질분만을 한 여성의 만족을 측정하기 위해 질분만만족 측정도구를 한국어로 번안하고 한국형 질분만만족 측정도구의 타당도와 신뢰도를 평가하는 것이다. 한국형 질분만만족 측정도구는 205명의 산모를 대상으로 평가하였고, 준거타당도를 평가하기 위해 분만경험지각을 측정하였다. 탐색적 요인분석결과 6요인, 23문항으로 나타났다. 확인적 요인분석결과 좋은 수렴타당도와 판별타당도를 보였고, 요인간 상관관계는 0.11~0.57이었다. 한국형 질분만만족 측정도구는 분만경험지각 측정도구와 좋은 동시타당도를 나타냈다. 전체 문항의 내적일관성 신뢰도인 Cronbach alpha는 .91, 하부요인은 .80에서 .90 사이였다. 따라서 한국형 질분만만족 측정도구는 신뢰도와 타당도가 검정된 도구이므로 산후 2, 3일째 병원에서 산모의 질분만만족 평가에 사용할 수 있다.

Keywords

References

  1. E. Batbaatar, J. Dorjdagva, A. Luvsannyam, and P. Amenta, "Conceptualisation of patient satisfaction: A systematic narrative literature review," Perspectives in Public Health, Vol.135, No.5, pp.243-250, 2015. https://doi.org/10.1177/1757913915594196
  2. P. Caballero, B. E. Delgado-Garcia, I. Orts-Cortes, J. Moncho, P. Pereyra-Zamora, and A. Nolasco, "Validation of the Spanish version of Mackey childbirth satisfaction rating scale," BMC Pregnancy Childbirth, Vol.16, p.78, 2016. https://doi.org/10.1186/s12884-016-0862-7
  3. I. Gungor and N. K. Beji, "Development and psychometric testing of the scales for measuring maternal satisfaction in normal and caesarean birth," Midwifery, Vol.28, No.3, pp.348-357, 2012. https://doi.org/10.1016/j.midw.2011.03.009
  4. P. A. Janssen, C. L. Dennis, and B. Reime, "Development and psychometric testing of The Care in Obstetrics: Measure for Testing Satisfaction (COMFORTS) scale," Research in Nursing & Health, Vol.29, No.1, pp.51-60, 2006. https://doi.org/10.1002/nur.20112
  5. C. J. H. Martin and C. R. Martin, "Development and psychometric properties of the Birth Satisfaction Scale-Revised (BSS-R)," Midwifery, Vol.30, No.6, pp.610-619, 2014. https://doi.org/10.1016/j.midw.2013.10.006
  6. 통계청, 합계출산율. http://kosis.kr/nsportalStats/nsportalStats_0102Body.jsp?menuId=10&NUM=1033
  7. 통계청, 2015 가족실태조사: 향후 출산 계획이 있을시 희망 자녀수. http://kosis.kr/statHtml/statHtml.do?orgId=154&tblId=DT_MOGE_1510000869&vw_cd=MT_ZTITLE&list_id=154_15401_2015&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=E1
  8. 이선희, "조산원과 가정에서 분만한 여성의 순산," 여성건강간호학회지, 제20권, 제1호, pp.1-13, 2014. https://doi.org/10.4069/kjwhn.2014.20.1.1
  9. H. G. Dahlen, L. M. Barclay, and C. S. Homer, "The novice birthing: Theorising first-time mothers' experiences of birth at home and in hospital in Australia," Midwifery, Vol.26, No.1, pp.53-63, 2010. https://doi.org/10.1016/j.midw.2008.01.012
  10. C. Grigg, S. K. Tracy, R. Daellenbach, M. Kensington, and V. Schmied, "An exploration of influences on women's birthplace decision-making in New Zealand: A mixed methods prospective cohort within the evaluating maternity units study," BMC Pregnancy Childbirth, Vol.14, p.210, 2014. https://doi.org/10.1186/1471-2393-14-210
  11. K. Coxon, J. Sandall, and N. J. Fulop, "How do pregnancy and birth experiences influence planned place of birth in future pregnancies? Findings from a longitudinal, narrative study," Birth, Vol.42, No.2, pp.141-148, 2015. https://doi.org/10.1111/birt.12149
  12. S. Arulkumaran, E. Chandraharan, T. Mahmood, O. Louca, and C. Mannion, Maternity dashboard: Clinical performance and governance score card, London: Royal College of Obstetricians and Gynaecologists, 2008. Available from: https://www.rcog.org.uk/globalassets/documents/guidelines/goodpractice7maternitydashboard2008.pdf
  13. O. Halperin, O. Sarid, and J. Cwikel, "The influence of childbirth experiences on womens postpartum traumatic stress symptoms: A comparison between Israeli Jewish and Arab women," Midwifery, Vol.31, No.6, pp.625-632, 2015. https://doi.org/10.1016/j.midw.2015.02.011
  14. 안숙희, 류경순, 정은순, "무통분만 여부에 따른 초산부의 신체불편감과 분만만족," 여성건강간호학회지, 제9권, 제3호, pp.235-244, 2003.
  15. L. F. Smith, "Development of a multidimensional labour satisfaction questionnaire: dimensions, validity, and internal reliability," Quality in Health Care : QHC, Vol.10, No.1, pp.17-22, 2001.
  16. 박광희, 이세화, 진보경, 원진숙, "조산 및 저출생체중아를 분만한 산부의 Labor Support Behaviors 의 일대일 적용 및 배우자의 분만참여에 따른 분만만족도와 분만결과 비교," 임상간호연구, 제17권, 제2호, pp.239-250, 2011.
  17. 전영자, "산욕기 초산모의 간호요구와 만족도에 관한 연구," 여성건강간호학회지, 제3권, 제1호, pp.5-21, 1997.
  18. C. H. Martin and V. Fleming, "The birth satisfaction scale," International Journal of Health Care Quality Assurance, Vol.24, No.2, pp.124-135, 2011. https://doi.org/10.1108/09526861111105086
  19. P. Goodman, M. C. Mackey, and A. S. Tavakoli, "Factors related to childbirth satisfaction," Journal of Advanced Nursing, Vol.46, No.2, pp.212-219, 2004. https://doi.org/10.1111/j.1365-2648.2003.02981.x
  20. World Health Organization. World health statistics 2013. http://www.who.int/gho/publications/world_health_statistics/EN_WHS2013_Full.pdf?ua=1
  21. D. Cindoglu and F. Sayan-Cengiz, "Medicalization Discourse and Modernity: Contested Meanings Over Childbirth in Contemporary Turkey," Health Care for Women International, Vol.31, No.3, pp.221-243, 2010. https://doi.org/10.1080/07399330903042831
  22. OECD, Health at a glance 2009: OECD indicators. http://dx.doi.org/10.1787/health_glance-2009-en
  23. OECD, Health at a Glance 2015: OECD indicators. http://dx.doi.org/10.1787/health_glance-2015-en
  24. OECD, Length of hospital Satay. https://data.oecd.org/healthcare/length-of-hospital-stay.htm
  25. 여정희, 백설향, "분만통증관련 간호요구에 대한 내용분석," 여성건강간호학회, 제7권, 제4호, pp.499-507, 2001.
  26. A. L. Comrey and H. B. Lee, A first course in factor analysis, Hillsdale, NJ: Lawrence Erlbaum Associates, 1992.
  27. T. A. Brown, Confirmatory factor analysis for applied research, 2nd ed., New York, NY: Guilford Publications, 2015.
  28. 대한간호학회, 간호학대사전, 한국사전연구사, 1996.
  29. J. E. Swan, J. C. Sawyer, J. G. Van Matre, and G. W. McGee, "Deepening the understanding of hospital patient satisfaction: Fulfillment and equity effects," Journal of Health Care Marketing, Vol.5, No.3, pp.7-18, 1985.
  30. 조미영, "초산모의 분만유형별 분만경험에 대한 지각과 모아 상호작용 과정에 관한 연구," 대한간호학회지, 제20권, 제2호, pp.153-173, 1990.
  31. J. S. Marut and R. T. Mercer, "Comparison of primiparas perceptions of vaginal and cesarean births," Nursing Research, Vol.28, No.5, pp.260-266, 1979.
  32. D. L. Streiner, G. R. Norman, and J. Cairney, Health measurement scales: A practical guide to their development and use, Oxford: Oxford University Press, 2014.
  33. M. Castillo-Díaz and J-L. Padilla, "How cognitive interviewing can provide validity evidence of the response processes to scale items," Social Indicators Research, Vol.114, No.3, pp.963-975, 2013. https://doi.org/10.1007/s11205-012-0184-8
  34. R. B. Kline, Principles and practice of structural equation modeling, 4th ed., New York: NY: Guilford Publications, 2016.
  35. R. K. Henson and J. K. Roberts, "Use of exploratory factor analysis in published research common errors and some comment on improved practice," Educational and Psychological Measurement, Vol.66, No.3, pp.393-416, 2006. https://doi.org/10.1177/0013164405282485
  36. M. A. Pett, N. R. Lackey, and J. J. Sullivan, Making sense of factor analysis: The use of factor analysis for instrument development in health care research, Thousand Oaks: CA: Sage Publications, 2003.
  37. 김수영, 구조방정식 모형의 기본과 확장: Mplus 예제와 함께, 학지사, 2016.
  38. J. Blair, R. F. Czaja, and E. A. Blair, Designing surveys: A guide to decisions and procedures, Thousand Oaks: CA: Sage Publications, 2013.
  39. S. E. Fleming, C. Donovan-Batson, E. Burduli, C. Barbosa-Leiker, C. J. Hollins Martin, and C. R. Martin, "Birth satisfaction scale/birth satisfaction scale-revised (BSS/BSS-R): A large scale United States planned home birth and birth centre survey," Midwifery, Vol.41, pp.9-15, 2016. https://doi.org/10.1016/j.midw.2016.07.008