امكان سنجي اوليه پرسشنامه توانمندي دريافت مراقبت سلامت در زنان متاهل سنين باروري مبتني بر تئوري رفتار برنامه ريزي شده

Assessing Preliminary Feasibility of Health Care Empowerment Questionnaire among Women in Reproductive Age Based on the Theory of Planned Behavior

زﻣﯿﻨﻪ و ﻫﺪف: ﯾﮑﯽ از ﻧﯿﺎزﻫﺎي ﻣﻬﻢ در ﻋﺮﺻﻪ ﺳﻼﻣﺖ، وﺟﻮد اﺑﺰارﻫﺎي اﻧﺪازهﮔﯿﺮي اﺳﺘﺎﻧﺪارد ﺑﻪﻣﻨﻈﻮر ارزﺷﯿﺎﺑﯽ وﺿـﻌﯿﺖ ﺳﻼﻣﺖ اﺳﺖ. ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﻃﺮاﺣﯽ و ﺗﻌﯿﯿﻦ رواﯾﯽ و ﭘﺎﯾﺎﯾﯽ اﺑﺰار ﺗﺌـﻮري رﻓﺘـﺎر ﺑﺮﻧﺎﻣـﻪ رﯾـﺰي ﺷـﺪه در راﺑﻄـﻪ ﺑـﺎ ﺗﻮاﻧﻤﻨﺪي درﯾﺎﻓﺖ ﻣﺮاﻗﺒﺖ ﺳﻼﻣﺖ در زﻧﺎن ﻣﺘﺄﻫﻞ ﺳﻨﯿﻦ ﺑﺎروري اﻧﺠﺎمﺷﺪ. روش ﮐﺎر: اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﻣﻘﻄﻌـﯽ ﺑـﺎ اﺳـﺘﻔﺎده از ﭘﺮﺳﺸـﻨﺎﻣﻪ ﺧـﻮد اﯾﻔـﺎ ﺑـﺎ ﺷـﺮﮐﺖ 488 زن ﻣﺘﺄﻫـﻞ ) 15-49 ﺳـﺎﻟﻪ ( ﺑـﺎ روش ﻧﻤﻮﻧﻪﮔﯿﺮي ﺗﺼﺎدﻓﯽ ﭼﻨﺪ ﻣﺮﺣﻠﻪاي از ﻣﺮاﮐﺰ ﺑﻬﺪاﺷﺘﯽ درﻣﺎﻧﯽ ﺟﻨﻮب واﺑﺴﺘﻪ ﺑﻪ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﺗﻬﺮان در ﺳـﺎل 1397 اﻧﺠﺎم ﺷﺪ. رواﯾﯽ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺑﺎ اﺳﺘﻔﺎده از روشﻫﺎي رواﯾﯽ ﺻﻮري، ﻣﺤﺘﻮا و ﻣﻼك، و ﭘﺎﯾﺎﯾﯽ آن ﺑﺎ اﺳﺘﻔﺎده از روشﻫﺎي آﻟﻔﺎي ﮐﺮوﻧﺒﺎخ و آزﻣﻮن وﯾﻠﮑﺎﮐﺴﻮن ﺗﺤﺖ ﻧﺮماﻓﺰار24-SPSS ﺗﻌﯿﯿﻦ ﺷﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﭘﺲ از ﺑﺮرﺳﯽ ﻧﺘﺎﯾﺞ رواﯾﯽ، ﭼﻬﺎر ﺳﺆاﻟﯽ ﮐﻪ ﺷﺎﺧﺺ رواﯾﯽ ﻣﺤﺘﻮاﯾﯽ آنﻫﺎ ﮐﻤﺘﺮ از ﺣﺪ ﻣﺠﺎز ﺑـﻮد، اﺻـﻼح ﺷـﺪ ﻧﺪ و ﺗﻐﯿﯿﺮات ﻻزم در آنﻫﺎ ﺻﻮرت ﮔﺮﻓﺖ. ﺳـﭙﺲ ﻣﺮاﺣﻞ رواﯾﯽ آنﻫﺎ ﺗﮑﺮار ﺷﺪ ﺗﺎ ﻣـﻘﺪار ﻣﻄﻠﻮب، ﯾﻌﻨﯽ ﻧﺴـﺒﺖ رواﯾـﯽ ﻣــﺤﺘﻮا ﺑﯿﺶ از 0/62 و ﺷﺎﺧﺺ رواﯾﯽ ﻣﺤﺘﻮا ﺑﯿﺸﺘﺮ از 0/79 ﺣﺎﺻﻞ ﮔﺮدد. ﭘﺎﯾﺎﯾﯽ ﺳﺆاﻻت ﻧﯿﺰ ﺑﺎ ﻣﻘﺪار ﺑﯿﺸﺘﺮ از 0/7 ﺗﺄﯾﯿﺪ ﺷﺪ. ﭘﺎﯾـﺎﯾﯽ آزﻣﻮن- ﺑﺎزآزﻣﻮن و ﻫﻤﺴﺎﻧﯽ دروﻧﯽ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺗﺌﻮري ﻣﺤﻮر ﺗﻮاﻧﻤﻨﺪي درﯾﺎﻓﺖ ﻣﺮاﻗﺒﺖ ﺳﻼﻣﺖ ﻗﺎﺑﻞﻗﺒﻮل ﺑﻮد )0/96= α(. ﺷﺎﺧﺺ رواﯾﯽ ﻣﺤﺘﻮا و ﻧﺴﺒﺖ رواﯾﯽ ﻣﺤﺘﻮا )87%=CVR=% 89،CVI( ﻧﯿﺰ ﻗﺎﺑﻞﻗﺒﻮل ﺑﻮد. ﻧﺘﯿﺠﻪﮔﯿﺮي: اﯾﻦ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺗﺌﻮري ﻣﺤﻮر ﺑﻪﻋﻨﻮان ﯾﮏ اﺑﺰار روا و ﭘﺎﯾـﺎ ﻣـﯽ ﺗﻮاﻧﺪوﺳـﯿﻠﻪ ﻣﻨﺎﺳـﺒﯽ ﺟﻬـﺖ ﺳـﻨﺠﺶ ﺗﻮاﻧﻤﻨـﺪي درﯾﺎﻓﺖ ﻣﺮاﻗﺒﺖ ﺳﻼﻣﺖ در ﺟﻤﻌﯿﺖ زﻧﺎن ﻣﺘﺄﻫﻞ ﺳﻨﯿﻦ ﺑﺎروري ﺑﺎﺷﺪ.

One of the most important requirements in the health fields is the availability of standard measurement tools to assess the health status. This study aimed to design and determine the validity and reliability of health care empowerment questionnaire among women in reproductive age based on the theory of planned behavior. Methods: This cross-sectional study was performed on 488 married women (15-49 years old) using self-administered questionnaire that were selected by multistage random sampling method in south health centers affiliated to Tehran university of medical sciences in 2018. The validity of the questionnaire was determined using content, criterion and face validity, and its reliability was determined using Cronbach's alpha and Wilcoxon test using SPSS-24 software. Results: In order to evaluate the validity, four questions with less content validity indices were modified and the necessary changes were made. Then, their validity steps were repeated and desired values, i.e., the content validity ratio more than 0.62 and content validity index more than 0.79, were obtained. The reliability was calculated in the value greater than 0.7. Test-retest reliability and internal consistency of the theory-based questionnaire of health care empowerment were acceptable (α=0.96). The content validity index and content validity ratio were also satisfactory (CVI=87%, CVR=% 89). Conclusion: This theory-oriented questionnaire can be used as a valid and reliable tool for assessing the health care empowerment among married women in reproductive age.