طراحی و روان‌سنجی پرسشنامه خودمراقبتی جنسی در زنان سنین باروری مبتنی بر مدل والتز

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی دکترای تخصصی بهداشت باروری، کمیته تحقیقات و فناوری دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 استاد گروه مامایی و بهداشت باروری، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 استادیار گروه مامایی و بهداشت باروری، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

4 استاد گروه مامایی و بهداشت باروری، مرکز تحقیقات سلامت جنسی باروری، دانشگاه علوم پزشکی مازندران، ساری، ایران.

5 استادیار گروه علوم پایه، دکترای آمار زیستی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

چکیده

مقدمه: طراحی ابزاری روا و پایا برای سنجش وضعیت خودمراقبتی جنسی زنان سنین باروری جهت شناسایی نقاط قوت و ضعف موجود و طراحی مداخلات مقتضی، برای بهبود وضعیت سلامت جنسی زنان سنین باروری، ضرورتی برای جامعه محسوب می‌شود، لذا مطالعه حاضر با هدف طراحی و روان‌سنجی پرسشنامه خودمراقبتی جنسی در زنان سنین باروری انجام گرفت.
روش‌کار: مطالعه حاضر یک مطالعه روش‌شناسی با طرح مقطعی بود که در سال 1400 انجام شد. پرسشنامه با استفاده از رویکرد قیاسی و بر اساس مدل والتز طراحی گردید. سپس جهت بررسی ویژگی­ های روان‌سنجی ابزار، روایی صوری کمّی و کیفی و روایی محتوای کمّی و کیفی مورد بررسی قرار گرفت. در نهایت، پایایی ابزار با استفاده از ارزیابی همسانی درونی و تعیین ضریب آلفای کرونباخ و ارزیابی ثبات با روش آزمون بازآزمون و تعیین ضریب همبستگی درون خوشه‌ای (ICC) بررسی شد.
یافته­ ها: نسخه نهایی پرسشنامه خودمراقبتی جنسی در زنان سنین باروری با 40 گویه در 4 حیطه شامل: پیشگیری از بیماری­ های مقاربتی و عفونت­ های تناسلی، پیشگیری از سرطان­ های زنان، پیشگیری از بارداری ناخواسته و ارتقای سلامت جنسی طراحی شد. ویژگی­ های روان‌سنجی این پرسشنامه نشان داد که میزان شاخص روایی کل ابزار 93/0 و نسبت روایی کل ابزار 96/0 بود. پایایی نسبی کل ابزار نیز با آلفای کرونباخ 94/0 نشان داده شد. ثبات ابزار نیز با ضریب همبستگی درون خوشه­ ای در کل ابزار 97/0 با فاصله اطمینان 98/0-94/0 نشان داده شد.
نتیجه­ گیری: پرسشنامه سنجش خودمراقبتی جنسی در زنان سنین باروری (FSHS) از روایی و پایایی قابل قبولی در جمعیت ایران برخوردار است که می­ تواند مفهوم وسیع خودمراقبتی جنسی را مورد سنجش قرار دهد. نتایج حاصل از این مطالعه می ­تواند در دسترس صاحب‌نظران و برنامه‌ریزان جهت بررسی وضعیت موجود و طراحی مداخلات مناسب قرار گیرد. 

کلیدواژه‌ها

عنوان مقاله [English]

Design and psychometric of sexual self-care questionnaire in reproductive age women based on Waltz model

نویسندگان [English]

  • Fereshteh Yazdani 1
  • Masoumeh Simbar 2
  • Elham Zare 3
  • Zeinab HamzehGardeshi 4
  • Malihe Nasiri 5
1 PhD student of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Assistant Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 Professor, Department of Midwifery and Reproductive Health, Sexual and Reproductive Health Research Center, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
5 Assistant Professor, Department of Basic sciences, PhD in Biostatistics, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Designing valid and reliable tool to measure the sexual self-care status of reproductive age women in order to identify the strengths and weaknesses and design appropriate interventions to improve the sexual health status of reproductive age women is considered a necessity for the society. Therefore, this study was conducted with aim of designing and psychometrically evaluating sexual self-care questionnaire in women of reproductive age.
Methods: This was a methodological study with a cross-sectional design conducted in 2021. A questionnaire was designed using a comparative approach based on the Waltz model. Then, to check the psychometric characteristics of the tool, quantitative and qualitative face validity and quantitative and qualitative content validity were investigated. Finally, the reliability of the tool was assessed by the internal consistency assessment and determining the Cronbach's alpha coefficient, and the stability assessment by the test-retest method and determining the intra-cluster correlation coefficient (ICC).
Results: The final version of this questionnaire was designed with 40 items in four areas including prevention of sexually transmitted diseases and genital infections, prevention of gynecology cancers, prevention of unwanted pregnancy and promotion of sexual health. The psychometric characteristics of this questionnaire showed that the validity index of the total tool was 0.93 and the validity ratio of the total tool was 0.96. The relative reliability of the total tool was also shown with Cronbach's alpha of 0.94. The stability of the tool was also shown by the ICC in the total tool of 0.97 with a confidence interval of 0.94-0.98.
 Conclusion: The Female Sexual Health Self-care (FSHS) questionnaire has acceptable validity and reliability in the Iranian population, which can measure the broad concept of sexual self-care. The results of this study can be available to experts and planners to review the current situation and design suitable interventions.

کلیدواژه‌ها [English]

  • Questionnaire
  • Self-care
  • Sexual and reproductive health
  • Sexual self-care

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مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 12
اسفند 1401
صفحه 43-63

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