| Summary: | 碩士 === 長庚大學 === 護理學研究所 === 95 === The purpose of this cross-sectional and descriptive study was to establish a reliable and valid instrument to evaluate women's confidence in sexual health during after childbirth. To test the reliability and validity of the scale, 302 participants from postpartum ward of a medical center and local medical department in northern Taiwan were recruited through purposive sampling. Item pool of sexual health self-efficacy scale (SHSES-P) was developed through literature review, examination of related instruments, self-efficacy theory, and expert' suggestions. Content validity index and item analysis were used to determine item eligibility. The three dimensions of sexual health self-efficacy scale for postpartum women are: Sexual physical health self-efficacy, Sexual psychological health self-efficacy, and Sexual Social health self-efficacy, which are divided into 10 subscales that together comprise a total of 72 items.
The results showed that the scale has a high internal consistency with a Cronbach's alpha value at .98. The Test-retest reliability ( r value) over 14 days was .89 (p＜.001), showing acceptable stability of the scale (SHSES-P). Exploratory factor analysis was used to test the initial construct validity. Under sexual physical health self-efficacy, the four factors Sexual physical self care, Promote Sexual physical comfort, Sexual physical recover evaluate, and Promote vaginal elastic explained 70.53％ (19.42%、19.28%、16.94%、14.88% respectively) of the total variance. The two factors under sexual psychological health and self-efficacy, Sexual anxiety, and Body image explained the total variance of 68.86％ (35.42% and 33.44% respectively).The four factors Sexual adjustment, Sexual expression, Contraceptive control, and Lying-in coping strategy under Sexual Social health self-efficacy explained 71.66％of the total variance (28.07%、15.58%、14.89%、13.01% respectively). In terms of criterion-related validity, it is also evident that the SHSES-P satisfies predictive validity when compared with well-developed and tested instruments such as Postpartum Sexual Satisfaction Scale (PSSS) and Postpartum Intimate Relationship Scale (PIRS). The results suggest that SHSES-P has solid psychometric properties, and is a useful tool for giving appropriate intervention, fostering positive SHSES-P and promoting sexual health in postpartum women with sexual problems.
Key Words: postpartum women、 sexual health、self-efficacy、pool development.
Key Words: postpartum women、 sexual health、self-efficacy、pool development.
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