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The Journal of Nursing Research MEDLINESCIEScopusSSCITSSCI

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篇名 Psychometric Testing of the Feelings and Thoughts About Weight Scale on Postpartum Women in Taiwan
卷期 17:2
並列篇名 體重戚受量表用於台灣產後婦女的心理計量測試
作者 張淑文陳美燕
頁次 144-151
關鍵字 postpartumweight retentionobesitybody mass indexChinese version of the Feelings and Thoughts About Wight scale產後體重滯留肥胖身體質量指數中文版體重戚受量表MEDLINEScopusSSCITSCITSSCISCIE
出刊日期 200906

中文摘要

多數台灣婦女在產後六個月期間很難將體重恢復到懷孕前的狀態,產後體重滯留過多容易導致長久性的肥胖以及增加婦女許多健康問題的危險性,控制產後體重滯留是預防將來導致長期肥胖的重要因素。本研究目的主要在建立中文版的體重戚受量表(Chinese version- Feelings and Thoughts about Weight, CFATAW)之心理計量特性,以 及用於評估產後體重滯留婦女對體重戚受之能力。研究方法採用橫斷面描述研究設計與方便取樣方式,在大台北地區一所大型醫學中心之產後婦幼鬥診候診室,針對252位產後6~9個月之婦女進行測試。研究結果顯示:本量表具有適當之內在一致性與專家內容效度,同時由主成分因素分析也顯示中文版CFATAW具有兩個向度之因素,包括體重困擾和體重羞愧,共可解釋57.979毛之變異量;相較於體重正常範圍之婦女,目前屬於過重者分別有2.75、2.44和1.87倍之機率在體重戚受量表之總量表與次量表得分也較高;同樣的產後有體重滯留者,分別有2.33、2.53和2.42倍之機率在整體體重戚受量表及其次量表之得分均顯著的較高;顯示中文版的體重戚受量表是可以作為評估產後婦女體重滯留相關困擾之工具。本研究結果將有助於產科及社區護理人員在協助產後體重滯留婦女,幫助他們採行護理相關措施時的依據。

英文摘要

The purpose of this study was to establish the psychometric properties of the Chinese version of the Feelings and Thoughts About Weight (CFATAW) scale and evaluate the ability of this scale to assess weight-related distress in Taiwanese women after childbirth. A cross-sectional, descriptive design was used to recruit 252 postpartum women who had given birth 6 to 9 months previously. Categorical data analysis and exploratory factor analysis were used to analyze the data. Internal consistency, content validity index, and factor analysis all indicated CFATAW to be a valid and reliable instrument for use with Taiwanese postpartum women. Factor analysis yielded a two-factor solution of weight distress and weight salience, with an explained variance of 57.97%. Further, women who were currently overweight scored2.75, 2.44, and 1.87 times higher than their nonoverweight counterparts, respectively, in the total CFATAW scale scores and scores on distress and salience subscales. Women with postpartum weight retention faced a 2.33, 2.53, and 2.42 times greater risk, respectively, of scoring higher on the total scale and two subscales. The results of this study indicated that the CFATAW can be used by maternity and community health nurses to assess weightrelated distresses in women after childbirth. The research results could be useful in developing interventions to assist women in Taiwan with the problem of postpartum weight retention.

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