Satisfação de puérperas com os serviços obstétricos e neonatais recebidos: evidências de validade do instrumento e informatização

Abstract

Introduction: Researching women's satisfaction with the assistance received during labor and delivery, in the context of maternal health, is a challenge for health institutions, since satisfaction is related to many variables, such as effective communication, respect for privacy, converging with the appropriate ambience. In order to assess women's satisfaction during labor, the Postpartum Satisfaction Assessment Instrument was developed. Objectives: To identify evidence of validity and internal consistency of the Postpartum Satisfaction Assessment Instrument and to informatize this instrument. Methods: Methodological study with evaluation and improvement of this instrument. Content validation was performed with seven judges. Then, for semantic validation, the instrument was evaluated by 30 puerperal women. The last step consisted of applying the instrument to 358 puerperal women. At this stage, exploratory factor analysis and internal consistency were performed. Results: The content validity index was 0.84. Item number 11 had the lowest result (0.71). After changing this item in response to the suggestions received and carrying out a new assessment by the specialists, the new index result was 1. In the semantic analysis, two items were removed from the total of 16 items. The factorial analysis carried out in the third stage demonstrated that the instrument is unifactorial, consisting of 14 items and with good internal consistency (alpha Cronbach=0.93). Conclusions: The instrument showed satisfactory evidence of validity, and was then informatized.