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Abstract：
While standardized assessment of knowledge, attitudes, and practices (KAP) related to gestational diabetes and hypertension is possible with a valid tool, existing research remains limited. This prospective validation study aimed to develop and validate a novel tool to assess the KAP of midwives and obstetric nurses. We included 125 midwives and obstetric nurses who routinely care for patients with gestational diabetes and hypertension. The tool demonstrated good internal consistency (Cronbach\'s alpha): knowledge (0.729, 95% CI, 0.654-0.776), attitude (0.756, 95% CI, 0.690-0.814), and practices (0.925, 95% CI, 0.905-0.943). Difficulty indices (d) ranged from 0.38 to 0.99 (knowledge), 0.41 to 0.99 (attitudes), and 0.41 to 0.93 (practices), indicating appropriate item difficulty. Discrimination indices (D) confirmed items could differentiate between respondents with low and high knowledge levels (D range: 0.02-0.77 for knowledge, 0.06-0.64 for attitudes, 0.20-0.84 for practices). The robust psychometric properties of this tool support its use in future research on KAP related to diabetes and gestational hypertension management in midwives and nurses. This instrument has the potential to be valuable in various settings, including baseline assessment before educational programs or evaluation of learning outcomes after interventions.
摘要：
在对知识进行标准化评估的同时，态度，与妊娠期糖尿病和高血压相关的实践（KAP）可以使用有效的工具，现有的研究仍然有限。这项前瞻性验证研究旨在开发和验证一种评估助产士和产科护士KAP的新工具。我们包括125名助产士和产科护士，他们通常为妊娠糖尿病和高血压患者提供护理。该工具表现出良好的内部一致性(Cronbach'salpha)：知识(0.729，95%CI，0.654-0.776)，态度（0.756，95%CI，0.690-0.814），和实践（0.925，95%CI，0.905-0.943）。难度指数(d)范围从0.38到0.99(知识)，0.41至0.99（态度），和0.41至0.93(实践)，指示适当的项目难度。歧视指数（D）确认项目可以区分知识水平低和高的受访者（D范围：知识0.02-0.77，0.06-0.64的态度，用于实践的0.20-0.84）。该工具的强大心理测量特性支持其在助产士和护士中与糖尿病和妊娠期高血压管理相关的KAP的未来研究中使用。该仪器在各种环境中都有可能具有价值，包括教育计划前的基线评估或干预后的学习成果评估。
