Background
Due to the lack of health education adherence assessment tools for stroke patients, the assessment of health education adherence in this population is insufficient, which hinders the prevention and rehabilitation of stroke. This study aims to develop and validate a Health Education Adherence Scale for Stroke Patients (HEAS-SP).
Methods
A cross-sectional design with a purposive sampling method was used for this study. Six hundred and fifty-four eligible participants completed the demographic questionnaire and the HEAS-SP. The data collection lasted for 7 months, from March 1stto September 30th in 2019. Item analysis and exploratory and confirmatory factor analysis were employed to develop and validate the HEAS-SP.
Results
The item analysis, exploratory and confirmatory factor analysis resulted in a 20-item HEAS-SP with 4 domains: medication adherence, diet adherence, rehabilitation exercise adherence, and healthy lifestyle adherence. The four-domain model demonstrated acceptable model fit indexes and the 20-item HEAS-SP demonstrated acceptable reliability and validity.
Conclusion
The 20-item HEAS-SP was shown to have acceptable reliability and validity for assessing health education adherence with respect to diet, medication, rehabilitation exercise and healthy lifestyle in stroke patients, making it a potential basis for developing targeted interventions for stroke patients.
With the revival of virtue ethics, recently more and more scholars start to realize the important role of Aristotle’s theory of virtue, and present to “going back to Aristotle”. Therefore, it is very significant and meaningful to re-read Aristotle’s concept of virtue. Through the analysis of Aristotle’s “neither by nature, then, nor contrary to nature do the virtues arise in us”, this paper attempts to re-estimate the concept of Aristotle’s virtue. My analysis will focus on Aristotle’s virtue from the perspective of nature and practice. Finally, I will attempt to point out that Aristotle’s virtue has its roots in nature, but is cultivated by the practice of human beings. The activity of human beings’ practical life is the fundamental to the existence of human beings.
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