Aims and objectives To assess the effectiveness of a 12‐week educational intervention on foot self‐care behaviour among diabetic retinopathy patients with visual disability and their primary caregivers in China. Background Diabetes with the coexistence of diabetic retinopathy and foot problems complicating diabetes not only represents a personal disaster, but also becomes a serious burden to public health in China. A foot self‐care educational intervention is both cost‐effective and feasible even in a health resource‐limited setting, which should be developed and evaluated. Design Quasi‐experimental. Methods From July–September 2017, we enrolled 80 eligible hospitalised diabetic retinopathy patients and their primary caregivers by convenient sampling method in a first‐class comprehensive hospital in Nantong, in China. Before and after the educational intervention that is in accordance with the TREND statement (for details, see the “Supplementary File 1”), researchers and subjects filled out the self‐designed questionnaire on foot problems complicating diabetes and the Diabetic Foot Self‐care Behavior Scale, respectively. Results Scores of foot self‐care behaviour among the subjects significantly improved from 54.19 ± 8.01–75.85 ± 5.04. The number of patients with fasting blood glucoses <7.0 mmol/L improved from 43 (53.75%)–80 (100%). The results of incidence of foot problems complicating diabetes were not statistically significant. The complete execution of each item in Diabetic Foot Self‐care Behavior Scale of subjects was apparently higher. Conclusions This educational intervention can facilitate positive foot self‐care behaviours among the diabetic retinopathy patients with visual disability and their primary caregivers in China. Relevance to clinical practice. This study adds to the evidence of the effectiveness of an educational intervention to foster positive foot self‐care behaviours. This educational intervention appears to be prospective in promoting diabetic home‐based self‐management in China, and the delivery method of the intervention may be applied to other chronic diseases.
Aim To test and compare the Self‐Care of Hypertension Inventory (SC‐HI) and Hypertension Self‐Care Profile (HBP SCP) among older patients with hypertension in China. Design A cross‐sectional observational study. Methods A convenience sampling of 220 older adults (120 male patients and 100 female patients) with hypertension and a mean age of 73.74 years was surveyed using the Chinese version of SC‐HI, the Chinese version of HBP SCP and the Chinese version of Exercise of Self‐Care Agency Scale (ESCA) during July‐September 2019. Psychometric analyses and Receiver Operating Characteristic curve analyses were performed on the collected data. Results The Cronbach's α of SC‐HI and HBP SCP was 0.858 and 0.953, respectively. The Pearson's coefficients between the SC‐HI total score and the ESCA total score, the HBP SCP total score and the ESCA total score were 0.494 and 0.700, respectively. The satisfactory sensitivity, specificity, cut‐off point and Area under the curve of SC‐HI were 0.8292, 0.5495, 120.5 and 0.754, respectively. As for HBP SCP, the values were 0.7907, 0.7582, 169.5 and 0.838, respectively. There was no significant difference between these two scales. Each has its own characteristics. However, the HBP SCP is more precise and effective for measuring self‐care ability in older patients.
Objective: To develop the Adaptability to Return-to-Work Scale (ARTWS) for cancer patients and evaluate its psychometric properties. Methods: In stage 1, the items of the initial scale were compiled based on the theoretical model, interview coding topics, and literature review results. Afterward, through two rounds of Delphi expert consultation and a pilot survey, the initial scale was further checked and revised. In stage 2, the psychometric properties of the ARTWS were assessed. Reliability was assessed by internal consistency and test-retest reliability evaluation. Exploratory Factor Analyses (EFA) and Confirmatory factor analysis (CFA) were performed to examine the construct validity. Moreover, the content validity was evaluated by the scale level content validity index (S-CVI). Results: The final ARTWS for cancer Patients consisted of 24 items. EFA extracted "Focusing on rehabilitation", "Rebuilding Self- efficiency", and "Adjusting plans" as common factors in determing adaptability of cancer patients to return-to-work, and the cumulative variance contribution rate for these three factors was 66.6%. The S-CVI of the total scale was 0.979. The Cronbach's α coefficient was 0.937. The 2-week test-retest reliability was 0.814. CFA showed that after model modification, the fitting of the model was within the acceptable range. Conclusion: The developed ARTWS for adult cancer patients has good reliability and validity, which can be used as a tool to measure the adaptability of cancer patients' return-to-work.
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