Development and validation of the Health Education Adherence Scale for Stroke Patients: a cross-sectional study

Ding, Weiwei; Chen, Junya; Liu, Jing; Lin, Beibei; Li, Shihen; Li, Fengzhen; Guo, Junyi; Li, Yun; Li, Jufang

doi:10.1186/s12883-022-02597-2

Cited by 7 publications

(4 citation statements)

References 32 publications

(36 reference statements)

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“…Nevertheless, although the multivariable logistic regression and Cox proportional hazards model served to underscore the superiority of advanced wound healing techniques, they also brought to light the intricate nature of dynamics involved in wound healing. Roche et al (2005) proposed that postoperative care should adopt multifaceted approach due to substantial impact that variables including age, comorbidities and type of operation have on outcomes 26–29 …”

Section: Discussionmentioning

confidence: 99%

“…Roche et al (2005) proposed that postoperative care should adopt multifaceted approach due to substantial impact that variables including age, comorbidities and type of operation have on outcomes. [26][27][28][29] The observed differences in outcomes between the PRP therapy and control groups underscored the clinical relevance of PRP in enhancing postoperative recovery for complex surgeries. Specifically, PRP therapy led to significantly improved wound healing rates, reduced pain levels and accelerated functional recovery compared with standard care.…”

Section: Outcome Metricsmentioning

confidence: 99%

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Comparative analysis of wound healing techniques in postoperative bladder cancer patients

Zhong,

Wang

2024

International Wound Journal

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Bladder cancer is a highly prevalent malignancy that presents significant difficulties in the management of wounds following surgery. The present study investigated the critical necessity to optimize wound healing techniques in patients undergoing bladder cancer surgery by contrasting conventional approaches with advanced modalities in order to promote recovery and mitigate complications. The study assessed the efficacy of conventional and advanced wound healing methods in these patients, taking into account the complex interaction of patient‐specific factors and surgical complexities. A cross‐sectional analysis was performed on 120 patients who underwent bladder cancer surgery at the first affiliated hospital of Wenzhou Medical University. In addition to medical record evaluations and direct wound assessments, patient interviews were utilized to gather information regarding demographics, surgical specifics, wound healing methodologies and postoperative results. Survival analysis and logistic regression were utilized in statistical analysis, with potential confounding variables such as age, comorbidities and type of surgery being accounted for. Advanced wound healing techniques, such as negative pressure wound therapy, tissue‐engineered products, bioactive dressings and platelet‐rich plasma (PRP), exhibited distinct advantage in comparison with conventional suturing. The aforementioned techniques, especially PRP, resulted in expedited wound healing, decreased rates of complications (p < 0.05) and enhanced secondary outcomes, including curtailed hospital stays and decreased rates of readmissions. PRP therapy, in particular, demonstrated significant improvements with the faster mean time to wound healing of 9 ± 2 days and lower complication incidence of 2 (6.7%) (p < 0.05), indicating its superior efficacy. A subgroup analysis revealed that younger patients, males and those undergoing laparoscopic surgery exhibited superior outcomes (p < 0.05). The results were further supported by logistic regression and Cox proportional hazards models, which further indicated that sophisticated techniques, notably PRP therapy with a hazard ratio of 3.00 (2.00–4.50) and adjusted odds ratio of 0.20 (0.09–0.43), were effective in improving postoperative recovery. The research clarified the significant advantages that advanced wound healing techniques offered in postoperative care of patients diagnosed with bladder cancer. By customizing these methods to suit the unique requirements of individual patients and specific circumstances of surgical procedures, they can significantly enhance the recuperation process after surgery and set a new standard for patient care.

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Section: Discussionmentioning

confidence: 99%

Section: Outcome Metricsmentioning

confidence: 99%

Comparative analysis of wound healing techniques in postoperative bladder cancer patients

Zhong,

Wang

2024

International Wound Journal

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“…The discriminant validity of the SMPSD-RS was assessed by the average variance extracted (AVE), which was required to be greater or equal to 0.500 [ 38 ]. Acceptable evidence for discriminant validity is also confirmed if the AVE’s square root value belonging to each potential domain is greater than the correlation between any pair of potential domains [ 39 ].…”

Section: Methodsmentioning

confidence: 99%

Factor structure and reliability of the symptom measurement of post-stroke depression in the rehabilitation stage

Zeng,

Chen,

Liu

et al. 2024

BMC Psychiatry

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Background The incidence of Post Stroke Depression (PSD) in the Rehabilitation Stage is high, which can bring serious physical and psychological disorders to patients. However, there is still a lack of targeted tools for screening PSD in the rehabilitation stage. Therefore, the aim of this study was to evaluate the factor structure and reliability of a measurement instrument to screen for PSD in the rehabilitation stage. Methods A cross-sectional study was conducted on 780 hospitalized stroke patients who were within the rehabilitation stage from May to August 2020. Exploratory factor analysis (EFA) as well as first- and second-order confirmatory factor analysis (CFA) were performed to evaluate the factor structure of the newly developed Symptom Measurement of Post-Stroke Depression in the Rehabilitation Stage (SMPSD-RS). The reliability and validity of the SMPSD-RS were also verified using several statistical methods. Results EFA extracted a 24-item, five-factor (cognition, sleep, behavior, emotion, and obsession) model that can clinically explain the symptoms of PSD during the rehabilitation stage. A first-order CFA confirmed the EFA model with good model fit indices, and the second-order CFA further confirmed the five-factor structure model and showed acceptable model fit indices. Acceptable reliability and validity were also achieved by the corresponding indicators. Conclusion The SMPSD-RS was proven to have a stable factor structure and was confirmed to be reliable and valid for assessing PSD symptoms in stroke patients during the rehabilitation stage.

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“…EFA and CFA use two data sets independently. EFA requires that the number of participants should be 5 to 10 times the number of scale items (Ding et al, 2022). The PSDS-SS obtained by Delphi method has 33 items, and the required sample size should be 165-330.…”

Section: Participantsmentioning

confidence: 99%

Psychometric properties of the post-stroke depression scale in the sequelae stage

Zeng

Li²,

Ning³

et al. 2023

Front. Psychol.

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AimTo evaluate the psychometric properties of the Post-Stroke Depression Scale in the Sequelae Stage (PSDS-SS).BackgroundThe incidence of the sequelae stage Post-Stroke Depression (PSD) is high, and the best screening tools are still lacking. Under this circumstances, our research team developed the PSDS-SS by Delphi method, but its psychometric properties need to be further verified.MethodThis was a cross-sectional study. Seven hundred and sixteen stroke patients in the sequelae stage were enrolled by purpose sampling from May 2022 to September 2022. The exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to verify the factor structure of the scale. The reliability of the scale was tested by Cronbach’s α coefficient, test–retest reliability and composite reliability. The validity of the scale was tested by criterion-related validity, convergent and discriminant validity.ResultEight items were deleted through item analysis. The EFA ended up with a 5-factor scale including 24 items after removing one item with low factor loading. Finally, a 21-item model was established by confirmatory factor analysis, and all the fit indexes were acceptable. The reliability and validity of the total scale and each factor are acceptable.ConclusionThe PSDS-SS has a stable factor structure, and demonstrated good reliability and validity. And it would be an effective tool to assess PSD in the sequelae stage.

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Development and validation of the Health Education Adherence Scale for Stroke Patients: a cross-sectional study

Cited by 7 publications

References 32 publications

Comparative analysis of wound healing techniques in postoperative bladder cancer patients

Comparative analysis of wound healing techniques in postoperative bladder cancer patients

Factor structure and reliability of the symptom measurement of post-stroke depression in the rehabilitation stage

Psychometric properties of the post-stroke depression scale in the sequelae stage

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