ObjectiveThe purpose of this study was to translate and verify the reliability and validity of the Chinese version of the self-care scale for older adults undergoing hip fracture surgery.MethodsA total of 502 older adult/adults patients after hip fracture surgery were recruited from Liaoning, Shanxi, and Beijing, China. The reliability of the Chinese version of the scale was measured by internal consistency, split-half reliability, and retest reliability, and the validity was evaluated by the content validity index and structure validity index.ResultsThe Chinese version of the HFS-SC scale had a Cronbach's alpha coefficient of 0.848, and the Cronbach's alpha coefficients for the five dimensions ranged from 0.719 to 0.780. The split-half reliability of the scale was 0.739, and the retest reliability was 0.759. The content validity index (S-CVI) was 0.932. The five-factor structure, supported by the eigenvalues, total variance explained, and the scree plot accounted for 66.666% of the total variance. In confirmatory factor analysis, the model fit results were as follows, X2/df = 1.847, GFI = 0.914, AGFI = 0.878, PGFI = 0.640, IFI = 0.932, TLI = 0.912, CFI = 0.931, RMSEA = 0.058, PNFI = 0.679. The indicators of the model's fit were within reasonable bounds.ConclusionThe Chinese version of the self-care scale for older adults undergoing hip fracture surgery has suitable reliability and validity. The scale can be used to assess the level of older adult/adults self-care in China following hip replacement surgery and serves as a useful benchmark for identifying potential intervention targets to raise the level of older adult/adults self-care following hip replacement surgery.

Purpose We performed this systematic review to summarize the psychometric properties of Face, Legs, Activity, Cry and Consolability ( FLACC ) scale in pediatric patients in different settings. Methods Two investigators independently searched PubMed, EMBASE, OVID and China National Knowledge Infrastructure (CNKI) for eligible studies through July 2021. We assessed the psychometric properties using the modified critical appraisal tool (CAT). Finally, we systematically reviewed the results of the included studies. Results A total of 15 studies were eventually included. The overall quality of each eligible study was low to moderate. The FLACC scale has been available in different versions and in different settings. Although eligible studies have demonstrated significant clinical benefit in assessing postoperative pain in pediatric patients aged 0 to 10 years from post-anesthetic care unit (PACU), pediatric intensive care unit (PICU) and inpatient unit, and in assessing procedural pain in pediatric patients aged 0.5 to 7 years from emergency unit, immunization center and PICU, mostly without test-retest analysis. Conclusion Although the absence of a gold standard of pain assessment, the currently available data support the usefulness of the FLACC from the perspective of criterion validity. Therefore, the FLACC scale can be considered for measuring observational pain in infants and children. However, further studies are still needed to provide more robust evidence.

Background: Oncology nurses are susceptible to chemotherapy exposure due to frequent exposure to chemotherapy agents.Compliance with the guidelines for safe management of chemotherapy is an important aspect of reducing occupational exposure and protecting the safety of oncology nurses.It is important to investigate the current situation of oncology nurses complying with safety protection guidelines and identify the factors affecting chemotherapy exposure. These factors will help to formulate corresponding intervention measures to effectively promote the health behavior of oncology nurses and strengthen self-protection.The objective of this study was to translate the Oncology Nurses Health Behaviors Determinants Scale (HBDS-ON)into Chinese and validate its psychometric properties in oncology nurses. Methods: A total of 408 oncology nurses from three hospitals in China were selected by convenience sampling method.Item analysis was used to test the differentiation of each item in the scale.Cronbach’s α coefficient, split-half reliability were used to test the internal consistency of the translated scale,and retest reliability was used to measure the external consistency of the translated scale.Exploratory factor analysis(EFA) was used to explore the number of factors affecting the observed variables, and confirmatory factor analysis(CFA) was used to validate the translated scale's structural validity.The content validity of the translated scale was evaluated by expert correspondence consultation. Results: The Cronbach’s α coefficient,the split-half reliability and retest reliability of the translated scale were0.898, 0.849 and 0.898 respectively.The content validity of the scale was 0.965.A 6-factor structure was extracted from EFA, and 63.260% of variance contribution was explained.The factor structure of the scale was verified by CFA, and the results showed that the scale fit within the acceptable range. Conclusions: The Chinese version of the HBDS-ON had good reliability and validity.The scale can be used to measure the influencing factors of chemotherapy exposure in oncology nurses.Moreover, the results of this scale can provide a basis for the formulation of intervention measures to reduce chemotherapy exposure.

Objective: This study aimed to examine the factors affecting medication literacy in community-dwelling older adults with hypertension, guided by social learning theory. It sought to analyze the pathways these factors influenced and provide a theoretical foundation for designing targeted intervention programs.Study design: This is a cross-sectional study.Methods: From October 2022 to February 2023, a total of 432 community-dwelling older adults with hypertension from Linghe District, Guta District, and Taihe District, Jinzhou City, Liaoning Province, China, were selected using convenience sampling. Data were collected using a socio-demographic questionnaire, a medication literacy questionnaire, the Brief Illness Perception Questionnaire, the General Self-efficacy Scale, and the Perceived Social Support Scale. The collected data were analyzed with Kruskal-Wallis and Mann-Whitney tests, correlation analysis, multiple stepwise regression analysis, and structural equation modeling (SEM).Results: The medication literacy score among the participants was 3.83 ± 1.91. Multi-factor analysis revealed key factors affecting their medication literacy, including blood pressure-control status, utilization of community health education resources, receiving guidance for medication usage, marital status, number of annual visits, social support, self-efficacy, and disease perception. The SEM based on social learning theory showed that general self-efficacy mediated the relationship between social support, disease perception, and medication literacy.Conclusion: The present study developed a model and provided potential intervention strategies to improve medication literacy, knowledge, and safety among community-dwelling older adults with hypertension, considering the relationships between the identified variables.

Objective The objective of this study was to translate the Elderly-Constipation Impact Scale into Chinese and to examine its reliability and validity in a population of older people suffering from chronic constipation. Methods A total of 564 elderly chronically constipated patients were recruited for this study. The general information questionnaire and the Chinese version of the Elderly-Constipation Impact Scale (E-CIS) were used to survey them. The reliability of the Chinese questionnaire is assessed by internal consistency, split-half reliability, and retest reliability. Content validity indicators and structural validity indicators were used to assess the validity of the scale. Results The Chinese version of the Constipation Impact Scale for the Elderly has an appropriate level of reliability. The split-half reliability is 0.736 and the stability is 0. 763. The content validity and structural validity indicators are within reasonable limits. Conclusion The Chinese version of the E-CIS has good reliability and validity in the chronic constipation population of the elderly. The results of the questionnaire can effectively and comprehensively reflect the impact of chronic constipation on the quality of life of the elderly. It provides a meaningful reference for identifying targets for intervention.