Improving the level of arteriovenous fistula (AVF) self‐care behavior by people receiving hemodialysis is an effective way to reduce the occurrence of complications and mortality. The aim of this study was to assess the self‐care behavior of Chinese patients undergoing hemodialysis with arteriovenous fistula. The assessment of self‐care behaviors with arteriovenous fistula in hemodialysis (ASBHD‐AVF, Portuguese version) was translated into Chinese using Brislin's translation model. The content validity was evaluated by six experts. Then we involved 301 hemodialysis patients with AVF to explore the construct validity of the Chinese version of ASBHD‐AVF. Ultimately 216 patients from eight dialysis centers of general hospitals in China were recruited to evaluate the patients’ self‐care behavior about AVF. Measures included demographic questionnaire, and the Chinese ASBHD‐AVF. The Chinese ASBHD‐AVF that included 12 items has a good internal consistency (α = 0.865) and content validity (CVI = 0.979). Principal component analysis generated two factors which explained 53.525% of the total variance. About 69.9% of hemodialysis patients’ AVF self‐care behavior were at a low or moderate level. The level of self‐care behavior and knowledge need to be improved. Nurses should give specific guidance according to the patients’ own characteristics and different influence factors, in order to improve the recipients’ self‐care behavior.
The increasing impacts of natural disasters on disadvantaged rural areas, especially in developing countries, have led to concerns regarding post-disaster rural settlement reconstruction. Various approaches, including resettlement and in-situ reconstruction, have been adopted, both of which disregard changing the pattern of dispersed settlement in villages. Against a pattern of dispersed settlement, developing a concentrated rural settlement (CRS) within a village is argued to enable the resilience of rural villages and provide a basis for sustainable development after a disaster. Nevertheless, this has received little attention when determining a plan of actions for post-disaster reconstruction. No specific guidelines can be referenced when developing CRS in post-disaster reconstruction due to the lack of a generic decision model. Therefore, this study examines the process of developing CRS in post-disaster reconstruction by mapping four cases selected in Dujiangyan, China, after the 5.12 Sichuan Earthquake in 2008. The examination leads to establishing a generic decision model for developing CRS in post-disaster reconstruction, which incorporates all the proficiencies embodied in the existing practices. This model provides This is the Pre-Published Version. 2 an alternative tool for planning CRS in post-disaster reconstruction. It can also serve as a vehicle for identifying both effective practices and weak areas by comparing varying cases.
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