| Part ?:Cross-cultural adaptation of the Information Need in Cardiac Rehabilitation ScaleObjective:Through the introduction of Information Need in Cardiac Rehabilitation(INCR),after cross-cultural adaptation,the reliability and validity of patients with cardiovascular disease were tested,providing a reliable tool for assessing cardiac rehabilitation information needs for cardiovascular disease patients in China.Methods:Obtain consent and authorization by contacting the author of the source meter.The INCR scale was translated by following the steps of“positivetranslation-integrated-back-translation-expertreview-semantic analysis”in the Beaton translation model.INCR includes 10 dimensions,55items.Twenty-five patients with cardiovascular disease were selected for pre-experiment and the questionnaires were revised.A convenient sampling method was used to select 330 patients who were hospitalized in the Department of Cardiology,Third Hospital of Hebei Medical University,Shijiazhuang City,Hebei Province from January to July 2018.and tested the reliability and validity of the Chinese version of INCR.Results:1.Through rigorous cross-cultural adaptation and semantic analysis,items14,23,44 were language modified In the project analysis,the relationship between the item decision value,the item score and the total score of the scale were considered comprehensively,the items of 17,30,49,and 50 were deleted.According to the analysis of each dimension factor,except for the risk factor of the tenth dimension,the other dimensions were extracted with a common factor of>1.00,and the load of each item was?0.400.The tenth dimension factor analysis extracted two common factors,and after the analysis,deleted the item 48,and the load of each item was basically?0.400.Therefore,the Chinese version of INCR had 50 items in 10 dimensions.2.Reliability and validity test analysis:The Cronbach's?coefficient of Chinese version of INCR was 0.930,the Cronbach's?coefficient of each dimension was 0.530~0.937;the split-half reliability of the total scale is 0.781,and the split-half reliability of each dimension was 0.502~0.892;the test-retest reliability after two weeks of the scale was 0.985,and the test-retest reliability of each dimension was 0.936~0.996.The content validity of the scale was 0.843,and the content validity of each item was 0.833~1.000.The results of exploratory factor analysis showed that the load of 50 items factors were basically?0.400.Therefore,the Chinese version of INCR had a good reliability and validity.Conclusion:After examination,the Chinese version of INCR had a reasonable structure and good reliability and validity.The scale could be used in clinical trial studies as an effective tool for assessing cardiac rehabilitation information need in patients with cardiovascular disease.Part ?:An Empirical Study of the Chinese Version of the Information Need in Cardiac Rehabilitation Scale in clinicalObjective:To investigate the status of cardiac rehabilitation information and analyze the influencing factors of patients with cardiovascular disease using Chinese version of INCR,and provide reference for health education.Methods:A convenient sampling method was used to select 330 patients who were admitted to the Department of Cardiology,Third Hospital of Hebei Medical University,Shijiazhuang City,Hebei Province from January to July,and questionnaires were investigated.The questionnaires included general demographic data and disease-related data,Chinese version of INCR and Activity of Daily Living(ADL).Before the investigation,the patients should be informed of the purpose,significance and filling method of the study to ensure the patient's informed consent.For the questions raised by the patients during the investigation,the investigators need to answer them objectively and must not have any directivity.The datas obtained from the questionnaire were entered in Excel,and after two people checked and confirmed,SPSS21.0 was used for data analysis.Through the descriptive analysis and multivariate stepwise regression analysis of the collected data,the status quo and influencing factors of cardiac rehabilitation information needs of patients with cardiovascular disease were analyzed.Results:1.The median score of total cardiac rehabilitation information for patients with cardiovascular disease was 3.94.The median scores for each dimension were:heart basic knowledge dimension 4.50,nutritional knowledge dimension4.50,exercise/physical activity dimension 3.73,drug knowledge dimension4.80.,work/vocational/social dimension 3.00,stress/psychological dimension3.60,general/social concern dimension 3.50,emergency/security dimension4.50,diagnosis and treatment dimension 5.00,risk factor dimension 3.50.The content of information needs was based on diagnosis and treatment,drug knowledge,basic knowledge of the heart,emergency/safety,and nutritional knowledge.2.According to the results of the questionnaire survey,the gender was related to the demand score.The male patients scored higher than the female patients(Z=-2.006,P=0.045);the age was related to the demand score and the age>70 group had the lowest score(?~2=20.459,P<0.001);family annual income was positively correlated with demand score(?~2=7.268,P=0.026);chronic obstructive pulmonary disease(Z=-3.815,P<0.001)patients'demand scores decreased instead of smoking risk Patients with factors had higher scores for information needs than those with no smoking(Z=-3.007,P=0.003);patients with acute myocardial infarction had higher information demand scores(Z=-2.068,P=0.039);the shorter the disease course,The closer the patient's attention was,the higher the demand score(?~2=14.742,P=0.001);the NYHA score of grade I(?~2=28.586,P<0.001)was significantly higher than that of patients with grade II and III.Conclusion:Patients with cardiovascular disease had different needs for cardiac rehabilitation information under different influencing factors.Therefore,clinically,patients should be targeted for cardiac rehabilitation health education according to individualized conditions,and detailed rehabilitation plans and diversified follow-up models should be developed for patients to promote the rehabilitation of patients. |
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