School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.
The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
BMC Neurol. 2022 Feb 28;22(1):69. doi: 10.1186/s12883-022-02597-2.
Due to the lack of health education adherence assessment tools for stroke patients, the assessment of health education adherence in this population is insufficient, which hinders the prevention and rehabilitation of stroke. This study aims to develop and validate a Health Education Adherence Scale for Stroke Patients (HEAS-SP).
A cross-sectional design with a purposive sampling method was used for this study. Six hundred and fifty-four eligible participants completed the demographic questionnaire and the HEAS-SP. The data collection lasted for 7 months, from March 1stto September 30th in 2019. Item analysis and exploratory and confirmatory factor analysis were employed to develop and validate the HEAS-SP.
The item analysis, exploratory and confirmatory factor analysis resulted in a 20-item HEAS-SP with 4 domains: medication adherence, diet adherence, rehabilitation exercise adherence, and healthy lifestyle adherence. The four-domain model demonstrated acceptable model fit indexes and the 20-item HEAS-SP demonstrated acceptable reliability and validity.
The 20-item HEAS-SP was shown to have acceptable reliability and validity for assessing health education adherence with respect to diet, medication, rehabilitation exercise and healthy lifestyle in stroke patients, making it a potential basis for developing targeted interventions for stroke patients.
由于缺乏针对脑卒中患者的健康教育依从性评估工具，导致该人群的健康教育依从性评估不足，从而阻碍了脑卒中的预防和康复。本研究旨在开发和验证脑卒中患者健康教育依从性量表（HEAS-SP）。
本研究采用横断面设计和目的抽样法。654 名符合条件的参与者完成了人口统计学问卷和 HEAS-SP。数据收集时间为 2019 年 3 月 1 日至 9 月 30 日，历时 7 个月。采用项目分析、探索性和验证性因子分析对 HEAS-SP 进行开发和验证。
项目分析、探索性和验证性因子分析得出了一个包含 4 个领域的 20 项 HEAS-SP：药物依从性、饮食依从性、康复运动依从性和健康生活方式依从性。四维度模型显示出可接受的模型拟合指标，20 项 HEAS-SP 显示出可接受的信度和效度。
20 项 HEAS-SP 具有良好的信度和效度，可用于评估脑卒中患者在饮食、药物、康复运动和健康生活方式方面的健康教育依从性，为针对脑卒中患者的针对性干预提供了潜在的依据。
