{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T10:51:03Z","timestamp":1782125463325,"version":"3.54.5"},"reference-count":21,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The aim of this research was to compile a self-management assessment scale for patients with aortic dissection (AD). The questionnaire is useful in making the patient aware of the need for post-operative care in order to contribute to improving the outcome and quality of life.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The initial version of the \u201cpostoperative self-management assessment scale for patients with aortic dissection\u201d was developed using the Delphi expert consultation method based on qualitative research results, consultation of self-management-related literature, reference to the existing self-management scale, and self-efficacy theory, combined with the disease characteristics of AD. By using the convenience sampling method, a total of 201 patients with AD who had undergone surgery were selected as the research participants. The initial version of the scale was used for follow-up investigation, and the scale entries were evaluated and exploratory factor analysis carried out to form the formal version of the \u201cpostoperative self-management assessment scale for patients with aortic dissection.\u201d A total of 214 patients with AD after surgery were selected as the research participants. The formal version of the scale was used for follow-up investigation, and its reliability and validity were evaluated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The formal version of the scale had 6 dimensions and 35 entries. The Cronbach\u2019s <jats:italic>\u03b1<\/jats:italic> coefficient for the total scale was 0.908, the split-half reliability was 0.790, and the test\u2013retest reliability after 2 weeks was 0.471. The content validity index of the total scale was 0.963. Exploratory factor analysis yielded six common factors, and the cumulative contribution rate of variance was 66.303%. Confirmatory factor analysis showed that except for the incremental fit index, Tucker\u2013Lewis index, and comparative fit index &gt;0.85, slightly lower than 0.90, <jats:italic>\u03c7<\/jats:italic>\n                     <jats:sup>2<\/jats:sup>\/df &lt;3, root mean square of approximation &lt;0.08, parsimonious goodness-of-fit index, and parsimonious normed fit index &gt;0.50; all other model fitting requirements were satisfied, indicating that the model fitting was acceptable.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>We compiled the postoperative self-management assessment scale for patients with AD, which has demonstrated excellent reliability and validity and can be used as a tool to evaluate the postoperative self-management level in patients with aortic dissection.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/med-2024-0939","type":"journal-article","created":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T08:41:00Z","timestamp":1712911260000},"source":"Crossref","is-referenced-by-count":3,"title":["Compilation of a self-management assessment scale for postoperative patients with aortic dissection"],"prefix":"10.1515","volume":"19","author":[{"given":"Li-Wei","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Nursing, Fujian Medical University Union Hospital, Fuzhou , Fujian 350001 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan-Chun","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Nursing, Fujian Medical University Union Hospital , Fuzhou , Fujian 350001 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiong","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Nursing, Fujian Medical University Union Hospital, Fuzhou , Fujian 350001 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sai-Lan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Nursing, Fujian Medical University Union Hospital , Fuzhou , Fujian 350001 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang-Wan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Fujian Medical University Union Hospital , No. 29 Xinquan Road, Fuzhou , Fujian 350001 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan-Juan","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Nursing, Fujian Medical University Union Hospital , No. 29 Xinquan Road, Fuzhou , Fujian 350001 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2024,4,12]]},"reference":[{"key":"2024060509334176418_j_med-2024-0939_ref_001","doi-asserted-by":"crossref","unstructured":"Sayed A, Munir M, Bahbah EI. Aortic dissection: a review of the pathophysiology, management and prospective advances. Curr Cardiol Rev. 2021;17(4):e230421186875.","DOI":"10.2174\/1573403X16666201014142930"},{"key":"2024060509334176418_j_med-2024-0939_ref_002","doi-asserted-by":"crossref","unstructured":"Rylski B, Schilling O, Czerny M. Acute aortic dissection: evidence, uncertainties, and future therapies. Eur Heart J. 2023;44(10):813\u201321.","DOI":"10.1093\/eurheartj\/ehac757"},{"key":"2024060509334176418_j_med-2024-0939_ref_003","doi-asserted-by":"crossref","unstructured":"Heringlake M, Berggreen AE. Type-A aortic dissection-more than a surgical disease? J Cardiothorac Vasc Anesth. 2019;33(1):58\u20139.","DOI":"10.1053\/j.jvca.2018.08.188"},{"key":"2024060509334176418_j_med-2024-0939_ref_004","doi-asserted-by":"crossref","unstructured":"Caetano LC, Ada L, Romeu Vale S, Teixeira-Salmela LF, Scianni AA. Self-management to promote physical activity after discharge from in-patient stroke rehabilitation: a feasibility study. Top Stroke Rehabil. 2023;30(1):32\u201342.","DOI":"10.1080\/10749357.2021.1978630"},{"key":"2024060509334176418_j_med-2024-0939_ref_005","doi-asserted-by":"crossref","unstructured":"Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191\u2013215.","DOI":"10.1037\/\/0033-295X.84.2.191"},{"key":"2024060509334176418_j_med-2024-0939_ref_006","doi-asserted-by":"crossref","unstructured":"Nienaber CA, Clough RE. Management of acute aortic dissection. Lancet (London, England). 2015;385(9970):800\u201311.","DOI":"10.1016\/S0140-6736(14)61005-9"},{"key":"2024060509334176418_j_med-2024-0939_ref_007","doi-asserted-by":"crossref","unstructured":"Chaddha A, Eagle KA, Braverman AC, Kline-Rogers E, Hirsch AT, Brook R, Jackson EA, et al. Exercise and physical activity for the post-aortic dissection patient: the clinician\u2019s conundrum. Clin Cardiol. 2015;38(11):647\u201351.","DOI":"10.1002\/clc.22481"},{"key":"2024060509334176418_j_med-2024-0939_ref_008","doi-asserted-by":"crossref","unstructured":"Fuglsang S, Heiberg J, Hjortdal VE, Laustsen S. Exercise-based cardiac rehabilitation in surgically treated type-A aortic dissection patients. Scand Cardiovasc J. 2017;51(2):99\u2013105.","DOI":"10.1080\/14017431.2016.1257149"},{"key":"2024060509334176418_j_med-2024-0939_ref_009","doi-asserted-by":"crossref","unstructured":"Kawada T. Blood pressure control in patients presenting with type B aortic dissection. Am J Cardiol. 2018;121(3):394.","DOI":"10.1016\/j.amjcard.2017.10.037"},{"key":"2024060509334176418_j_med-2024-0939_ref_010","doi-asserted-by":"crossref","unstructured":"Kang E, Kim S, Rhee YE, Lee J, Yun YH. Self-management strategies and comorbidities in chronic disease patients: associations with quality of life and depression. Psychol Health Med. 2021;26(8):1031\u201343.","DOI":"10.1080\/13548506.2020.1838585"},{"key":"2024060509334176418_j_med-2024-0939_ref_011","doi-asserted-by":"crossref","unstructured":"Voorhaar M, Tiemensma J, Asijee GM, Slok AHM, Muris JWM, Kaptein AA. A TASMAN expedition: development of a questionnaire to assess specific self-management abilities. Int J Chron Obstruct Pulmon Dis. 2020;15:1415\u201323.","DOI":"10.2147\/COPD.S224943"},{"key":"2024060509334176418_j_med-2024-0939_ref_012","doi-asserted-by":"crossref","unstructured":"Lee EH, Lee YW, Chae D, Lee KW, Chung JO, Hong S, et al. A new self-management scale with a hierarchical structure for patients with type 2 diabetes. Asian Nurs Res (Korean Soc Nurs Sci). 2020;14(4):249\u201356.","DOI":"10.1016\/j.anr.2020.08.003"},{"key":"2024060509334176418_j_med-2024-0939_ref_013","doi-asserted-by":"crossref","unstructured":"Mares M, Salamonson Y, Maneze D, Elmir R, Everett B. Development and validation of a scale to measure self-efficacy and self-management in people with coronary heart disease. J Cardiovasc Nurs. 2020;37(4):E81\u2013E88. 10.1097\/JCN.0000000000000777.Epub ahead of print.","DOI":"10.1097\/JCN.0000000000000777"},{"key":"2024060509334176418_j_med-2024-0939_ref_014","doi-asserted-by":"crossref","unstructured":"Ben Gal T, Kato NP, Yaari V, Avraham B, Klompstra L, Str\u00f6mberg A, et al. Psychometric testing of the Hebrew version of the European heart failure self-care behaviour scale. Heart Lung Circ. 2020;29(7):e121\u201330.","DOI":"10.1016\/j.hlc.2019.10.019"},{"key":"2024060509334176418_j_med-2024-0939_ref_015","doi-asserted-by":"crossref","unstructured":"Zhu Y, Yang B, Li X, Wu B, Guo Q, Xu L, et al. Development of the nurses\u2019 willingness to engage in palliative care scale. J Hosp Palliat Nurs. 2022;24(6):E258\u201364.","DOI":"10.1097\/NJH.0000000000000898"},{"key":"2024060509334176418_j_med-2024-0939_ref_016","doi-asserted-by":"crossref","unstructured":"Anderson A, Starkweather A, Cong X, Kim K, Schulman-Green D, Judge M, et al. Self-efficacy survey study of pain self-management in patients with cancer. Pain Manag Nurs. 2022;23(4):486\u201393.","DOI":"10.1016\/j.pmn.2021.10.002"},{"key":"2024060509334176418_j_med-2024-0939_ref_017","doi-asserted-by":"crossref","unstructured":"Chan SW. Chronic disease management, self-efficacy and quality of life. J Nurs Res. 2021;29(1):e129.","DOI":"10.1097\/JNR.0000000000000422"},{"key":"2024060509334176418_j_med-2024-0939_ref_018","doi-asserted-by":"crossref","unstructured":"McPherson S, Reese C, Wendler MC. Methodology update: Delphi studies. Nurs Res. 2018;67(5):404\u201310.","DOI":"10.1097\/NNR.0000000000000297"},{"key":"2024060509334176418_j_med-2024-0939_ref_019","doi-asserted-by":"crossref","unstructured":"Lopez A, Caff\u00f2 AO, Tinella L, Bosco A. The four factors of mind wandering questionnaire: content, construct, and clinical validity. Assessment. 2023;30(2):433\u201347.","DOI":"10.1177\/10731911211058688"},{"key":"2024060509334176418_j_med-2024-0939_ref_020","doi-asserted-by":"crossref","unstructured":"Le\u00f3n-Hern\u00e1ndez R, Rodr\u00edguez-P\u00e9rez AC, P\u00e9rez-Gonz\u00e1lez YM, de C\u00f3rdova MIP, de Le\u00f3n-Escobedo R, G\u00f3mez-Guti\u00e9rrez T, et al. Psychosocial factors associated with self-management in patients with diabetes. Healthcare (Basel). 2023;11(9):1284.","DOI":"10.3390\/healthcare11091284"},{"key":"2024060509334176418_j_med-2024-0939_ref_021","doi-asserted-by":"crossref","unstructured":"Clark LA, Watson D. Constructing validity: new developments in creating objective measuring instruments. Psychol Assess. 2019;31(12):1412\u201327.","DOI":"10.1037\/pas0000626"}],"container-title":["Open Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/med-2024-0939\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/med-2024-0939\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T14:46:06Z","timestamp":1717598766000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/med-2024-0939\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,1]]},"references-count":21,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,3,27]]},"published-print":{"date-parts":[[2024,3,27]]}},"alternative-id":["10.1515\/med-2024-0939"],"URL":"https:\/\/doi.org\/10.1515\/med-2024-0939","relation":{},"ISSN":["2391-5463"],"issn-type":[{"value":"2391-5463","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,1]]},"article-number":"20240939"}}