{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T15:21:25Z","timestamp":1785338485288,"version":"3.55.0"},"reference-count":50,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Chronic kidney disease (CKD) represents a significant global public health challenge, characterized by its high prevalence and the complexity of its treatment, which collectively impose substantial burdens on patients\u2019 quality of life and healthcare systems. Hemodialysis remains a critical life-sustaining treatment for CKD patients, with arteriovenous fistulas (AVFs) being the most commonly used vascular access. The long-term functionality of AVFs relies heavily on patients\u2019 self-care abilities, encompassing their knowledge of maintenance practices, appropriate attitudes toward care, and the implementation of effective self-care behaviors. Consequently, accurately assessing the self-care capabilities of patients with AVFs is essential for optimizing treatment outcomes and enhancing their overall quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aims to translate the scales of knowledge, attitude, and practice of self-care for patients with arteriovenous fistula (SKAPS-AVF) into Chinese and evaluate its psychometric properties among Chinese patients to ensure its validity and reliability in clinical and research settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The study employed the Brislin translation model to translate and back-translate the original scale, followed by cultural adaptation to ensure its relevance to the Chinese context. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to assess the structural validity of the scale. Reliability was evaluated by calculating Cronbach\u2019s alpha, split-half reliability, and McDonald\u2019s Omega (<jats:italic>\u03a9<\/jats:italic>) to determine the internal consistency and stability of the scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Exploratory factor analysis (EFA) revealed that the translated scale has a three-factor structure, with eigenvalues greater than 1 for all factors and a total variance explanation rate of 63.099%. Confirmatory factor analysis (CFA) demonstrated good model fit, with fit indices such as the chi-square value, Comparative Fit Index (CFI), Tucker\u2013Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA) meeting acceptable standards. Reliability analysis indicated that Cronbach\u2019s alpha, split-half reliability, and McDonald\u2019s Omega values all exceeded 0.7, suggesting good internal consistency and stability of the scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The C-SKAPS-AVF demonstrated good psychometric properties, with high structural validity and reliability, making it a robust tool for assessing self-care capabilities in patients with arteriovenous fistulas. This scale provides a reliable measurement tool for related clinical interventions and research. However, future studies should consider expanding the sample size and evaluating the scale\u2019s longitudinal stability and applicability across different cultural contexts.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1588271","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T04:11:47Z","timestamp":1745813507000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Psychometric properties of the Chinese version of scales of knowledge, attitude, and practice of self-care for patients with arteriovenous fistula: a translation and verification study"],"prefix":"10.3389","volume":"13","author":[{"given":"Chuang","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youbei","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxin","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danfeng","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1097\/PAP.0000000000000257","article-title":"Diabetic kidney disease: past and present","volume":"27","author":"Akhtar","year":"2020","journal-title":"Adv Anat Pathol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1016\/S0140-6736(19)32977-0","article-title":"The global burden of chronic kidney disease","volume":"395","author":"Cockwell","year":"2020","journal-title":"Lancet"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"22368","DOI":"10.1038\/s41598-022-25485-8","article-title":"Trends of kidney cancer burden from 1990 to 2019 in European Union 15 + countries and World Health Organization regions","volume":"12","author":"Jani","year":"2022","journal-title":"Sci Rep"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3969\/j.issn.1006-2483.2021.05.001","article-title":"The current status and trends of chronic kidney disease (CKD) burden in China based on GBD data","volume":"32","author":"Ke","year":"2021","journal-title":"J Pub Health Prev Med"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1159\/000514550","article-title":"Global epidemiology of end-stage kidney disease and disparities in kidney replacement therapy","volume":"52","author":"Thurlow","year":"2021","journal-title":"Am J Nephrol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"l5873","DOI":"10.1136\/bmj.l5873","article-title":"Status of care for end stage kidney disease in countries and regions worldwide: international cross sectional survey","volume":"367","author":"Bello","year":"2019","journal-title":"BMJ"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1111\/j.1525-139X.2011.00856.x","article-title":"Perioperative Management of the Hemodialysis Patient","volume":"24","author":"Trainor","year":"2011","journal-title":"Semin Dial"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1839","DOI":"10.1681\/ASN.2016040412","article-title":"Complications of the arteriovenous fistula: a systematic review","volume":"28","author":"Al-Jaishi","year":"2017","journal-title":"J Am Soc Nephrol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e089844","DOI":"10.1136\/bmjopen-2024-089844","article-title":"Knowledge, attitudes and practices regarding arteriovenous fistulas among uremic patients undergoing haemodialysis in China: a cross-sectional study","volume":"15","author":"Huang","year":"2025","journal-title":"BMJ Open"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1016\/j.ijnss.2020.06.007","article-title":"Self-care actions for the maintenance of the arteriovenous fistula: an integrative review","volume":"7","author":"Costa Pessoa","year":"2020","journal-title":"Int J Nurs Sci"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1487","DOI":"10.2215\/CJN.02190216","article-title":"New insights into Dialysis vascular access: what is the optimal vascular access type and timing of access creation in CKD and Dialysis patients?","volume":"11","author":"Woo","year":"2016","journal-title":"Clin J Am Soc Nephrol"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1016\/j.cdtm.2021.05.002","article-title":"Expert Group of Nephrology Branch of China academy of chronic disease urology nephrology and blood purification Commission of China Medical Education Association. Expert consensus on the establishment and maintenance of native arteriovenous fistula","volume":"7","author":"Zhang","year":"2021","journal-title":"Chronic Dis Transl Med"},{"key":"ref13","article-title":"Analysis of self-care status and influencing factors of autologous arteriovenous fistula in hemodialysis patients","volume":"48","author":"Yanni","year":"2024","journal-title":"Guizhou MedicalJourna"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1053\/j.ackd.2008.01.006","article-title":"Self-efficacy and self-management behaviors in patients with chronic kidney disease","volume":"15","author":"Curtin","year":"2008","journal-title":"Adv Chronic Kidney Dis"},{"key":"ref15","article-title":"Study on the influence of self-management level of hemodialysis patients on their health status","volume-title":"China National Knowledge Infrastructure (CNKI)","author":"Yu","year":"2007"},{"key":"ref16","article-title":"Construction and test of self-management scale for hemodialysis patients","volume-title":"Research on nursing and health care","author":"Song","year":"2009"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"JNM-2023-0100.R1","DOI":"10.1891\/JNM-2023-0100","article-title":"Development and psychometric testing of scales of knowledge, attitude, and practice of self-Care for Patients with Arteriovenous Fistula","author":"Pessoa","year":"2024","journal-title":"J Nurs Meas"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"31","DOI":"10.4103\/sja.SJA_543_18","article-title":"The STROBE guidelines","volume":"13","author":"Cuschieri","year":"2019","journal-title":"Saudi J Anaesth"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"103690","DOI":"10.1016\/j.nepr.2023.103690","article-title":"Psychometric evaluation of the Chinese version of motivation for nursing student scale (MNSS): a quantitative and cross-sectional design","volume":"71","author":"Li","year":"2023","journal-title":"Nurse Educ 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distress","volume":"88","author":"Kopple","year":"2017","journal-title":"CN"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1066","DOI":"10.3758\/s13428-011-0115-7","article-title":"Effects of skewness and kurtosis on normal-theory based maximum likelihood test statistic in multilevel structural equation modeling","volume":"43","author":"Ryu","year":"2011","journal-title":"Behav Res Methods"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"00307","DOI":"10.1016\/j.pmn.2024.11.004","article-title":"The psychometric properties of the Chinese version of the pain relief motivation scale in patients with neurogenic chronic pain","author":"Ding","year":"2024","journal-title":"Pain Manag Nurs"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1186\/s12912-024-02415-9","article-title":"Psychometric properties of the Chinese version of the nurses\u2019 attitudes towards communication with the patient scale among Chinese 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Meas"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1007\/s11747-014-0403-8","article-title":"A new criterion for assessing discriminant validity in variance-based structural equation modeling","volume":"43","author":"Henseler","year":"2015","journal-title":"J Acad Mark Sci"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"399","DOI":"10.3747\/pdi.2010.00239","article-title":"Hand hygiene in peritoneal dialysis","volume":"31","author":"Firanek","year":"2011","journal-title":"Perit Dial Int"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1159\/000343669","article-title":"Most important chronic complications of arteriovenous fistulas for hemodialysis","volume":"22","author":"Stolic","year":"2013","journal-title":"Med Princ Pract"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"401","DOI":"10.4103\/1319-2442.229270","article-title":"Refusal of hemodialysis by hospitalized chronic kidney disease patients in Pakistan","volume":"29","author":"Shafi","year":"2018","journal-title":"Saudi J Kidney Dis Transpl"},{"key":"ref40","first-page":"20","article-title":"Investigation on self-management behavior of hemodialysis patients.","volume-title":"Chin J Prac Nurs","author":"Aiping","year":"2004"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"ii1","DOI":"10.1093\/ndt\/gfz072","article-title":"Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults","volume":"34","author":"Gallieni","year":"2019","journal-title":"Nephrol Dialysis Transp"},{"key":"ref42","first-page":"11806","article-title":"Effect of self-management and thrombus monitoring on patients with autogenous arteriovenous fistula","volume":"13","author":"Li","year":"2021","journal-title":"Am J Transl Res"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"e13168","DOI":"10.1111\/ijn.13168","article-title":"Development and psychometric validation of the sickness Presenteeism scale-nurse","volume":"29","author":"Baris","year":"2023","journal-title":"Int J Nurs Pract"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"679801","DOI":"10.3389\/fpsyg.2021.679801","article-title":"Development and validity of the nurse Presenteeism questionnaire","volume":"12","author":"Shan","year":"2021","journal-title":"Front Psychol"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1007\/s11747-011-0300-3","article-title":"Guidelines for choosing between multi-item and single-item scales for construct measurement: a predictive validity perspective","volume":"40","author":"Diamantopoulos","year":"2012","journal-title":"J Acad Mark Sci."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"59","DOI":"10.26458\/1746","article-title":"Two criteria for good measurements in research: validity and reliability","volume":"17","author":"Mohajan","year":"2017","journal-title":"Ann Spiru Haret Univ Econ 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