Agency Scale Research Articles

Effect of group psychotherapy on self-care skills in schizophrenia

BackgroundSchizophrenia is a serious neurodevelopmental psychiatric disorder that places a considerable strain on the healthcare system on a national, regional, and global scale. This study's objective was to measure the level of self-care among individuals with schizophrenia. In addition, to develop, implement, and evaluate the impact of 3 month group therapy on self-care skills in this specific group of patients. The sample comprised 120 individuals diagnosed with schizophrenia, with 60 assigned to study group (receiving group therapy) and 60 to control group (without group therapy). The Positive and Negative Syndrome Scale (PANSS) and The Exercise of Self-Care Agency Scale (ESCAS) were administered to all subjects. The study group observed a substantial decrease in the mean score of positive symptoms, negative symptoms, and symptoms of general psychopathology from baseline assessment to follow-up assessment.ResultsDuring the follow-up assessment, the study group exhibited a reduction in the mean of PANNS subscales by more than half and increase more than double in total score of ESCAS compared to the baseline assessment. Consequently, only the study group achieved a 70% increase in self-care in follow-up assessment. Increased self-care was more likely in patients who participated in the program, as indicated by the regression model.ConclusionsIndividuals with schizophrenia who underwent group therapy exhibited a significant decrease in positive, negative symptoms, and symptoms of general psychopathology. In addition, the implementation of group therapy led to a noticeable improvement in self-care skills compared to those without group therapy.

Effect of multidisciplinary team-style continuity of care and nutritional nursing on lung cancer: randomized study.

Aim: The clinical efficacy of systemic chemotherapy is limited due to the nonspecific delivery of anticancer drugs and is associated with serious systemic adverse effects. Therefore, integrated treatment and comprehensive care are particularly important for postoperative chemotherapy patients with lung cancer.Materials & methods: This study aimed to ascertain the application effect of multidisciplinary team (MDT)-style continuity of care combined with whole-process nutritional nursing in postoperative chemotherapy patients with lung cancer. Nutritional indices, immune function, adverse emotions, self-efficacy, self-care ability, quality of life and toxic reactions during chemotherapy were recorded in postoperative chemotherapy patients with lung cancer receiving routine care (control group) and MDT-style continuity of care combined with whole-process nutritional care (intervention group).Results: After care, the intervention group performed higher BMI, PA, TP and ALB, CD3+, CD4+ and CD4+/CD8+, lower levels of CD8+, lower self-rating anxiety scale, self-rating depression scale and QLQ-C30 symptom domain scores and higher general self-efficacy scale, exercise of self-care agency scale and QLQ-C30 functional domain scores versus the control group (all p<0.05).Conclusion: MDT-style continuity of care combined with whole-process nutritional care can improve the nutritional status of postoperative chemotherapy patients with lung cancer, and in turn enhance their quality of life.

Measuring adolescent girls' agency.

The last decade has experienced a surge of interventions focused on improving adolescent girls' agency. Yet measuring adolescent girls' agency continues to be a challenge, limiting the ability to track impact. This study addresses this evidence gap by constructing and validating a multidimensional measure of agency among adolescent girls in Ethiopia. This study utilized cross-sectional data from 3033 in school adolescent girls aged 10-12 years and 15-17 years and their adult female caregivers collected as part of the Gender and Adolescent: Global Evidence study in 2017-2018 in Ethiopia. This study constructed a measure of agency among the sample and evaluated both known group and convergent validity of the scale. Twenty-two indicators across three domains (decision-making, voice, and mobility) were used to characterize adolescent girls' agency. The data was randomly divided into two halves for exploratory and confirmatory factor analyses separately. While six factors of agency emerged from the initial exploratory analysis, two factors (decision-making and mobility factors) defined adolescent girls' agency from the confirmatory factor analysis. Known-groups validity of the agency scale was confirmed-the scores on the two domains (decision-making and mobility) and the overall agency scale was higher for older girls compared to younger girls and for girls in urban households compared to those in rural households. Convergent validity of the scale was not confirmed. This study advances adolescent girls' agency measurement by providing a validated multidimensional measure that can be used to support future policy and research.

Effects of three-dimensional quality assessment nursing intervention on efficacy and disease management of patients undergoing esophageal cancer surgery.

Esophageal cancer is one of the most common malignant tumors. The three-dimensional quality structure model is a quality assessment theory that includes three dimensions: Structure, process, and results. To investigate the effects of nursing interventions with three-dimensional quality assessment on the efficacy and disease management ability of patients undergoing esophageal cancer surgery. In this prospective study, the control group received routine nursing, and the intervention group additionally received a three-dimensional quality assessment intervention based on the above routine care. Self-efficacy and patient disease management abilities were evaluated using the General Self-Efficacy Scale (GSES) and Exercise of Self-Care Agency scale, respectively. IBM SPSS Statistics for Windows, version 17.0, was used for the data processing. This study recruited 112 patients who were assigned to the control and experimental groups (n = 56 per group). Before the intervention, there was no significant difference in GSES scores between the two groups (P > 0.05). After the intervention, the GSES scores of both groups increased, with the experimental group showing higher values (P < 0.05). At the time of discharge and three months after discharge, the scores for positive attitudes, self-stress reduction, and total score of health promotion in the experimental group were higher than those in the control group (P < 0.05). The implementation of a three-dimensional quality structure model for postoperative patients with esophageal cancer can effectively improve their self-management ability and self-efficacy of postoperative patients.

Measuring general sense of agency: a Japanese adaptation and validation of the sense of agency scale (J-SoAS).

The Sense of Agency (SoA) refers to the individual's perception of control over actions and their subsequent impact on the external environment. SoA encompasses multiple dimensions, such as implicit/local and explicit/general, which can be quantitatively assessed through cognitive tasks and psychometric questionnaires, respectively. The explicit and general aspect of SoA is commonly evaluated using the Sense of Agency Scale (SoAS). This study's objective is to adapt and validate a Japanese version of the Tapal-SoAS. To achieve this, we distributed an online survey in three stages, gathering data from 8,237 Japanese participants aged between their 20s and 60s. Our analysis confirmed the bifactorial structure identified in the original study: the Sense of Positive Agency (SoPA) and the Sense of Negative Agency (SoNA). Metrics pertaining to test-retest reliability, internal consistency, and construct validity reached satisfactory thresholds. Furthermore, the two-factor models demonstrated suitable fit across various age cohorts. The Japanese version of the SoAS (J-SoAS) shows potential for cross-cultural comparisons of explicit and general SoA, particularly between Western and Eastern populations, and among distinct age groups, including young adults and the elderly.

Impact of Combined Exercise Rehabilitation and Continuous Health Education on the Quality of Life and Mental Health of Patients Post-Coronary Stent Implantation

Objective: To evaluate the impact of patient-centered exercise rehabilitation combined with continuous health education on the quality of life and mental health of patients after coronary stent implantation to provide effective rehabilitation intervention strategies and scientific evidence for clinical practice. Methods: This retrospective cohort investigation involved patients who underwent coronary stent implantation at our hospital between January 2021 to December 2022. The control group (n = 81) received routine post-operative follow-up and health education, while the observation group (n = 68) additionally received personalized exercise rehabilitation and continuous health education. The short form-36 (SF-36) scale was used to assess quality of life, while the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to evaluate mental health. The Exercise of Self-Care Agency Scale (ESCA) was used to assess self-care ability. Results: At 6 months post-operation, the observation group showed significantly higher scores than the control group across all dimensions of the SF-36 scale, SAS, SDS, and ESCA (p &lt; 0.05). The observation group exhibited significantly improved quality of life, mental health, and enhanced self-care ability. Conclusion: Patient-centered exercise rehabilitation combined with continuous health education significantly positively impacts the quality of life and mental health of patients after coronary stent implantation. This comprehensive rehabilitation intervention strategy should be adopted in clinical practice to improve patient prognosis and quality of life.

Relationship between academic burnout, self-care, and self-medication among Costa Rican university students in health-related sciences

Introduction: burnout is a problem affecting Health Sciences students, potentially leading to an increased tendency towards self-medication. Therefore, it is crucial to examine the relationship between these two variables and self-care. Objective: to determine the relationship between self-care, burnout, and self-medication in university students majoring in Health related Sciences. Method: a cross-sectional study was conducted through convenience sampling via virtual means throughout the entire month of October 2023, creating a database for this purpose. The study population consisted of university students enrolled in health-related sciences in Costa Rica. A sample of 361 participants was obtained from both a public and a private university, with ages ranging from 18 to 46 years (M= 23.61, SD= 5.30). The questionnaire was composed of the Appraisal of Self-care Agency Scale (α=.89), the Maslach Academic Burnout Inventory (α between .82 and .88) and a set of sociodemographic questions. Results: self-care showed negative correlations with exhaustion, cynicism, and the frequency of self-medication, while displaying positive associations with academic efficacy and age. Additionally, progressing within the curriculum and living alone or with housemates were linked to higher levels of exhaustion compared to those living with a partner or nuclear family. Conclusions: higher levels of self-care in health-related students were associated with lower levels of academic burnout and a reduced frequency of self-medication. Moreover, students living with close individuals exhibited significantly lower levels of exhaustion.

Associations between readmission and patient-reported measures in acute psychiatric inpatients: a multicenter prospective longitudinal study.

This study examined whether patient-reported measures (PRMs) addressing quality of life, personal agency, functional impairment, and treatment satisfaction at hospital discharge were associated with future readmission during a 12-month follow-up period. The study also examined whether readmission influenced changes in the same measures. A multicenter prospective cohort study was conducted at 21 psychiatric hospitals in Japan. Participants completed the EuroQol-five-dimensions-five-level (EQ-5D), the Five-item Subjective Personal Agency Scale, and the Sheehan Disability Scale (SDS) at the time of index admission (T1), discharge from index admission (T2), and 6months (T3) and 12months (T4) after discharge. Inpatient treatment satisfaction was assessed at T2. Readmission and variables potentially associated with hospitalization and PRMs were evaluated using mixed-effects logistic regression models and mixed models for repeated measures. A total of 491 participants were followed for 12months (attrition rate: 19.4%), and 480 were included in the EQ-5D analysis. The most common diagnoses were schizophrenia (59%), depression (14%), and bipolar disorder (13%). No patient-reported measures were significantly associated with readmission over the follow-up period. Interaction of readmission and time did not significantly affect changes in EQ-5D. Readmission did significantly influence SDS score changes between T2 and T3 (B = 1.78, 95% CI = 0.30-3.25, p = 0.018) and between T3 and T4 (B = 1.43, 95% CI = 0.14-2.72, p = 0.029).The same influence of readmission on SDS score changes was not observed in the model which adjusted for all potential covariates. Readmission was potentially associated with changes in self-reported functional impairment. Findings highlight the potential role of intensive post-discharge services in preventing readmission, rather than relying on time-of-discharge PRMs in order to predict readmission risk. This study was registered in UMIN Clinical Trials Registry (UMIN000034220).

Prehabilitation Consultation on Self-Care and Physical Exercise in Patients Diagnosed with Abdominopelvic Cancer: Protocol of the Study.

Introduction: Prehabilitation in the field of oncology has been defined as "the process in the continuum of care that occurs between diagnosis and the start of treatment involving physical and psychological measures that determine the patient's baseline functional status." To determine the effectiveness of a Prehabilitation consultation on self-care and targeted physical exercise for patients diagnosed with abdominopelvic cancer. An observational study that will evaluate the pre-post efficacy of an ad-hoc designed Prehabilitation intervention. The study population consists of patients diagnosed with colon or gynecological cancer with a surgical indication as part of their therapeutic plan from the General Surgery Services. It is configured around four key interventions: (a) health education and self-care, (b) specific nutritional counseling, (c) initial psychological assessment, and (d) directed physical exercise intervention. Health education, self-care interventions, and physical exercise will be carried out weekly from diagnosis to the scheduled surgery day. Aspects such as self-care capacity or agency, perioperative anxiety, aerobic capacity, strength and flexibility, postoperative complications, and recovery time to adjuvant treatment will be measured using tools such as Appraisal of self-care agency scale (ASA), State Trait Anxiety Inventory (STAI), walking test, sit and Reach, Hand Grip or Squad Jump. Utilizing validated tools for analyzing selected variables will contribute to refining and expanding care guidelines, ultimately enhancing support for both patients and their caregivers.

The Impact of Teaching and Research Participation on the Professional Development Agency of University Teachers-- Mediating Role of Self-Efficacy

&lt;div&gt;This study explores the impact of teaching and research (T&amp;amp;R) participation and self-efficacy on the professional development&lt;/div&gt;&lt;div&gt;of university teachers. From July to August 2023, 350 university teachers were conveniently sampled from a key university in Shandong&lt;/div&gt;&lt;div&gt;Province. Data were collected through a questionnaire survey using the Teaching and Research Participation Scale, Self-Efficacy Scale, and&lt;/div&gt;&lt;div&gt;Professional Development Agency Scale. The results showed that the average scores for T&amp;amp;R participation, self-efficacy, and professional&lt;/div&gt;&lt;div&gt;development agency were 4.02, 3.96, and 3.87, respectively. Correlation analysis revealed significant positive relationships between T&amp;amp;R&lt;/div&gt;&lt;div&gt;participation, self-efficacy, and professional development agency (P&amp;lt;0.001). Additionally, T&amp;amp;R participation indirectly affected professional&lt;/div&gt;&lt;div&gt;development agency through self-efficacy. The study indicates that enhancing T&amp;amp;R participation and self-efficacy among university teachers&lt;/div&gt;&lt;div&gt;can significantly improve their professional development agency. These findings provide theoretical support for university administrators to&lt;/div&gt;&lt;div&gt;develop strategies to enhance teachers’ professional development agency.&lt;/div&gt;

Effects of tracking linkage self-management mode on the compliance of prenatal examinations and delivery modes in primiparas.

To explore the effects of tracking linkage self-management mode on the compliance of prenatal examinations and delivery modes in primiparas. A total of 270 primiparas undergoing prenatal examinations in Shijiazhuang Obstetrics and Gynecology Hospital were enrolled for prospective study between January 2021 and January 2022. They were divided into control group and observation group, 135 cases in each group. The control group was given routine management mode, while observation group was given tracking linkage self-management mode. All were intervened till discharge. The compliance (time and frequency of prenatal examinations), cognition of prenatal examinations, score of exercise of self-care agency scale, self-rating anxiety scale and self-rating depression scale, delivery modes and the occurrence of neonatal adverse outcomes were compared between the 2 groups. After intervention, total compliance rate of prenatal examinations in observation group was higher than that in control group (84.44% vs 72.59%) (P < .05). The scores of pregnancy care, genetic diseases counseling, prevention of birth defects and reasonable nutrition during pregnancy in observation group were higher than those in control group (P < .05), scores of health cognition, self-care skills, self-care responsibility and self-concept were higher than those in control group (P < .05), scores of self-rating anxiety scale and self-rating depression scale were lower than those in control group (P < .05), natural delivery rate was higher than that in control group (85.93% vs 74.81%) (P < .05), and incidence of neonatal adverse outcomes was lower than that in control group (0.74% vs 5.93%) (Fisher exact probability = 0.036). The application of tracking linkage self-management mode can significantly improve cognition to prenatal examinations, improve compliance of prenatal examinations and self-care ability, relieve anxiety and depression, increase natural delivery rate and reduce the incidence of neonatal adverse outcomes in primiparas.

The relationship of blood pressure and self care behavior on the quality of life in elderly

Background: Several factors, including blood pressure and self-care behavior, influence quality of life in the elderly. Self-care behavior involves taking action to improve and maintain one's health. This study aimed to determine whether there was a relationship between blood pressure and self-care behavior on the quality of life of the elderly in Bali. Methods: This study used an analytical observational design with a cross-sectional approach. The sampling technique used was consecutive sampling. Data was collected by measuring blood pressure with a sphygmomanometer, while self-care behavior and quality of life were measured using a questionnaire instrument WHO Quality of Life-BREF for quality of life and exercise self care agency scale for self care. This study was conducted in Pejeng Village, Tampaksiring District, Gianyar Regency, on April 7, 2023, in the Pejeng 1 State Elementary School classroom. Results: Based on the non-parametric Spearman rho analysis test, the values obtained were p = 0.016 and 0.018 (p&lt;0.05) and the coefficient r = 0.361 and 0.356. Based on the R test, the values obtained are r = 0.612 and r square = 0.375. Based on the T-test, the values of t = 2.180 and 3.331, t table = 2.01954, and p = 0.035 and 0.002. Based on the multicollinearity test, the variance inflation factor value is 1.159. The tolerance value in this study is 0.863. Conclusion: There was a relationship between blood pressure and self-care behavior on the quality of life of the elderly in Bali.

Effect Analysis of Nurse-Led Cognitive Behavioural Therapy on Patients with Urinary Incontinence after Radical Prostatectomy.

To study the effects of nurse-led cognitive behavioural therapy on anxiety, depression and quality of life in patients with urinary incontinence after radical prostatectomy. Patients with urinary incontinence after undergoing radical prostatectomy in our hospital from January 2019 to January 2023 were selected as the research objects. They were divided into the observation and control groups in accordance with whether they received nurse-led cognitive behavioural therapy. The general data of the patients were collected, and the baseline data of the two groups were balanced by propensity score matching. The disease-related knowledge; Urinary catheter indwelling time; Urinary incontinence duration; And scores on the Exercise of Self-Care Agency Scale (ESCA), Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) and Nursing Effect and Health Questionnaire (SF-36) were compared between the two groups after matching. At discharge, the ESCA, SF-36 and disease cognition scores of the observation group were higher than those of the control group (p < 0.05). The HAMA and HAMD scores of the observation group were lower than those of the control group (p < 0.001), and the total effective rate of the observation group (89.83%) was higher than that of the control group (76.27%) (p < 0.05). In patients with urinary incontinence after radical prostatectomy, the implementation of nurse-led cognitive behavioural therapy can effectively improve self-care and disease cognition abilities, relieve anxiety and depression and improve quality of life.

Effects of dependent care theory-based post-surgical home care intervention on self-care, symptoms, and caregiver burden in patients with primary brain tumor and their caregivers: a randomized controlled trial

PurposeThis study aimed to examine the effect of dependent care theory-based post-surgical home care intervention on self-care, symptoms, and caregiver burden in primary brain tumor patients and their caregivers.MethodsA parallel-group randomized controlled trial was conducted with patients who underwent surgery for a primary brain tumor between March 2019 and January 2020 in a tertiary hospital and with caregivers who cared for them at home. Eligible patients and caregivers were determined by block randomization. Outcome measures included validated measures of self-care agency (Self-Care Agency Scale), symptoms and interference by symptoms (MD Anderson Symptom Inventory Brain Tumor-Turkish Form), and caregiver burden (Caregiver Burden Scale). Two-way analysis of variance was used in repeated measurements from general linear models compared to scale scores.ResultsSelf-care agency was significantly higher in the intervention group than in the control group in the first and sixth months after surgery (p < 0.05). The severity of the patients’ emotional, focal neurologic, and cognitive symptoms and interference by symptoms were significantly lower in the intervention group than in the control group (p < 0.05). Caregiver burden was significantly lower in the intervention group in the first, third, and sixth months after surgery (p < 0.05).ConclusionDependent care theory-based post-surgical home care intervention increased patients’ self-care and reduced symptoms and their effects. It also reduced the caregiver burden. Dependent care theory can guide the nursing practices of nurses who provide institutional and/or home care services to patients with chronic diseases and their caregivers.Trial RegistrationNCT05328739 on April 14, 2022 (retrospectively registered).

Temporal binding and sense of agency in major depression.

Alterations in the experience of controlling oneself and one's environment are of high relevance to understanding the psychopathology of depression. This study investigated the relationship between Temporal Binding for action-event sequences, sense of agency, self-efficacy and symptom severity in Major Depressive Disorder. We employed the Sense of Agency Scale (SoAS) and the General Self-Efficacy Scale (GSE) to assess explicit Sense of Agency and self-efficacy in a group of 42 persons diagnosed with Major Depressive Disorder (MDD) [20 identifying as female, 19 as male; mean age 37.8 years (± 13.3)] and 40 control persons without a psychiatric diagnosis (CG) [22 identifying as female, 20 as male; mean age 38.0 years ( ± 13.3)]. Depressive symptom severity was measured using the BDI-II. We additionally performed a temporal binding paradigm as a potential correlate to Sense of Agency. Participants partook in a time estimation task judging three intervals (250ms, 450ms, 650ms) while either observing or causing stimulus presentations. The underestimation of intervals following intentional actions causing stimulus presentations (compared to merely observing the stimulus presentation) is interpreted as temporal binding. SoAS scores demonstrated an inverse correlation with depressive symptoms (CG: p=.032, R2=.113; MDD: p<.001, R2=.260) and a positive correlation with GSE scores (CG: p<.001, R2=.379; MDD: p<.001, R2=.254). We found distinct differences in temporal binding between healthy participants and the Major Depressive Disorder group without significant correlation between temporal binding and the SoAS or GSE scores. The data suggest group differences in time estimation particular pertaining to time intervals involving intentional action and increasingly complex multisensory stimuli. We investigated parameters of subjective control, namely Sense of Agency and Self Efficacy. Here, we were able to reveal their inverse relationship with depressive symptoms in patients with major depressive disorder, highlighting a profound experience of loss of control with increasing symptom load. Deficits in experiencing control, particularly involving intentional motor actions (and more complex multisensory stimuli), appear to be more pronounced in Major Depressive Disorder, involving not only negative self-efficacy expectations but also an altered Sense of Agency and temporal binding. Temporal binding and SoAS scores did not correlate, adding to the growing evidence that the two measures may not be directly related. We propose that future research be directed at this contiguous relationship between Sense of Agency and Self Efficacy in Major Depressive Disorder.

Sence of Agency: Concept, Structure, Assessment

In recent years, the sense of agency has been the subject of interest for researchers in psychology, economics, sociology, political science, and education. To psychologically measure this phenomenon, Adam Tapal and his colleagues developed and validated the Sense of Agency Scale (SoAS). The aim of this study was to adapt the Russian version of the SoAS. The participants were 224 volunteers recruited through the online services.. Besides the Russian SoAS, all respondents completed instruments measuring general self-efficacy, locus of control, and belief in freedom/determinism. To analyze the psychometric properties of the Russian SoAS, methods of descriptive statistics, correlational and confirmatory factor analyses, and ω-MacDonald coefficients were used. The Russian SoAS has a clear two-factor structure, is reliable (ω = 0,81 for the sense of positive agency scale and ω = 0,87 for the sense negative agency scale), and is valid (due to theoretically substantiated relationships between the SoAS scores and the scores of general self-efficacy, locus of control, and belief in freedom/determinism). The adapted scale is reliable and valid, and can be recommended for scientific research and psychodiagnostic surveys of Russian-speaking respondents.

Application and Effect of Patient Portal System in the Remote Management of Chronic Diseases for Older Adults With Coronary Heart Disease

To investigate the application of personal health record (PHR) and chronic disease management platform established on the basis of patient portal system (PPS) in managing older adults with coronary heart disease and to examine the effect on patients' self-care ability, coping mode, and quality of life. A total of 532 elderly patients with coronary heart disease were included in the study. All the participants enrolled were admitted to a tertiary-care hospital between January 2019 and June 2021. They were randomly assigned to the study group (269 cases) and the control group (263 cases). Patients in the control group were discharged with the routine discharge procedures and received the routine follow-up care. On the other hand, patients in the study group were discharged and followed up through the PHR and chronic disease management platform established on the basis of PPS. After 6 months, 12 months, and 18 months of patient management, the Exercise of Self-Care Agency (ESCA) Scale, Medical Coping Modes Questionnaire (MCMQ) and Seattle Angina Questionnaire (SAQ) were used to evaluate the patients' self-care ability, coping mode, and quality of life, respectively. The patient management effects of the two groups were analyzed. Before the management programs started, there was no statistically significant difference in the scores for the scales between the two groups of patients. After 6 months, 12 months, and 18 months of patient management, the ESCA scores of both groups were higher than those before patient management started (P<0.05). Facing scores in the MCMQ of both groups were higher than those before patient management started (P<0.05), while the scores for avoidance and yielding were lower than those before patient management started (P<0.05). The SAQ scores of both groups were higher than those before patient management started (P<0.05). After 6 months, 12 months and 18 months of patient management, the ESCA scores of the study group were always higher compared with those of the control group (P<0.05). The facing score of the study group was higher, while the scores for avoidance and yielding were lower compared with those of the control group (P<0.05). The SAQ scores of the study group were higher compared with those of the control group (P<0.05). The medication compliance rate in the study group (83.27%) was higher than that in the control group (69.96%) (P<0.05). The incidence of adverse cardiovascular events in the study group (4.09%) was lower than that in the control group (10.27%) (P<0.05). The average times of emergency treatment and readmission in the study group were lower compared with those of the control group (P<0.05). The patient satisfaction score of the study group was higher compared with that of the control group (P<0.05). The PHR and chronic disease management platform established on the basis of PPS can increase the convenient access to medical care among elderly patients with coronary heart disease, which is conducive to improving their self-care ability, coping mode, and quality of life. In addition, the patient management effect is good.

The Effect of Pain on Self-Esteem and Self-Care Agency in Hysterectomy Patients

Objective: The study aimed to determine the effect of pain on self-esteem and self-care agency in patients with hysterectomy. Materials and Methods: A total of 486 female patients who underwent hysterectomy were included in this cross-sectional study. Patient Identification Form, Rosenberg’s Self-Esteem Scale, Self-Care Agency Scale and VAS were used to collect data. Since the patients experienced severe pain on the 1st postoperative day and their communication could not be maintained in a healthy manner, the data were collected face-to-face in the patient's room on the 2nd postoperative day. The data were analyzed in SPSS 23.0 using descriptive statistics and correlation analysis. Results: The mean scores of the patients the pain, self-care agency, and self-esteem levels were 3.58 ± 1.42, 117.40 ± 26.67, and 11.74 ± 2.99, respectively. A negative correlation was found between postoperative pain and self-care agency, self-esteem scores, while a positive correlation between self-care agency and self-esteem scores. Conclusion: High postoperative pain is negatively correlated with self-care agency and self-esteem in patients with hysterectomy. Self-esteem increase when self-care agency increase in patients with hysterectomy.

Agency, participation in decision making and wellbeing among care leavers in care system: A quantitative mediation study

Care leavers are young people who have grown up in the care system, either in foster care or in residential care homes in transition from care to adulthood. They are a vulnerable group, with a high risk of negative outcomes such as poor mental health. The development of agency and the promotion of well-being are two of the most important aspects of the psychological and educational intervention with care leavers.The purpose of this quantitative study is to investigate the relationship between agency and well-being in a group of care leavers (N = 48) recruited from the alternative care services offered by the cities of Florence and Prato and involved in the Caring project. The study employed the World Health Organization's Well-Being Index (WHO-5), Participation in Decision Making Scale and Schneider's Agency Scale as quantitative sources of data. The data were analyzed using structural equation modelling controlled for demographic data. The findings show that participation in decision making fully mediated the positive association between dispositional agency and well-being. The conclusions are discussed in terms of integrated practical recommendations for professionals concerned with care leaver protection and the development of psychological and educational interventions.

한국형 과도한 남성성 척도 타당화

Objectives The purpose of this study was to validate the unmitigated agency scale into the Korean version.&#x0D; Methods The KUAS was constructed through adaptation and reverse translation of the unmitigated agency scale. The preliminary study examined the mean, standard deviation, and preference of sentence types and word types among 55 men aged 20-29. This study conducted exploratory factor analysis on 212 men aged 20 to 29. Confirmatory factor analysis was performed on 200 men aged 20 to 29, and discriminant validity, and criterion val-idity were confirmed. Reliability was confirmed through test-retest with 40 people.&#x0D; Results Through exploratory factor analysis, 8 items for 1 factor were confirmed and verified through confirmatory factor analysis. The overall internal consistency was .86, and the correlation coefficient for retest reliability was .83. Variant validity and criterion validity were found to be appropriate.&#x0D; Conclusions This study provided a reliable and valid scale to measure unmitigated agency, the negative aspect of masculinity in gender roles. It laid the foundation for viewing the multifaceted aspects of gender roles.