Objective:To develop and evaluate the reliability and validity of the Unmet Needs Scale for Middle-aged and Young Women with Gynecological Cancer after Hysterectomy.Methods:Based on the Existence-Relatedness-Growth (ERG) theory, the initial version of the scale was developed through literature review, Delphi expert consultation, and a pilot survey. A total of 684 middle-aged and young women with gynecological cancer who underwent hysterectomy were selected using convenience sampling from three Class ⅢGrade A hospitals in Hebei Province between April and October 2024 for item analysis and psychometric testing.Results:The item-level content validity index ( I- CVI) of the scale ranged from 0.833 to 1.000, and the scale-level content validity index ( S- CVI) was 0.911. Exploratory factor analysis extracted seven common factors, explaining a cumulative variance of 71.083%. Confirmatory factor analysis showed good model fit. The final scale consisted of 45 items across seven dimensions: life needs, emotional needs, disease information needs, economic and medical care needs, needs for love and respect, self-actualization needs, and inner peace needs. Conclusions:The Unmet Needs Scale for Middle-aged and Young Women with Gynecological Cancer after Hysterectomy constructed based on ERG theory demonstrated good reliability and validity, and can serve as a useful tool for clinical assessment of unmet needs in this patient population.

Objective:To develop and evaluate the reliability and validity of the Unmet Needs Scale for Middle-aged and Young Women with Gynecological Cancer after Hysterectomy.Methods:Based on the Existence-Relatedness-Growth (ERG) theory, the initial version of the scale was developed through literature review, Delphi expert consultation, and a pilot survey. A total of 684 middle-aged and young women with gynecological cancer who underwent hysterectomy were selected using convenience sampling from three Class ⅢGrade A hospitals in Hebei Province between April and October 2024 for item analysis and psychometric testing.Results:The item-level content validity index ( I- CVI) of the scale ranged from 0.833 to 1.000, and the scale-level content validity index ( S- CVI) was 0.911. Exploratory factor analysis extracted seven common factors, explaining a cumulative variance of 71.083%. Confirmatory factor analysis showed good model fit. The final scale consisted of 45 items across seven dimensions: life needs, emotional needs, disease information needs, economic and medical care needs, needs for love and respect, self-actualization needs, and inner peace needs. Conclusions:The Unmet Needs Scale for Middle-aged and Young Women with Gynecological Cancer after Hysterectomy constructed based on ERG theory demonstrated good reliability and validity, and can serve as a useful tool for clinical assessment of unmet needs in this patient population.

or=2mm and < or=6mm. Lateral window approach was used, with grafting using Bio-ceraTM only(n=1) or mixed with autogenous bone from ramus and/or maxillary tuberosity(n=13). After 6 months of healing, implant sites were created with 3mm diameter trephine and biopsies taken for histomorphometric analysis. The parameters assessed were area fraction of new bone, graft material and connective tissue. Immediate and 6 months after grafting surgery, and 6 months after implantation, computed tomography (CT) was taken and the sinus graft was evaluated morphometric analysis. After implant installation at the grafted area, the clinical outcome was checked.RESULTS:Histomorphometry was done in ten patients. Bio-ceraTM particles were surrounded by newly formed bone. The graft particles and newly formed bone were surrounded by connective tissue including small capillaries in some fields. Imaging processing revealed 24.86+/-7.59% of new bone, 38.20+/-13.19% connective tissue, and 36.92+/-14.51% of remaining Bio-ceraTM particles. All grafted sites received an implant, and in all cases sufficient bone height was achieved to install implants. The increase in ridge height was about 15.9+/-1.8mm immediately after operation (from 13mm to 19mm). After 6 months operation, ridge height was reduced about 11.5+/-13.5%. After implant installation, average marginal bone loss after 6 months was 0.3+/-0.15mm.CONCLUSION: Bio-ceraTM showed new bone formation similar with Bio-Oss(R) histomorphometrically and appeared to be an effective bone substitute in maxillary sinus augmentation procedure with the residual bone height from 2 to 6mm.]]>
Biopsy ; Bone Resorption ; Bone Substitutes ; Calcium ; Calcium Phosphates ; Capillaries ; Connective Tissue ; Dental Implants ; Floors and Floorcoverings ; Humans ; Maxilla ; Maxillary Sinus ; Osteogenesis ; Sinus Floor Augmentation ; Transplants