David Kahan, Thomas L McKenzie
School and Neighborhood Predictors of Physical Fitness in Elementary School Students
The Journal of school health
investigate structural relationships among perceived stress ps positive psychological capital psycap health literacy hl patients multiple chronic conditions mcc construct model explore relationships ps psycap hl hl critical rehabilitation management patients mcc extensive understanding relationships research variables help nursing staff implement effective programmes improve level hl patients however currently research evaluated structural relationships among variables using single model study adhered strobe guidelines reporting crosssectional studies health literacy scale chronic patients chinese perceived stress scale cpss positive psychological capital questionnaire used assess hl ps psycap respectively questionnaires distributed 317 patients mcc attending tertiary general care hospital china february may 2023 using convenience sampling approach structural equation modelling used validate proposed model findings showed ps negative relationship hl psycap ps indirectly associated hl psycap results indicated psycap positively associated hl ps psycap explained 64 variance hl findings showed proposed model high validity structural relationships chosen variables observed mcc patients results may help nursing staff develop strategies improve hl patients mcc focus reducing ps enhancing psycap improve hl nursing staff provide targeted psychological counselling health guidance patients alleviate negative emotions promote hl participate research fill questionnaires