Table 2 Indicators for assessing the effectiveness of the application of community-embedded follow-up management model

Physiological functions

2–20

Pain Symptoms

1–10: Weak - Strong

(1–10)

Degree of weakness

1–10: Weak - Strong

(1–10)

Ability to perform daily life

20–100

Social Behavior

8 items / 5-point Likert scale

(strongly disagree to strongly agree)

Strongly disagree = 1, Disagree = 2, Don’t know = 3, Agree = 4, Strongly agree = 5

(8–40)

Diet rules

6 items / 5-point Likert scale

(strongly disagree to strongly agree)

Strongly disagree = 1, Disagree = 2, Don’t know = 3, Agree = 4, Strongly agree = 5

(6–30)

Exercise Capacity

6 items / 5-point Likert scale

(strongly disagree to strongly agree)

Strongly disagree = 1, Disagree = 2, Don’t know = 3, Agree = 4, Strongly agree = 5

(6–30)

Self-efficacy

15–105

Health Awareness

15 items

(True - False - Don’t know)

“Correct” response = 2, “Don’t know” response = 1, “Incorrect” response = 0

(0–30)

Self-care responsibility

7 items / 5-point Likert scale

(strongly disagree to strongly agree)

Strongly disagree = 1, Disagree = 2, Don’t know = 3, Agree = 4, Strongly agree = 5

(7–35)

Self-care skills

8 items / 5-point Likert scale

(strongly disagree to strongly agree)

Strongly disagree = 1, Disagree = 2, Don’t know = 3, Agree = 4, Strongly agree = 5

(8–40)

Mental state

8 items / 5-point Likert scale

(strongly disagree to strongly agree)

Strongly disagree = 1, Disagree = 2, Don’t know = 3, Agree = 4, Strongly agree = 5

(8–40)

Satisfaction Assessment

12 items / 5-point Likert scale

(strongly disagree to strongly agree)

Strongly disagree = 1, Disagree = 2, Don’t know = 3, Agree = 4, Strongly agree = 5

(12–60)