| Objective: To develop the Chinese version of Patient Learning Needs Scale(PLNS), and evaluate feasibility, validity and reliability of the developed scale. Supply an instrument to measure patients' perception of learning needs at time of discharge for clinical nurses. To explore the learning needs of patients who have received treatment for Coronary Heart Disease (CHD) before their discharge home from hospital.Methods: (1) Development Chinese version of PLNS: The standard procedure of cross-culture adaptation was used to develop the Chinese version PLNS. A total of 385 adults hospitalized with a medical or surgical illness completed the Chinese version PLNS. The feasibility and psychometric properties of the scale such as internal consistency, split-half reliability, content validity and construct validity were evaluated.(2) Preliminary Application in Patient with Coronary Heart Disease: The Chinese Version of Patient Learning Needs Scale was completed by 135 CHD patients within 72 hours of their intended discharge. Quantitative descriptive and inferential analysis was conducted using Statistical Package for Social Sciences.Result: (1) The Chinese version of PLNS was developed which consist of 40items and 5 subscales:①Support and Care in the Community (10 items);②Medications (8 items);③Treatment and Activities of Living (8 items);④Complications and symptoms (8 items);⑤Illness-Related Concerns (6 items).These are evaluated using a five-point likert scale, responses ranging from 1 (not at all important) to 5 (extremely important).(2) The Chinese version of PLNS has satisfactory feasibility, validity and reliability. Questionnaire recovery rate of the investigation was 98.5%, the completion rate was 97.7%. Average time of completing was 13.75±4.36min. The overall Cronbach'sαcoefficient was 0.95 and the value ofαin 5 subscales of PLNS ranged from 0.75 to 0.86. The overall split-half reliability coefficient was 0.95 and the value of split-half in 5 subscales of PLNS ranged from 0.802 to 0.876. the CVI for content validity was 0.86. The construct validity was confirmed by factor analysis with 55, 08 % variance was explained by 9 factors.(3) CHD patients indicated how important it was to know about each of 40 information items before discharge from hospital. The 5 item which scores are all higher than the others are all belong to the dimensions of symptom and medication. Subscales relating to medications, complications and symptoms, treatment and activities of living were rated highly.Univariate analysis revealed a significant association between patients' leaning needs and patients' age, education level, marriage status, ways of payment, times of hospitalization, ways of treatment, clinical type of CHD and medication.Stepwise canonical discriminant analysis found that three factors, times of hospitalization, clinical type, ways of payment, were the important influencing factors of total score. The important influencing factor of Support and Care in the Community is patients' education level. The important influencing factors of Medications are ways of payment, types of medication, marriage status and times of hospitalization. The important influencing factor of Treatment and Activities of Living are times of hospitalization and ways of treatment. The important influencing factors of Complications and Symptoms are ways of payment and ways of treatment and. The important influencing factor of Illness-Related Concerns is clinical type.Conclusion: (1) An acceptable psychometric property of the Chinese version of PLNS was indicated. PLNS could be used as positive aspects measurement of general patients' perceptions of learning needs to manage their care at home at time of discharge from hospital to home for further clinical study and nursing care.(2) The perception of learning needs of CHD patient is existed in every dimensions. The main influencing factors of patients' learning needs are the following such as patients' education level, ways of payment, types of medication, marriage status, times of hospitalization, hospitalization days, clinical type of CHD and ways of treatment. Further should be taken to meet patients' needs for information and continuing support. Comprehensive and scientific health education based on individual differences in patients with CHD should be carried out to meet the needs of patients in support of health information.
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