المؤلفون: Su, Ching‐Chieh, Yang, Chiu‐Yueh, Lin, Pi‐Chu, Hwang, Jawl‐Shan, Liao, Chun‐Hou, Lin, Yen‐Kuang, Liao, Yuan‐Mei

المصدر: Journal of Advanced Nursing (John Wiley & Sons, Inc.); Jun2023, Vol. 79 Issue 6, p2316-2327, 12p

مصطلحات موضوعية: BLOOD sugar analysis, SLEEP quality, STATISTICS, STATISTICAL power analysis, GLYCOSYLATED hemoglobin, HYPERTENSION, RESEARCH evaluation, STATISTICAL reliability, CONFIDENCE intervals, CROSS-sectional method, MULTIPLE regression analysis, RESEARCH methodology, AGE distribution, TYPE 2 diabetes, CRONBACH'S alpha, PEARSON correlation (Statistics), QUALITY of life, PSYCHOLOGY of women, FACTOR analysis, QUESTIONNAIRES, DESCRIPTIVE statistics, RESEARCH funding, URINARY organ diseases, DATA analysis, DATA analysis software, MIDDLE age, OLD age

مصطلحات جغرافية: TAIWAN

مستخلص: Aim: To examine the mediating effect of sleep quality on the relationship between lower urinary tract symptoms and health‐related quality of life in women with type‐II diabetes. Design: A cross‐sectional study. Methods: A study questionnaire comprising three valid instruments was used to obtain data about lower urinary tract symptoms, sleep quality and physical and mental component summary health‐related quality of life between July 2017 and December 2018 (n = 343). Pearson's correlation coefficients were estimated initially to examine the relationships between the three variables. Multiple regression models were tested using a regression‐based approach Hayes PROCESS macro for SPSS to examine the significance of proposed mediation effects. Results: Most participants experienced at least one urinary symptom (n = 268, 78.1%). The total number of types of lower urinary tract symptoms experienced by participants was significantly inversely correlated with physical and mental component summary health‐related quality of life, and sleep quality. Participants' sleep quality was significantly correlated with physical and mental component summary health‐related quality of life. The relationships of lower urinary tract symptoms with physical and mental component summary health‐related quality of life were, respectively, fully and partially mediated by sleep quality. Conclusion: Sleep quality played a mediating role on the relationship between lower urinary tract symptoms and health‐related quality of life. Our findings could lead to improvements of diabetes care in nursing and healthcare practices. Impact Understanding the role of sleep quality in the adverse effects of lower urinary tract symptoms on health‐related quality of life contributes to the development and delivery of appropriate strategies to promote optimal health‐related quality of life. We recommended including assessments of lower urinary tract symptoms, sleep and health‐related quality of life in routine diabetes management. Nurses and healthcare professionals should concurrently reduce lower urinary tract symptoms and improve sleep to achieve this population's optimal health‐related quality of life. Patients or public contribution: We recruited a sample of older women with type‐II diabetes at the endocrinology and metabolism outpatient departments of two hospitals. Study participants provided responses on the study questionnaires. The two hospitals provided needed supports (e.g., height/weight scales, suitable places for interview) during the data collection process. [ABSTRACT FROM AUTHOR]

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المؤلفون: Lin, Pi‐Chu¹, Lay, Yu‐Ling², Chiu, Huei‐Ling³, Chen, I‐Hui⁴ ichen4@tmu.edu.tw, Peters, Kath⁵

المصدر: Journal of Clinical Nursing (John Wiley & Sons, Inc.). Apr2022, Vol. 31 Issue 7/8, p995-1004. 10p.

مصطلحات موضوعية: *COGNITION disorders treatment, *WELL-being, *CLINICAL trials, *ANALYSIS of variance, *RESEARCH methodology, *COGNITION, *MUSIC therapy, *PHYSICAL activity, *PRE-tests & post-tests, *T-test (Statistics), *MENTAL depression, *MUSCLE strength, *CHI-squared test, *REPEATED measures design, *DATA analysis software, *BARTHEL Index, *LONG-term health care, *OLD age

مصطلحات جغرافية: TAIWAN

مستخلص: Objective: To investigate the effectiveness of a musical fitness programme (MFP) intervention in improving neuropsychiatric symptoms, depression, upper‐limb muscle strength and cognition of older adults with cognitive impairment in long‐term care (LTC) facilities. Background: Because of population ageing, the number of older adults with cognitive impairment has been increasing. The effectiveness of medications in treating cognitive impairment is limited; therefore, the global trend has been for non‐pharmacological treatments. However, intervention studies of MFPs on older LTC residents with cognitive impairment are scant. Design: This study adopted a quasi‐experimental design in accordance with the Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) checklist. In total, 84 older adults with cognitive impairment were recruited from seven LTC facilities. The MFP was implemented from July–November 2019. Methods: The intervention group received the MFP, which was 50 min per session, twice a week for 12 weeks, whereas the comparison group received usual care. Neuropsychiatric inventory nursing home version, the Cornell scale for depression in dementia Chinese version, 30‐s arm curl test and Mini‐Mental State Examination were the outcome measures. Data were analysed using Chi‐square test, t test and repeated measure analysis of variance. Results: After the intervention, the scores of neuropsychiatric inventory and the Cornell depression exhibited significant differences over time between two groups (F = 3.6, p =.029; F = 5.96, p =.003, respectively). Nevertheless, 30‐s arm curl test and Mini‐Mental State Examination demonstrated non‐significant between‐group differences. Conclusion: The MFP can effectively reduce neuropsychiatric symptoms and depression in older adults with cognitive impairment in LTC facilities. To ensure a more robust evidence base, more research is warranted. Relevance to clinical practice: The MFP is a non‐pharmacological treatment that can be implemented to promote psychological well‐being among older adults with cognitive impairment in LTC facilities, and to indirectly reduce nursing staff burden. To assist nursing staff in providing this intervention, on‐the‐job training is needed. [ABSTRACT FROM AUTHOR]

المؤلفون: Lin, Mei‐Yu, Cheng, Su‐Fen, Hou, Wen‐Hsuan, Lin, Pi‐Chu, Chen, Ching‐Min, Tsai, Pei‐Shan

المصدر: Journal of Nursing Scholarship; Mar2021, Vol. 53 Issue 2, p154-160, 7p

مصطلحات موضوعية: HEALTH education, CHRONIC kidney failure, RANDOMIZED controlled trials, QUALITY of life, DESCRIPTIVE statistics, PATIENT education, STATISTICAL sampling, DATA analysis software, EDUCATIONAL outcomes, HEALTH self-care

مستخلص: Purpose: To examine the effects of health coaching on self‐management and quality of life (QOL) in patients with chronic kidney disease (CKD) and to evaluate whether self‐efficacy and patient activation mediate the effect of health coaching on self‐management and QOL. Design and Methods: A single‐center, parallel‐group, randomized controlled trial. A total of 108 patients with stages 1 to 3a CKD participated in the study. Participants were randomly assigned to a health‐coaching intervention group or a usual care control group. Participants' QOL (World Health Organization Quality of Life Scale), self‐management (CKD Self‐Management instrument), patient activation (Patient Activation Measure), and self‐efficacy (CKD Self‐Efficacy instrument) were measured at baseline, immediately after, and 6 weeks after the intervention. Findings: Health coaching improved QOL, self‐management, patient activation, and self‐efficacy at postintervention and at 12 weeks' follow‐up. Health coaching had a significant indirect effect on QOL through improvements in patient activation. Health coaching exerted a significant indirect effect on self‐management through improvements in self‐efficacy and patient activation. Conclusions: The findings demonstrated that health coaching can effectively improve QOL and self‐management. A health‐coaching intervention can raise self‐efficacy and activation levels through which self‐management and QOL further improve. Clinical Relevance: Health‐coaching strategies can be used to assist patients with early‐stage CKD in reaching their health goals and becoming activated in self‐management of their diseases. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Nursing Scholarship is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Chang, Su‐Yu, Lin, Li‐Hwa, Lin, Pi‐Chu

المصدر: Journal of Clinical Nursing (John Wiley & Sons, Inc.); Sep2019, Vol. 28 Issue 17/18, p3222-3232, 11p, 1 Diagram, 4 Charts

مصطلحات موضوعية: KNEE physiology, AGE distribution, CONVALESCENCE, RANGE of motion of joints, LONGITUDINAL method, MEDICAL records, PATIENTS, QUALITY of life, QUESTIONNAIRES, SEX distribution, SURGERY, TOTAL knee replacement, WALKING, COMORBIDITY, STATISTICAL power analysis, TREATMENT effectiveness, DATA analysis software, DESCRIPTIVE statistics, PERIOPERATIVE care, ARTHRITIS Impact Measurement Scales

مستخلص: Aims and objectives: To track changes in patients' knee function, walking ability and quality of life (QOL) before and after knee arthroplasty surgery and explore factors that influenced these parameters. Background: The number of days as an inpatient for those who undergo joint replacement operations has been greatly reduced in recent years. However, it remains unclear whether shortening the inpatient time has affected patients' recovery or their QOL. Design: Prospective cohort study. Method: In total, 101 participants who underwent total knee arthroplasty (TKA) were enrolled, with data collected preoperatively and at the 2nd and 6th weeks postoperatively. We followed the STROBE checklist to ensure the rigour of our study. Results: Forty‐nine participants underwent unilateral TKA (UTKA; 48.5%), and 52 underwent simultaneous bilateral TKA (SBTKA; 51.5%). At the 2nd week postoperatively, knee joint function was significantly worse than that preoperatively. However, these patients did not exhibit significant differences in the EQ‐5D utility index (EQ‐5D UI) compared to their preoperative scores. At the 6th week postoperatively, the knee joint function and EQ‐5D UI were significantly better than preoperative values. Participants who underwent UTKA scored higher on the Oxford knee score (OKS) than did SBTKA participants. However, no significant differences were noted between the two groups for the knee flexion angle, the timed up and go (TUG) test, or the EQ‐5D UI score. Conclusions and suggestions: At the postoperative 6th week, participants exhibited improved knee joint function and QOL, but there was no difference in the walking ability compared to preoperative values. At the 6th week after surgery, patients who underwent SBTKA exhibited poorer joint function than did those who underwent UTKA. Relevance to clinical practice.: These results can assist nursing staffs and serve as a reference for providing patient education and nursing intervention to TKA patients. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Clinical Nursing (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Tan, Shu‐Hwa, Liao, Yuan‐Mei, Lee, Kwo‐Chen, Ko, Yi‐Li, Lin, Pi‐Chu

المصدر: Journal of Clinical Nursing (John Wiley & Sons, Inc.); May2019, Vol. 28 Issue 9/10, p1577-1584, 8p, 3 Charts, 2 Graphs

مصطلحات موضوعية: INTESTINAL diseases, CANCER chemotherapy, COLECTOMY, COLON tumors, FECAL incontinence, LONGITUDINAL method, QUESTIONNAIRES, RECTUM tumors, STATISTICAL sampling, STATISTICS, SURGICAL complications, TREATMENT effectiveness, DATA analysis software, DESCRIPTIVE statistics, DISEASE risk factors

مصطلحات جغرافية: TAIWAN

مستخلص: Aims and objectives: To examine changes in patients' bowel function and to compare patients' outcome among different operation and treatment after rectal resection. Background: Anal‐preserving surgery is the trend of treatment of colorectal cancer and bowel function after surgery needs to be concerned. Design: Prospective cohort study. Methods: A total of 38 patients with convenience sampling were recruited from a teaching hospital. The low anterior resection syndrome (LARS) score was used to assess bowel function disturbances before discharge and at 1 week, 1 month and 3 months after discharge. We followed the STROBE checklist to ensure rigour in our study. Results: Approximately half of the patients experienced major LARS, including daily stool frequency of more than seven times and stool clustering at least once a week. The LARS scores observed at 1 month after discharge were significantly higher than those observed before discharge. Patients who received intersphincteric resection had higher LARS scores compared with those who received other surgeries. Furthermore, patients who underwent concurrent chemoradiotherapy, operation (OP) and chemotherapy had the highest LARS scores compared with those who underwent only an OP. Conclusion: The patients experienced varied intestinal dysfunction after surgery based on their treatment plan and surgical method. Nurses should provide individualised health education for these patients. Relevance to clinical practice: A health education booklet is recommended to educate patients about LARS symptoms and the techniques to adapt in their daily lives after surgery. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Clinical Nursing (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Cheng, Shun‐Yi¹, Lin, Pi‐Chu², Chang, Yu‐Kai³, Lin, Yen‐Kuang⁴, Lee, Pi‐Hsia⁵, Chen, Su‐Ru⁶ suru@tmu.edu.tw

المصدر: Journal of Nursing Management. Mar2019, Vol. 27 Issue 2, p381-387. 7p. 1 Diagram, 2 Charts.

مصطلحات موضوعية: *ACADEMIC medical centers, *CHI-squared test, *CONFLICT (Psychology), *STATISTICAL correlation, *HEALTH status indicators, *PSYCHOLOGY of nurses, *QUESTIONNAIRES, *RESEARCH funding, *SCALE analysis (Psychology), *SELF-perception, *SHIFT systems, *SLEEP, *T-test (Statistics), *FAMILY relations, *MULTIPLE regression analysis, *WORK-life balance, *CROSS-sectional method, *DATA analysis software, *DESCRIPTIVE statistics, *SLEEP hygiene

مصطلحات جغرافية: TAIWAN

مستخلص: Aims: To examine the effects of work–family conflicts and sleep quality on the self‐perceived health status and the mediating effect of sleep quality on the relationship between work–family conflicts and self‐perceived health status among hospital nurses. Background: Studies related to hospital nurses' work–family conflicts, sleep quality and health status are noteworthy but limited. Methods: A total of 575 hospital nurses in Taiwan were recruited. Data were collected using the work–family conflicts Scale, Chinese Pittsburgh Sleep Quality Index and Chinese Health Questionnaire. Independent t‐tests, chi‐squared tests, multivariate linear regression analyses and the Sobel test were used for analysis. Results: Fifty‐six per cent of all subjects reported having good health. Significantly more nurses with good sleep reported good health than those with poor sleep (84.2% vs. 44.9%, p < 0.0001). The difference in overall work–family conflict scores between the good health group and poor health group was significant (37.3 ± 12.7 vs. 46.3 ± 14.3, p < 0.0001). The correlation between overall work–family conflicts and the self‐perceived health status was indirect, and sleep quality was a mediator (Sobel test: 5.007, p < 0.001). Conclusions and Implications for Nursing Management: Work–family conflicts and poor sleep quality of hospital nurses were associated with poor health. Shift work influences the sleep quality, which mediates the correlation between work–family conflicts and self‐perceived health status. Hospital administrators should be aware of these stressful factors and the health of hospital nurses can be better promoted. [ABSTRACT FROM AUTHOR]

المؤلفون: Chen, Hui ‐ Chun, Chuang, Tai ‐ Yuan, Lin, Pi ‐ Chu, Lin, Yen ‐ Kuang, Chuang, Yeu ‐ Hui

المصدر: Journal of Nursing Scholarship; Jul2017, Vol. 49 Issue 4, p429-437, 9p

مصطلحات موضوعية: TREATMENT of bursitis, ANALYSIS of covariance, CHI-squared test, EXERCISE therapy, FISHER exact test, RANGE of motion of joints, PAMPHLETS, PATIENT compliance, PATIENT education, ROTATIONAL motion, STATISTICAL sampling, SCALE analysis (Psychology), STRETCH (Physiology), T-test (Statistics), CELL phones, TEXT messages, RANDOMIZED controlled trials, VISUAL analog scale, TREATMENT effectiveness, CONTINUING education units, HEALTH care reminder systems, DATA analysis software

مصطلحات جغرافية: TAIWAN

مستخلص: Purpose The aim of this study was to examine the effects of reminders, encouragement, and educational messages delivered by mobile phone on shoulder exercise compliance and improvements in shoulder function among patients with a frozen shoulder. Design and Methods A randomized controlled trial design was used. A convenience sample of patients with a frozen shoulder in an orthopedic outpatient clinic was recruited. All participants were instructed on how to do shoulder exercises and were provided with a printed pamphlet about shoulder exercises. Then, the intervention group received reminders, encouragement, and educational messages by mobile phone daily for the next 2 weeks, while the comparison group did not. Findings The intervention group had higher compliance with shoulder exercises than did the comparison group ( t = 2.263, p = .03) and had significant improvements in shoulder forward flexion ( F = 12.067, p = .001), external rotation ( F = 13.61, p = .001), and internal rotation ( F = 5.903, p = .018) compared to those in the comparison group after the 2-week intervention. Conclusions The text messages significantly increased patient compliance with shoulder exercises and thus improved patients' shoulder range of motion. Clinical Relevance Hospital or clinics can send appropriate messages to patients via text message platforms in order to remind and encourage them to do shoulder exercises. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Nursing Scholarship is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Hsu, Chih-Chung, Chen, Wei-Ming, Chen, Su-Ru, Tseng, Yen-Ting, Lin, Pi-Chu

المصدر: Biological Research for Nursing; Jan2016, Vol. 18 Issue 1, p68-75, 8p

مصطلحات موضوعية: ANXIETY prevention, CLINICAL trials, HEART beat, INTERVIEWING, RANGE of motion of joints, MUSIC therapy, RESEARCH funding, T-test (Statistics), TOTAL knee replacement, VISUAL analog scale, DATA analysis software, DESCRIPTIVE statistics, REHABILITATION

مصطلحات جغرافية: TAIWAN

مستخلص: Aim: This study investigated the effects of music listening on the anxiety, heart rate variability (HRV), and joint range of motion (ROM) of patients undergoing continuous passive motion (CPM) after total knee replacement surgery. Method: An experimental design was used. Participants in the experimental group (n = 49) listened to music from 10 min before receiving CPM until the end of the session (25 min in total) on the first and second day following surgery, whereas participants in the control group (n = 42) did not listen to music but rested quietly in bed starting 10 min before and throughout CPM. Results: Compared with the control group, the experimental group exhibited significantly lower anxiety levels (p < .05) and increased CPM angles (p < .05) during treatment and increased active flexion ROM (p < .05) upon discharge. The low-frequency (LF)/high-frequency (HF) power ratio, normalized LF HRV, and normalized HF HRV of the two groups differed significantly, indicating that the patients in the experimental group had greater parasympathetic activity compared with those in the control group. Conclusion: Music listening can effectively reduce patient anxiety and enhance the ROM of their joints during postoperative rehabilitation. Health-care practitioners should consider including music listening as a routine practice for postoperative rehabilitation following orthopedic surgery. [ABSTRACT FROM AUTHOR]

: Copyright of Biological Research for Nursing is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Tan, Shu-Hwa, Lee, Kwo-Chen, Chao, Yann-Fen C., Hsu, Li-Fang, Lin, Pi-Chu

المصدر: Clinical Nursing Research; Jun2015, Vol. 24 Issue 3, p253-268, 16p

مصطلحات موضوعية: PREVENTION of bloodborne infections, ACADEMIC medical centers, BLOODBORNE infections, CAREGIVERS, CHI-squared test, CUSTOMER satisfaction, FAMILIES, RESEARCH methodology, MEDICAL care, NURSING specialties, PATIENT education, PATIENTS, PATIENT safety, RESEARCH funding, SELF-efficacy, SURGERY, SURVEYS, T-test (Statistics), TEACHING aids, PATIENT participation, PRE-tests & post-tests, CONTROL groups, DISEASE incidence, CENTRAL venous catheters, DATA analysis software, CATHETER-related infections, DISEASE risk factors, INFECTION prevention

مصطلحات جغرافية: TAIWAN

المؤلفون: Wu, Tsokuang, Wang, Shin-Tien, Lin, Pi-Chu, Liu, Chien-Lin, Chao, Yann-Fen C.

المصدر: Biological Research for Nursing; Oct2011, Vol. 13 Issue 4, p419-424, 6p

مصطلحات موضوعية: BEDSORES prevention, SPINAL cord surgery, CHI-squared test, CLINICAL trials, CONFIDENCE intervals, STATISTICAL correlation, EPIDEMIOLOGY, PELVIS, POLYMERS, T-test (Statistics), SURGICAL equipment, LOGISTIC regression analysis, DATA analysis, BODY mass index, DATA analysis software, THORAX (Insect anatomy)