Mei-feng Lin | National Cheng Kung University (original) (raw)
Papers by Mei-feng Lin
Cancers
Context: Cancer-related fatigue (CRF) is the most common cause of physical powerlessness in women... more Context: Cancer-related fatigue (CRF) is the most common cause of physical powerlessness in women with breast cancer (BC). The practice of continuous effective exercise is beneficial with respect to reducing CRF. Objective: To explore exercise efficacy and respective ranks with respect to reducing CRF in women with BC within the inter-treatment and post-treatment periods. Methods: Throughout this systematic review and network meta-analysis, articles published from 2000 to March 2022 were included. Article searches were conducted on the MEDLINE, Embase, CINAHL, and CENTRAL databases. Adult women with BC and different exercise programs were compared with those involved in regular care as a control during or after treatment. In addition, randomized controlled trials (RCT) were also included. A risk-of-bias assessment, with the revised Cochrane risk-of-bias tool regarding RCT and probability-based ranking, was established based on the surface under the cumulative rank (SUCRA) method via...
Geriatric Nursing, 2022
This study aimed to explore meaningful experiences of older Taiwanese adults who had received a P... more This study aimed to explore meaningful experiences of older Taiwanese adults who had received a Paro (social robot) companion. Semi-structured qualitative interviews elicited the perspectives of 25 older adults living in a long-term care facility after they had interacted with an individual Paro companion for 8 weeks. Thematic analysis was used in this study as it allows for rich, detailed, and complex descriptions of qualitative data. Analysis identified four themes: Bridging my social bonds; Acting as a comfort Buddy; Relieving my emotional distress; and Encountering Paro with distancing. Although Paro's functioning has some limits, such as lacking speech, most participants expressed that the experience was positive. These findings revealed that the meaningful experiences expressed by participants at the end of the intervention with Paro might provide the value of companionship and improve interpersonal relationships for older adults in geriatric nursing.
Cancer Nursing, 2008
Interleukin-1" Morning cortisol Mood disturbance The purpose of this longitudinal study was to ex... more Interleukin-1" Morning cortisol Mood disturbance The purpose of this longitudinal study was to examine potential predictors of cancer-related fatigue (CRF) before, during, and after adjuvant therapy in women with breast cancer. A convenience sample of 44 women postsurgery (M = 18) aged 38 to 77 years (M = 52) were recruited from a Southern breast clinic. Based on Piper's Integrated Fatigue Model, the women (1) completed questionnaires assessing innate host factors (age, income, and education level), disease and treatment patterns (disease stage, surgery type, and adjuvant therapy), psychological patterns (perceived stress, mood disturbance, and optimism), social patterns (type and satisfaction with social support) and (2) provided a blood sample to examine regulation patterns (morning cortisol levels, interleukin-1", tumor necrosis factor alpha, and natural killer cell activity) before adjuvant therapy. The Piper Fatigue ScaleYRevised was completed at all 3 time points. Mood disturbance was the most significant predictor of CRF at all time points. Interleukin-1" predicted CRF levels before adjuvant therapy and morning cortisol before adjuvant therapy predicted CRF during and after adjuvant therapy. These findings suggest that interventions to reduce mood disturbances might be effective in decreasing CRF. Further research regarding the physiological mechanisms underlying the relationships between CRF, mood disturbance, interleukin-1", and cortisol is needed.
International Journal of Nursing Studies, 2014
Background: Delaying a diagnosis of breast cancer directly and positively impacts survival. Self-... more Background: Delaying a diagnosis of breast cancer directly and positively impacts survival. Self-efficacy has been shown to be a causal mechanism in a wide range of health behaviors, a measurable trait that predicts behavior across domains, which is strong associated with psychological variables. However, factors predicting self-efficacy of women with suspected breast cancer who delayed or did not delay seeking a breast cancer diagnosis over time have not been identified. Objectives: To examine the differences between women who delay and women who did not delay seeking a cancer diagnosis, and key factors predicting self-efficacy over time among women with newly-diagnosed breast cancer. Design: Descriptive, longitudinal design over 2 months following breast cancer diagnostic evaluation. Setting: A medical center is located in southern Taiwan. Participants: Eighty women with suspected breast cancer were approached and 67 subjects with a positive diagnosis of breast cancer were recruited. Methods: Subjects were categorized into women who delayed their diagnosis and women who did not delay their diagnosis. A battery of 5 standardized questionnaires including self-efficacy, anxiety and depression, personality, spiritual support and hope was completed at the first three clinic visits. Results: Stage of cancer, trait extroversion/neuroticism and spiritual support were significantly different between groups (p < 0.05). Subjects who did not delay (b = À1.613, p < 0.05), and time that histology results were provided (b = À2.4333, p < 0.001) had a significantly predicted negative change in self-efficacy compared to the group that
BACKGROUND Undergraduate students face tremendous stressors from learning, interpersonal relation... more BACKGROUND Undergraduate students face tremendous stressors from learning, interpersonal relationships, and life. Stress may cause adaptation exhaustion and stress-related disorders. While the results of recent clinical studies indicate that music interventions may alleviate stress, there is a dearth of research exploring the discrete effects of various genres of music on psycho-physiological status. PURPOSE To explore the effects of listening to different genres of music on the psycho-physiological responses of undergraduates. METHODS A one-group, pretest-posttest design was used. A total of 122 undergraduates were assigned to the following four music subgroups according to their musical preference: joyful, tense, sad, and peaceful. Students in each subgroup listened to the self-selected music for 15 minutes during the experiment. A physiological data acquisition systems, the State Anxiety Inventory, and the Visual Analogue Scale for anxiety and depression were used to measure the ...
Nursing & Health Sciences
The major objective of this study was to investigate how smoking behavior mediates the relationsh... more The major objective of this study was to investigate how smoking behavior mediates the relationship between life stress and depressive symptoms in adolescents. A descriptive correlational study was conducted from February to June 2017 at a vocational high school in northern Taiwan, and 226 students were recruited through convenience sampling. Results indicated that smoking behavior played a pivotal role by partially mediating the relationship between life stress and depressive symptoms in adolescents. Life stress in adolescents significantly increased the risk of experiencing depressive symptoms, and adolescents who smoked were also at a greater risk. Assessments between the objective and self-reported smoking behavior were significantly correlated. Therefore, integrated methods for assessing life stress, smoking behavior, and depressive symptoms in adolescents are needed for teachers and clinical professionals. Implementing appropriate policies for discouraging tobacco use for adolescents experiencing life stress in order to decrease depressive symptoms in school settings is paramount. This article is protected by copyright. All rights reserved.
Cochrane Database of Systematic Reviews
Perspectives in Psychiatric Care
Worldviews on Evidence-Based Nursing
Archives of physical medicine and rehabilitation, Jan 17, 2017
To examine the effects of home-based supportive care on improvements in physical function and dep... more To examine the effects of home-based supportive care on improvements in physical function and depressive symptoms in home-dwelling patients after a stroke. Seven electronic databases (e.g., Medline, PubMed, CINAL, EMBASE, the Cochrane Central Register of Controlled Trials, ProQuest, and Google Scholar) and four Chinese database (e.g.,Wanfang med online, Chinese Electronic Periodical Services, China Integrated Knowledge Resources Database, and National Central Library) were fully searched for all relevant articles up to June 25, 2016. Randomized controlled trials that examining the effects of home-based supportive care on physical function and depression in home-dwelling patients after a stroke were included. Finally, 16 articles in Chinese (n=4) and English (n=12) met inclusion criteria. Data related to patient characteristics, study characteristics, intervention details, and outcome were extracted. Two reviewers independently extracted data and assessed methodological quality using...
Journal of Nursing Research, 2016
Patients with chronic schizophrenia often show negative emotional responses because of cognitive ... more Patients with chronic schizophrenia often show negative emotional responses because of cognitive impairment. Multisensory stimulation therapy has been shown effective in improving cognitive and emotional functions in cognitively impaired patients with dementia. However, very few studies have applied this multisensory intervention to patients with chronic schizophrenia. Furthermore, it is not known whether a dose-response relationship exists between the frequency and efficacy of this intervention. The objective of this study was to evaluate the relationship between the effects and dose-response of the multisensory intervention on patients with chronic schizophrenia in a mental rehabilitation hospital. A crossover study design with a sample size of 60 was conducted. Participants were divided equally between an experimental group and a control group. The experimental group received the intervention in a multisensory stimulation room. Six sessions of the 30-minute sensory intervention were conducted on experimental group participants, who were allowed to select their preferred stimulants. In contrast, the control group received routine care only. After a 2-week washout period, participants in the experimental group were reassigned to the control group, and those in the control group were reassigned to the experimental group. Standardized questionnaires were applied to evaluate psychotic symptoms, emotional responses, and well-being of all participants. The NeXus-4 model wireless biofeedback system was used to measure the psychological-physiological parameters of participants at baseline and after the first, third, and sixth sessions of the multisensory intervention. A generalized estimating equation model was used to analyze the effects of the intervention RESULTS:: Although multisensory stimulation therapy had no significant effect on psychotic symptoms and well-being, this intervention may improve the negative emotional reactions of patients. In particular, the intervention significantly reduced the subjective anxiety level of participants and stabilized their objective respiratory and heart rates. Moreover, a positive correlation was found between the efficacy of the treatment and the frequency of the intervention. Evidence from this study validated the multisensory stimulation therapy protocol. Therefore, this protocol may be incorporated into clinical interventions to improve quality of care and to alleviate the negative emotions of patients with chronic schizophrenia.
Clinical nursing research, Dec 15, 2016
The objectives of this study were to develop a cross-cultural Chinese version of the Emotional an... more The objectives of this study were to develop a cross-cultural Chinese version of the Emotional and Social Dysfunction Questionnaire (ESDQ-C) and test its validity and reliability among Chinese-speaking stroke patients. Various methods were used to develop the ESDQ-C. A cross-sectional study was used to examine the validity and reliability of the developed questionnaire, which consists of 28 items belonging to six factors, anger, helplessness, emotional dyscontrol, indifference, inertia and fatigue, and euphoria. Satisfactory convergence and known-group validities were confirmed by significant correlations of the ESDQ-C with the Profile of Mood States-Short Form (p < .05) and with the Hospital Anxiety and Depression Scale (p < .05). The internal consistency was represented by Cronbach's alpha, which was .96 and .79 to .92 for the entire scale and subscales, respectively. Appropriate application of the ESDQ-C will be helpful to identify critical adjustment-related types of d...
PloS one, 2016
Investigating the factors related to suicide is crucial for suicide prevention. Psychiatric disor... more Investigating the factors related to suicide is crucial for suicide prevention. Psychiatric disorders, gender, socioeconomic status, and catastrophic illnesses are associated with increased risk of suicide. Most studies have typically focused on the separate influences of physiological or psychological factors on suicide-related behaviors, and have rarely used national data records to examine and compare the effects of major physical illnesses, psychiatric disorders, and socioeconomic status on the risk of suicide-related behaviors. To identify the characteristics of people who exhibited suicide-related behaviors and the multiple factors associated with repeated suicide-related behaviors and deaths by suicide by examining national data records. This is a cohort study of Taiwan's national data records of hospitalized patients with suicide-related behaviors from January 1, 1997, to December 31, 2010. The study population included all people in Taiwan who were hospitalized with a c...
Hu li za zhi The journal of nursing, 2007
The purpose of this study was to explore the lived experiences of self-harm and harm to others fr... more The purpose of this study was to explore the lived experiences of self-harm and harm to others from the perspective of two adult offspring and a father, the latter of whom was prone to alcohol abuse and domestic violence and had attempted suicide. Written informed consents were obtained from the subjects after a detailed explanation of the research aims and procedures. A qualitative, phenomenological method was applied for the study. Three subjects were interviewed using a semi-structured interview guide designed by the researchers and based on the aims of the study over a six-month period of home care. A qualitative content analysis based on a phenomenological method was used to identify themes in the data. Two main categories emerged: (1) the mutual harm to the couple subsystem, (2) the misplaced parental-child subsystem. Subsequently, two to four themes were identified from each category. These results provide a better analysis and understanding of the perceived experiences of th...
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, Jan 10, 2017
The purpose of this study was to determine effects of group music intervention and self-directed ... more The purpose of this study was to determine effects of group music intervention and self-directed music intervention on anxiety, depression, and cognitive appraisal among women with breast cancer. A quasi-experimental design randomly assigned 60 women undergoing chemotherapy to 3 groups: group music intervention, self-directed music intervention, or a control group. The Hospital Anxiety and Depression Scale and the Mini-Mental Adjustment to Cancer Scale were administered before, after the 8-week interventions, and at 3-month follow-up. Of the 52 women completing the study, results indicated that group music intervention had a significant (p < .01) immediate effect to decrease helplessness/hopelessness and anxious preoccupation and significant effects for reducing anxiety, depression, helplessness/hopelessness, and cognitive avoidance compared to the other two groups at 3-month follow-up. Group music intervention can be considered an effective supportive care in alleviating the che...
The journal of nursing research : JNR, Jan 14, 2015
Effective communication between nurses and patients with dementia promotes the quality of patient... more Effective communication between nurses and patients with dementia promotes the quality of patient care by improving the identification of patient needs and by reducing the miscommunication-related frustration of patients and nurses. This study evaluates the effects of an advanced innovative Internet-based communication education (AIICE) program on nurses' communication knowledge, attitudes, frequency of assessing patient communication capacity, and communication performance in the context of care for patients with dementia. In addition, this study attempts to evaluate the indirect effects of this program on outcomes for patients with dementia, including memory and behavior-related problems and depressive symptoms. A quasi-experimental research design with a one-group repeated measure was conducted. Convenience sampling was used to recruit nurses from long-term care facilities in southern Taiwan. Data were analyzed using general estimating equations to compare changes over time a...
Hu li za zhi The journal of nursing, 2015
Lack of knowledge and experience is prevalent in undergraduate students who are taking their clin... more Lack of knowledge and experience is prevalent in undergraduate students who are taking their clinical practicum for mental-health nursing. This issue negatively affects the learning process. This article shares an experience of implementing a practicum-teaching program. This program was developed by the authors to facilitate the cooperative learning and clinical care competence of students. A series of multidimensional teaching activities was designed by integrating the strategies of peer cooperation and creative thinking to promote group and individual learning. Results indicate that the program successfully encouraged the students to participate more actively in the learning process. Additionally, the students demonstrated increased competence in empathetic caring toward patients, stronger friendship relationships with peers, and improved self-growth. The authors hope this teaching program provides a framework to increase the benefits for students of participating in clinical prac...
Hu li za zhi The journal of nursing, 2009
This article presents the author's experience providing nursing care to an unaccompanied elde... more This article presents the author's experience providing nursing care to an unaccompanied elderly male patient with gastric cancer who was undergoing initial home chemotherapy. Nursing care problems identified included "anticipation anxiety", "inability to care properly for wound", and "deficits in knowledge and skills necessary for successful home chemotherapy." A therapeutic relationship between the author and patient was established during home chemotherapy from December 6, 2006 to January 31, 2007. Health education and nursing interventions were provided through pamphlet-based and verbal instructions, reverse demonstration to offer timely emotional support, disease information, and self-care strategies. Aims of care included enhancing patient chemotherapy knowledge, increasing self-care ability skills, and improving patient confidence in being able to control successfully his cancer and chemotherapy regimen. After 12 author-mentored home chemothe...
Cancers
Context: Cancer-related fatigue (CRF) is the most common cause of physical powerlessness in women... more Context: Cancer-related fatigue (CRF) is the most common cause of physical powerlessness in women with breast cancer (BC). The practice of continuous effective exercise is beneficial with respect to reducing CRF. Objective: To explore exercise efficacy and respective ranks with respect to reducing CRF in women with BC within the inter-treatment and post-treatment periods. Methods: Throughout this systematic review and network meta-analysis, articles published from 2000 to March 2022 were included. Article searches were conducted on the MEDLINE, Embase, CINAHL, and CENTRAL databases. Adult women with BC and different exercise programs were compared with those involved in regular care as a control during or after treatment. In addition, randomized controlled trials (RCT) were also included. A risk-of-bias assessment, with the revised Cochrane risk-of-bias tool regarding RCT and probability-based ranking, was established based on the surface under the cumulative rank (SUCRA) method via...
Geriatric Nursing, 2022
This study aimed to explore meaningful experiences of older Taiwanese adults who had received a P... more This study aimed to explore meaningful experiences of older Taiwanese adults who had received a Paro (social robot) companion. Semi-structured qualitative interviews elicited the perspectives of 25 older adults living in a long-term care facility after they had interacted with an individual Paro companion for 8 weeks. Thematic analysis was used in this study as it allows for rich, detailed, and complex descriptions of qualitative data. Analysis identified four themes: Bridging my social bonds; Acting as a comfort Buddy; Relieving my emotional distress; and Encountering Paro with distancing. Although Paro's functioning has some limits, such as lacking speech, most participants expressed that the experience was positive. These findings revealed that the meaningful experiences expressed by participants at the end of the intervention with Paro might provide the value of companionship and improve interpersonal relationships for older adults in geriatric nursing.
Cancer Nursing, 2008
Interleukin-1" Morning cortisol Mood disturbance The purpose of this longitudinal study was to ex... more Interleukin-1" Morning cortisol Mood disturbance The purpose of this longitudinal study was to examine potential predictors of cancer-related fatigue (CRF) before, during, and after adjuvant therapy in women with breast cancer. A convenience sample of 44 women postsurgery (M = 18) aged 38 to 77 years (M = 52) were recruited from a Southern breast clinic. Based on Piper's Integrated Fatigue Model, the women (1) completed questionnaires assessing innate host factors (age, income, and education level), disease and treatment patterns (disease stage, surgery type, and adjuvant therapy), psychological patterns (perceived stress, mood disturbance, and optimism), social patterns (type and satisfaction with social support) and (2) provided a blood sample to examine regulation patterns (morning cortisol levels, interleukin-1", tumor necrosis factor alpha, and natural killer cell activity) before adjuvant therapy. The Piper Fatigue ScaleYRevised was completed at all 3 time points. Mood disturbance was the most significant predictor of CRF at all time points. Interleukin-1" predicted CRF levels before adjuvant therapy and morning cortisol before adjuvant therapy predicted CRF during and after adjuvant therapy. These findings suggest that interventions to reduce mood disturbances might be effective in decreasing CRF. Further research regarding the physiological mechanisms underlying the relationships between CRF, mood disturbance, interleukin-1", and cortisol is needed.
International Journal of Nursing Studies, 2014
Background: Delaying a diagnosis of breast cancer directly and positively impacts survival. Self-... more Background: Delaying a diagnosis of breast cancer directly and positively impacts survival. Self-efficacy has been shown to be a causal mechanism in a wide range of health behaviors, a measurable trait that predicts behavior across domains, which is strong associated with psychological variables. However, factors predicting self-efficacy of women with suspected breast cancer who delayed or did not delay seeking a breast cancer diagnosis over time have not been identified. Objectives: To examine the differences between women who delay and women who did not delay seeking a cancer diagnosis, and key factors predicting self-efficacy over time among women with newly-diagnosed breast cancer. Design: Descriptive, longitudinal design over 2 months following breast cancer diagnostic evaluation. Setting: A medical center is located in southern Taiwan. Participants: Eighty women with suspected breast cancer were approached and 67 subjects with a positive diagnosis of breast cancer were recruited. Methods: Subjects were categorized into women who delayed their diagnosis and women who did not delay their diagnosis. A battery of 5 standardized questionnaires including self-efficacy, anxiety and depression, personality, spiritual support and hope was completed at the first three clinic visits. Results: Stage of cancer, trait extroversion/neuroticism and spiritual support were significantly different between groups (p < 0.05). Subjects who did not delay (b = À1.613, p < 0.05), and time that histology results were provided (b = À2.4333, p < 0.001) had a significantly predicted negative change in self-efficacy compared to the group that
BACKGROUND Undergraduate students face tremendous stressors from learning, interpersonal relation... more BACKGROUND Undergraduate students face tremendous stressors from learning, interpersonal relationships, and life. Stress may cause adaptation exhaustion and stress-related disorders. While the results of recent clinical studies indicate that music interventions may alleviate stress, there is a dearth of research exploring the discrete effects of various genres of music on psycho-physiological status. PURPOSE To explore the effects of listening to different genres of music on the psycho-physiological responses of undergraduates. METHODS A one-group, pretest-posttest design was used. A total of 122 undergraduates were assigned to the following four music subgroups according to their musical preference: joyful, tense, sad, and peaceful. Students in each subgroup listened to the self-selected music for 15 minutes during the experiment. A physiological data acquisition systems, the State Anxiety Inventory, and the Visual Analogue Scale for anxiety and depression were used to measure the ...
Nursing & Health Sciences
The major objective of this study was to investigate how smoking behavior mediates the relationsh... more The major objective of this study was to investigate how smoking behavior mediates the relationship between life stress and depressive symptoms in adolescents. A descriptive correlational study was conducted from February to June 2017 at a vocational high school in northern Taiwan, and 226 students were recruited through convenience sampling. Results indicated that smoking behavior played a pivotal role by partially mediating the relationship between life stress and depressive symptoms in adolescents. Life stress in adolescents significantly increased the risk of experiencing depressive symptoms, and adolescents who smoked were also at a greater risk. Assessments between the objective and self-reported smoking behavior were significantly correlated. Therefore, integrated methods for assessing life stress, smoking behavior, and depressive symptoms in adolescents are needed for teachers and clinical professionals. Implementing appropriate policies for discouraging tobacco use for adolescents experiencing life stress in order to decrease depressive symptoms in school settings is paramount. This article is protected by copyright. All rights reserved.
Cochrane Database of Systematic Reviews
Perspectives in Psychiatric Care
Worldviews on Evidence-Based Nursing
Archives of physical medicine and rehabilitation, Jan 17, 2017
To examine the effects of home-based supportive care on improvements in physical function and dep... more To examine the effects of home-based supportive care on improvements in physical function and depressive symptoms in home-dwelling patients after a stroke. Seven electronic databases (e.g., Medline, PubMed, CINAL, EMBASE, the Cochrane Central Register of Controlled Trials, ProQuest, and Google Scholar) and four Chinese database (e.g.,Wanfang med online, Chinese Electronic Periodical Services, China Integrated Knowledge Resources Database, and National Central Library) were fully searched for all relevant articles up to June 25, 2016. Randomized controlled trials that examining the effects of home-based supportive care on physical function and depression in home-dwelling patients after a stroke were included. Finally, 16 articles in Chinese (n=4) and English (n=12) met inclusion criteria. Data related to patient characteristics, study characteristics, intervention details, and outcome were extracted. Two reviewers independently extracted data and assessed methodological quality using...
Journal of Nursing Research, 2016
Patients with chronic schizophrenia often show negative emotional responses because of cognitive ... more Patients with chronic schizophrenia often show negative emotional responses because of cognitive impairment. Multisensory stimulation therapy has been shown effective in improving cognitive and emotional functions in cognitively impaired patients with dementia. However, very few studies have applied this multisensory intervention to patients with chronic schizophrenia. Furthermore, it is not known whether a dose-response relationship exists between the frequency and efficacy of this intervention. The objective of this study was to evaluate the relationship between the effects and dose-response of the multisensory intervention on patients with chronic schizophrenia in a mental rehabilitation hospital. A crossover study design with a sample size of 60 was conducted. Participants were divided equally between an experimental group and a control group. The experimental group received the intervention in a multisensory stimulation room. Six sessions of the 30-minute sensory intervention were conducted on experimental group participants, who were allowed to select their preferred stimulants. In contrast, the control group received routine care only. After a 2-week washout period, participants in the experimental group were reassigned to the control group, and those in the control group were reassigned to the experimental group. Standardized questionnaires were applied to evaluate psychotic symptoms, emotional responses, and well-being of all participants. The NeXus-4 model wireless biofeedback system was used to measure the psychological-physiological parameters of participants at baseline and after the first, third, and sixth sessions of the multisensory intervention. A generalized estimating equation model was used to analyze the effects of the intervention RESULTS:: Although multisensory stimulation therapy had no significant effect on psychotic symptoms and well-being, this intervention may improve the negative emotional reactions of patients. In particular, the intervention significantly reduced the subjective anxiety level of participants and stabilized their objective respiratory and heart rates. Moreover, a positive correlation was found between the efficacy of the treatment and the frequency of the intervention. Evidence from this study validated the multisensory stimulation therapy protocol. Therefore, this protocol may be incorporated into clinical interventions to improve quality of care and to alleviate the negative emotions of patients with chronic schizophrenia.
Clinical nursing research, Dec 15, 2016
The objectives of this study were to develop a cross-cultural Chinese version of the Emotional an... more The objectives of this study were to develop a cross-cultural Chinese version of the Emotional and Social Dysfunction Questionnaire (ESDQ-C) and test its validity and reliability among Chinese-speaking stroke patients. Various methods were used to develop the ESDQ-C. A cross-sectional study was used to examine the validity and reliability of the developed questionnaire, which consists of 28 items belonging to six factors, anger, helplessness, emotional dyscontrol, indifference, inertia and fatigue, and euphoria. Satisfactory convergence and known-group validities were confirmed by significant correlations of the ESDQ-C with the Profile of Mood States-Short Form (p < .05) and with the Hospital Anxiety and Depression Scale (p < .05). The internal consistency was represented by Cronbach's alpha, which was .96 and .79 to .92 for the entire scale and subscales, respectively. Appropriate application of the ESDQ-C will be helpful to identify critical adjustment-related types of d...
PloS one, 2016
Investigating the factors related to suicide is crucial for suicide prevention. Psychiatric disor... more Investigating the factors related to suicide is crucial for suicide prevention. Psychiatric disorders, gender, socioeconomic status, and catastrophic illnesses are associated with increased risk of suicide. Most studies have typically focused on the separate influences of physiological or psychological factors on suicide-related behaviors, and have rarely used national data records to examine and compare the effects of major physical illnesses, psychiatric disorders, and socioeconomic status on the risk of suicide-related behaviors. To identify the characteristics of people who exhibited suicide-related behaviors and the multiple factors associated with repeated suicide-related behaviors and deaths by suicide by examining national data records. This is a cohort study of Taiwan's national data records of hospitalized patients with suicide-related behaviors from January 1, 1997, to December 31, 2010. The study population included all people in Taiwan who were hospitalized with a c...
Hu li za zhi The journal of nursing, 2007
The purpose of this study was to explore the lived experiences of self-harm and harm to others fr... more The purpose of this study was to explore the lived experiences of self-harm and harm to others from the perspective of two adult offspring and a father, the latter of whom was prone to alcohol abuse and domestic violence and had attempted suicide. Written informed consents were obtained from the subjects after a detailed explanation of the research aims and procedures. A qualitative, phenomenological method was applied for the study. Three subjects were interviewed using a semi-structured interview guide designed by the researchers and based on the aims of the study over a six-month period of home care. A qualitative content analysis based on a phenomenological method was used to identify themes in the data. Two main categories emerged: (1) the mutual harm to the couple subsystem, (2) the misplaced parental-child subsystem. Subsequently, two to four themes were identified from each category. These results provide a better analysis and understanding of the perceived experiences of th...
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, Jan 10, 2017
The purpose of this study was to determine effects of group music intervention and self-directed ... more The purpose of this study was to determine effects of group music intervention and self-directed music intervention on anxiety, depression, and cognitive appraisal among women with breast cancer. A quasi-experimental design randomly assigned 60 women undergoing chemotherapy to 3 groups: group music intervention, self-directed music intervention, or a control group. The Hospital Anxiety and Depression Scale and the Mini-Mental Adjustment to Cancer Scale were administered before, after the 8-week interventions, and at 3-month follow-up. Of the 52 women completing the study, results indicated that group music intervention had a significant (p < .01) immediate effect to decrease helplessness/hopelessness and anxious preoccupation and significant effects for reducing anxiety, depression, helplessness/hopelessness, and cognitive avoidance compared to the other two groups at 3-month follow-up. Group music intervention can be considered an effective supportive care in alleviating the che...
The journal of nursing research : JNR, Jan 14, 2015
Effective communication between nurses and patients with dementia promotes the quality of patient... more Effective communication between nurses and patients with dementia promotes the quality of patient care by improving the identification of patient needs and by reducing the miscommunication-related frustration of patients and nurses. This study evaluates the effects of an advanced innovative Internet-based communication education (AIICE) program on nurses' communication knowledge, attitudes, frequency of assessing patient communication capacity, and communication performance in the context of care for patients with dementia. In addition, this study attempts to evaluate the indirect effects of this program on outcomes for patients with dementia, including memory and behavior-related problems and depressive symptoms. A quasi-experimental research design with a one-group repeated measure was conducted. Convenience sampling was used to recruit nurses from long-term care facilities in southern Taiwan. Data were analyzed using general estimating equations to compare changes over time a...
Hu li za zhi The journal of nursing, 2015
Lack of knowledge and experience is prevalent in undergraduate students who are taking their clin... more Lack of knowledge and experience is prevalent in undergraduate students who are taking their clinical practicum for mental-health nursing. This issue negatively affects the learning process. This article shares an experience of implementing a practicum-teaching program. This program was developed by the authors to facilitate the cooperative learning and clinical care competence of students. A series of multidimensional teaching activities was designed by integrating the strategies of peer cooperation and creative thinking to promote group and individual learning. Results indicate that the program successfully encouraged the students to participate more actively in the learning process. Additionally, the students demonstrated increased competence in empathetic caring toward patients, stronger friendship relationships with peers, and improved self-growth. The authors hope this teaching program provides a framework to increase the benefits for students of participating in clinical prac...
Hu li za zhi The journal of nursing, 2009
This article presents the author's experience providing nursing care to an unaccompanied elde... more This article presents the author's experience providing nursing care to an unaccompanied elderly male patient with gastric cancer who was undergoing initial home chemotherapy. Nursing care problems identified included "anticipation anxiety", "inability to care properly for wound", and "deficits in knowledge and skills necessary for successful home chemotherapy." A therapeutic relationship between the author and patient was established during home chemotherapy from December 6, 2006 to January 31, 2007. Health education and nursing interventions were provided through pamphlet-based and verbal instructions, reverse demonstration to offer timely emotional support, disease information, and self-care strategies. Aims of care included enhancing patient chemotherapy knowledge, increasing self-care ability skills, and improving patient confidence in being able to control successfully his cancer and chemotherapy regimen. After 12 author-mentored home chemothe...