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A virtual simulation-based educational application about complementary and alternative medicine: A pilot study of nurses’ attitudes and communication
No full textBackground
Conventional healthcare professionals have insufficient knowledge about complementary/alternative medicine (CAM) and often lack competencies to overcome attitudinal barriers to communicate effectively with patients about CAM. Interacting with a virtual simulation-based educational application program may help nurses learn current evidence and acquire communication skills when consulting with patients.
Objectives
The aim of this pilot study was to evaluate nurses' attitudes towards patients' CAM use and their competency in communicating with patients about CAM after interacting with a virtual simulation-based educational app.
Design
A quasi-experimental study with one-group, pretest-posttest design.
Methods
A total of 49 nurses volunteered to participate in the study. Participants interacted with a virtual simulation software app on a smartphone that included audiovisual presentations about CAM, 13 exercises, and a risk-benefit decision assessment. Data about nurses' attitudes and communication competency were collected at baseline and after completing the 13 exercises. Descriptive and comparative statistics were analyzed using the IBM® SPSS® version 22.0.
Results
Both the nurses' attitudes about patients' CAM use and communication competency improved significantly following the completion of the 13 exercises. The risk-benefit decision scores correlated significantly with the increase in nurses' attitudes and their communication competency.
Conclusions
Using a virtual simulation-based educational app may help nurses not only increase their attitudes towards CAM but also increase their communication competency in consulting with patients about CAM use
Factors associated with smoking behaviors among late adolescents: A cross-sectional study in Taiwan
No full textThis study examined factors associated with smoking behaviors among late adolescents in Taiwan. A cross-sectional survey was conducted with 377 adolescents from four high schools who answered self-report questionnaires. The results indicated that 10.8% (n = 41) of the participants were current smokers. Univariate analysis indicated that current smoking status was significantly associated with smoking social confidence, smoking social connection, friend smoking, and smoking policy in schools. Logistic regression showed smoking social confidence (adjusted odds ratio = 1.41, 95% CI [1.16, 1.72], p = .01) and friend smoking (adjusted odds ratio = 2.80, 95% CI [1.67, 4.70], p < .01) were significantly associated with being a current smoker. Health professionals should consider implementing school-based programs to reduce influence of friend smoking, through strategies for resisting peer pressure, to reduce smoking. Educating late adolescents on improving skills related to social confidence, such as increasing communication abilities, should also be a part of these programs
Assisting an Elderly Person in Their Initial Migration involving Stress and Shock Experiences.
No full textTo evaluate the transitions care from hospital discharge planning to the community-based long-term services
No full text
Anxiety, Depression, and Quality of Life in Percutaneous Coronary Intervention (PCI) Patients at General Hospitals in Vietnam
No full text指導教授:顧雅利背景: 即使焦慮，憂鬱和生活品質(QoL)對經皮冠狀動脈介入性治療(PCI)病人具有重要性，然而大多數的研究主要集中於PCI患者的生存率，很少研究提及PCI患者如焦慮和憂鬱的精神症狀，和其與生活品質的關係。尤其在越南，目前尚無發現有PCI患者的焦慮，憂鬱和生活品質的研究。
目的: 本研究目的是探討越南PCI患者的焦慮，憂鬱和生活品質間的相關性。
方法: 本研究為?斷面設計的量性調查，採立意性取樣，用醫院焦慮憂鬱量表（HADS）和生活品質量表（SF-36），越南語版本量表在越南進行翻譯，具有可接受的信度和效度。 於研究委員會IRB同意後開始收案，資料由主要研究者在心臟門診和越南北部?合醫院心臟科收集。患者在利益，公平和保密道德原則基礎上簽署同意書後參加研究。資料使用SPSS 21.0版的描述性和推論性統計分析。
結果: 醫院焦慮憂鬱量表（HADS）(CVI=.94)和生活品質量表（SF-36），進行越南文翻譯後，經過三位專家審查(CVI=.90)，及因素分析確定可接受的效度。有關越南PCI術後185例患者的焦慮，憂鬱和生活品質，?果顯示焦慮層級從無、輕微至有意義分?佔30.8％，30.8％和38.4％。此外，無、輕度至重度憂鬱的程度分?佔24.9％，31.9％和43.2％。再者，較差，平均，高於平均和良好的生活品質分?佔22.7％，44.3％，26.5％和6.5％。大多數PCI後的患者其基本資料與焦?，憂鬱和生活品質間呈現無顯著相關。再者，PCI患者的焦慮和憂鬱程度間呈現顯著地相關。最後，PCI患者的焦慮，憂鬱和生活品質間也呈現顯著地相關。
結論: ㄧ百八十五位患者的焦慮，憂鬱和生活品質間呈現顯著地相關，尤其如文?所指，憂鬱是影響PCI患者生活品質的主要因素
Effects of the Shared Decision-Making on Disease Management of the Diabetic Patients Using Complementary and Alternative Therapies
No full text指導教授:張曉雲目的：
本研究旨在探討共享決策對使用輔助與另類療法之糖尿病病人在糖化血色素、指尖血糖、生活品質、自覺糖尿病自我管理等成效與實驗組之決策成效調查。
方法：
研究採雙組前後測之類實驗研究，以方便取樣的方式，以台灣南部某區域教學醫院新陳代謝科門診的糖尿病病人為研究對象，實驗組及控制組各收案30人，共收案60人。控制組與實驗組皆接受門診診療、藥物治療及常規衛教，實驗組另接受共享決策介入，介入措施執行為每月一次，共三次，每次20~30分鐘，持續三個月，介入措施依三步驟模式執行，包含：團隊溝通、選項溝通、決策溝通協助研究對象進行決策；在成效資料的收集上，除比較二組自覺糖尿病管理及生活品質、糖化血色素及指尖血糖數值，另實驗組於最後一個月填寫決策滿意度成效問卷。研究所得資料以SPSS 25.0進行統計分析。
結果：
共享決策對使用輔助與另類療法之糖尿病病人在自覺糖尿病自我管理及生活品質之改變，於組間未達顯著差異(p>.05)、糖化血色素之改變，於組間達顯著差異(p>.05)，當糖化血色素>7.18 mg/dl時，實驗組之介入成效更勝於控制組、在第二個月指尖血糖值之改變，於組間達顯著差異(p170.67 mg/dl時，實驗組之介入成效更勝於控制組。實驗組之共享決策成效調查得分為78.92±14.42分，共享決策成效與糖化血色素為中度負相關(r= -0.44, p<.05)，顯示當實驗組糖化血色素值越低時，其共享決策成效總得分越高。
結論：
本研究結果證實經共享決策介入後，可提升糖尿病病人的疾病管理成效，尤其是血糖管理。糖尿病是連續性且長期的醫療照護，建議醫療人員能持續提供糖尿病病人關於輔助與另類療法之研究證據及共享決策，以創造醫病雙贏之局面