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[[alternative]]Workplace Fatigue, Workaholism, and Job Satisfaction In Clinical Research Nurses
No full text[[abstract]]目的: 本研究旨在深入探討職場疲勞對臨床研究護理師的影響，特別關注工作過度投入和工作滿意度之間的關聯性。透過分析臨床研究護理師在職場中所面臨的工作壓力和疲勞情境，以及這些因素對其工作投入和滿意度的影響程度，以提供相應的解決方案和改善建議。方法: 研究採用橫斷式設計，運用問卷調查法來探討員工的職業疲勞與工作滿意度之間的關係。為了達到研究目的，研究者進行了文獻搜尋，選擇了合適的量表，包括個人基本資料、哥本哈根疲勞量表，以及付出–回饋失衡工作壓力模型，使用其中的工作過度投入以及工作滿意度。透過網路問卷調查，收集了員工的疲勞程度、工作滿意度和工作過度投入的資料。隨後，使用階層式集群分析將員工分成不同的疲勞群組，最後比較這些群組在工作滿意度和工作過度投入方面的得分差異。結果: 研究結果顯示，在研究對象的基本特性和工作狀況方面存在一些顯著差異。不同雇主類別和月收入水平對於個人疲勞和工作過度投入有影響。例如，醫療院所的員工在個人疲勞和工作滿意度方面與其他雇主有所不同。此外，需要經常性延遲下班的員工更容易出現高度疲勞。年齡、婚姻狀況和工作地區等因素對於疲勞程度的影響則較為有限。單因子變異數分析進一步證實了不同疲勞程度組之間在工作滿意度和工作過度投入上的差異。結論: 研究結果表明，臨床研究護理師在不同年齡、婚姻狀況、工作地區、雇主類別和聘僱型態上存在顯著差異，這些差異可能對其工作滿意度和疲勞感產生影響，特別是，年齡、工作地區、雇主類別和聘僱型態對工作滿意度和工作過度投入有著明顯影響。管理者應根據這些特徵制定差異化的支持計劃，提供相應的培訓和支持，以改善員工的工作體驗和減輕疲勞感。這些結果為管理者提供了指導，幫助他們更好地了解員工的需求，並針對性地改善工作環境，提升工作滿意度和員工幸福感。[[abstract]]Purpose: This study aims to delve into the impact of workplace fatigue on clinical research nurses (CRNs), with a particular focus on the relationship between work overcommitment and job satisfaction. By analyzing the work stress and fatigue scenarios faced by CRNs in the workplace, as well as the extent to which these factors influence their work commitment and satisfaction, this research intends to provide corresponding solutions and improvement suggestions.Methods: Descriptive statistics were used to present demographic variables, clinical experience, work fatigue, work overcommitment, and job satisfaction among CRNs. Subsequently, statistical methods including independent samples t-tests, one-way analysis of variance (ANOVA), Pearson correlation coefficient, and multiple regression analysis were employed to explore the correlations between variables and potential impacts.Results: The research findings indicate significant differences in the basic characteristics and work conditions among the study subjects. Various factors such as employer category and monthly income level have been shown to influence personal fatigue and overcommitment to work. For instance, employees in medical institutions exhibit differences in personal fatigue and job satisfaction compared to those in other employment sectors. Additionally, individuals requiring frequent overtime are more prone to experiencing heightened levels of fatigue. Furthermore, factors such as age, marital status, and geographical location have relatively limited impacts on the degree of fatigue. Further confirmation of these disparities among different fatigue groups in terms of job satisfaction and overcommitment to work is provided by one-way analysis of variance (ANOVA).Conclusion: The research findings indicate significant variations among clinical research nurses in terms of age, marital status, geographical location, employer category, and employment type, which may influence their job satisfaction and fatigue levels. Particularly, age, geographical location, employer category, and employment type have a notable impact on job satisfaction and overcommitment to work. It is recommended that managers devise tailored support plans based on these characteristics, offering appropriate training and assistance to enhance employee work experiences and alleviate fatigue. These results offer managerial guidance, aiding in a better understanding of employee needs and facilitating targeted improvements in the work environment to enhance job satisfaction and employee well-being
[[alternative]]A comparative analysis of femtosecond laser-assisted cataract surgery versus traditional phacoemulsification in vitrectomized eyes.
No full text[[abstract]]研究目的：本研究目的為探討飛秒雷射輔助白內障手術對曾接受玻璃體切除術病患之手術安全性及效果分析。研究方法：本研究為採用病歷回溯型個案對照研究（Retrospective Case-control Study），曾接受過玻璃體切除手術後的白內障患者為收案對象，依照其接受白內障手術的方式區分，歸類出實驗組為飛秒雷射輔助白內障手術（Femtosecond Laser-Assisted Cataract Surgery, FLACS），對照組為傳統超音波乳化手術（Conventional Phacoemulsification Surgery, CPS）。評估工具使用某區域教學醫院電子病歷系統做回溯型資料收集，內容包含年齡、性別、曾接受玻璃體切除手術原因、玻璃體切除手術後使用的填充物、裸視視力（ Uncorrected visual acuity, UCVA）及最佳矯正視力（Best corrected visual acuity, BCVA），測量時間為白內障手術前與白內障手術後第一個月及第三個月。研究結果：本研究收案人數為81名病患符合資格，其中FLACS組為46名，CPS組為35名，分析FLACS與CPS兩組手術病患的裸視視力（UCVA）、最佳矯正視力（BCVA）及手術方式安全性。使用卡方檢定（Chi-square test）分析研究對象年齡、性別以及玻璃體切除手術原因均無統計上顯著差異，以獨立樣本t檢定（Independent t test）分析兩組病患在手術前UCVA與BCVA存在一些顯著差異。兩組手術安全性相等，均未出現重大的併發症，如囊袋鬆脫或破裂及水晶體後移位之情形。採用廣義估計方程式法（generalized estimating equations, GEE）分析兩組手術後視力恢復情形，於手術後一個月UCVA、BCVA及手術後三個月UCVA視力恢復值FLACS比CPS組減少0.27、0.22、0.29（p=0.044；p=0.012；p=0.044），皆達統計上顯著差異；手術後三個月BCVA 視力恢復值FLACS比CPS組減少0.22（p=0.062），未達統計上顯著差異。研究結論：透過本研究得知飛秒雷射輔助白內障手術的手術後一個月視力恢復值優於傳統超音波乳化白內障手術，不僅縮短眼睛的恢復時間也讓視力在短時間內達手術最佳效果，建議病患若是經濟能力許可，可採用飛秒雷射輔助白內障手術治療玻璃體切除術後的白內障。[[abstract]]Objective:The purpose of this study is a comparative analysis of femtosecond laser-assisted cataract surgery versus traditional phacoemulsification in vitrectomized eyes.Methods:This study adopts a retrospective case-control design. Cataract patients who have previously undergone vitrectomy are selected as the subjects. Based on the type of cataract surgery they received, the subjects are classified into two groups: the experimental group, which underwent femtosecond laser-assisted cataract surgery (FLACS), and the control group, which underwent conventional phacoemulsification surgery (CPS). The evaluation tool used is the electronic medical record system of a regional teaching hospital for retrospective data collection. The data collected includes age, gender, reason for the previous vitrectomy, the filling material used after vitrectomy, uncorrected visual acuity (UCVA), and best corrected visual acuity (BCVA). The measurement times are before the cataract surgery and at the first and third months after the cataract surgery.ResultsThis study included 81 patients: 46 in the FLACS group and 35 in the CPS group. It analyzed UCVA, BCVA, and the safety of the two surgical methods between the two groups of patients undergoing FLACS and CPS surgeries. The Chi-square test showed no significant differences in age, gender, or reasons for vitrectomy between the groups. The independent t-test indicated significant differences in preoperative UCVA and BCVA between the groups. Both surgeries were equally safe, with no major complications like capsular bag dislocation or posterior lens displacement. Using generalized estimating equations (GEE) to analyze postoperative visual recovery in the two groups, the study found that the FLACS group showed significant improvements in UCVA and BCVA at one month post-surgery, and in UCVA at three months post-surgery, compared to the CPS group. The improvements were 0.27, 0.22, and 0.29 respectively (p=0.044; p=0.012; p=0.044), all of which were statistically significant. At three months post-surgery, the BCVA recovery in the FLACS group decreased by 0.22 compared to the CPS group (p=0.062), which was not statistically significant.ConclusionThis study found that femtosecond laser-assisted cataract surgery (FLACS) offers better visual recovery at one month post-surgery compared to conventional phacoemulsification surgery (CPS). FLACS not only shortens the eye's recovery time but also achieves optimal visual outcomes more quickly. Therefore, it is recommended that patients, if financially feasible, opt for FLACS for cataract treatment following vitrectomy
[[alternative]]Aerobic Exercise in Chronic Stroke Patient Evaluating with Stroke Impact Scale: Systematic Review and Meta-Analysis
No full text[[abstract]]背景與目的：本系統性回顧與統合分析主旨為，以中風影響量表評估方式，分析有氧運動對於慢性中風病人，於生理、理解、與社會層面上的成效。方法：基於PRISMA原則，從PubMed、EMBase、Cochrane Library、Physiotherapy Evidence Database (PEDro)、和Google Scholar等資料庫搜尋，時間至2023年12月止。先由兩位審稿人進行文獻篩選、資料萃取、與研究法品質評估。結果探討以中風影響量表評量的八個面向與康復程度，並以隨機式模型統合分析，平均前後測差異的95%為信賴區間。結果：回顧包含4篇文獻，總計245人次。統合分析數據皆顯示正向趨勢──力量(0.27 [-0.14; 0.67] p = 0.18)、手部功能(0.14 [-0.26; 0.55] p = 0.26)、可動性(0.58 [-0.37; 1.53] p < 0.01)、日常生活活動(0.26 [-0.30; 0.81] p = 0.06)、記憶(0.34 [-0.13; 0.81] p = 0.09)、溝通(0.23 [-0.08; 0.54] p = 0.24)、情緒(0.45 [-0.14; 1.04] p = 0.04)、社會餐與、(0.17 [-0.14; 0.49] p = 0.34)、與康復程度(0.17 [-0.15; 0.49] p = 0.31)。結論：縱使中風後照護與復健在慢性中風病人仍占據主要地位，有氧運動仍在各面向產生正向趨勢。[[abstract]]Background and Objectives: The objective of this systematic review and meta-analysis were to evaluate evidence about the effects of aerobic exercise on physical, cognitive, and social aspects of chronic stroke patients, evaluated by the Stroke Impact Scale (SIS).Methods: According to the PRISMA principle, the research was conducted on PubMed, EMBase, Cochrane Library, Physiotherapy Evidence Database (PEDro), and Google Scholar until December 2023. Two independent reviewers performed the article selection, data extraction, and methodological quality assessment. The main outcome was 8 domains and recovery of SIS, which is meta-analyzed using a random-effects method, and mean pre-post intervention difference with a 95% confidence interval (95%CI).Results: The review included 4 papers and a total of 245 patients. It was observed positive trend in all results: Strength (0.27 [-0.14; 0.67] p = 0.18), Hand function (0.14 [-0.26; 0.55] p = 0.26), Mobility (0.58 [-0.37; 1.53] p < 0.01), Activity of daily lofe (0.26 [-0.30; 0.81] p = 0.06), Memory (0.34 [-0.13; 0.81] p = 0.09), Communication (0.23 [-0.08; 0.54] p = 0.24), Emotion (0.45 [-0.14; 1.04] p = 0.04), Participant (0.17 [-0.14; 0.49] p = 0.34), and Recovery (0.17 [-0.15; 0.49] p = 0.31).Conclusions: Aerobic training had positive trend in all domains and recovery of SIS even through standard post-stroke care and rehabilitation had role in chronic stroke patients
[[alternative]]Effects of Parent-child Shared Reading Intervention on Receptive Vocabulary Comprehension / Expression and Event-Related Potentials in 12-36 Months Old Children with Language Delay
No full text[[abstract]]早期語言發展為日後的口語表達及閱讀技能奠定重要的基礎，詞彙的理解 (vocabulary comprehension)更是兒童學習語言相當重要的根基 。然而語言發展 遲緩的兒童(LD)在詞彙理解及表達較同年齡????常發展兒童(TD)落後。目前有許 多研究指出，親子共讀(parent-child shared reading)能顯著增加兒童的詞彙理解及 口語表達，也能為兒童日後語言發展帶來更大的益處，然而目前國內多數從事 親子共讀之學者，研究成果多數集中於外部行為的量表分析，較少研究討論神 經系統的影響。本研究旨在探討「以教導家長親子共讀的方式」，對提升 12-36 個月 LD 的 語言理解及事件相關電位表現之成效，並與生理年齡相當的 TD 比較。依問卷 資料及標準化評估工具研究一共納入 18 名 LD 和 17 名 TD，實驗組兒童皆為 LD，依據共讀問卷資料將 TD 分成對照共讀組及對照組，實驗組兒童每週至少 進行 2 次親子共讀，為期 8 週 16 次的親子共讀，並將親子共讀過程錄製影片約 三到五分鐘，將其上傳雲端，研究者以電腦觀看親子共讀的影片，每兩週給予 電訪回饋，對照共讀組按照其原本方式共讀，對照組則無教學介入。於介入前 後分別進行標準化評估測驗和事件相關電位(聽覺誘發測驗)，比較受試者在介 入前、後詞彙理解及事件相關電位的表現。研究結果顯示實驗組兒童經過親子共讀介入後，其詞彙理解及口語表達表現 達顯著進????。事件相關電位方面，受試者的聽覺誘發電位 P300、N200 和 P200 之 潛時顯著降低，並發現語言表現與 P300 Latency 呈現顯著負相關性。由????可見， 以親子共讀介入語言發展遲緩兒童，能有效提升聽覺刺激的處理速度及區辨聽覺 刺激的能力，同時促進語言能力的表現。[[abstract]]Early language development lays the foundation for future oral expression and reading skills, with vocabulary comprehension skills being a crucial basis for children's language learning. However, children with language delay (LD) exhibit deficits in vocabulary comprehension and expression compared to their typically developing (TD) peers. Numerous studies have indicated that parent-child shared reading can significantly increase children's vocabulary comprehension and oral expression, bringing greater benefits to their future language development. Domestic researchers engaged in parent-child shared reading mostly focused on analyzing external behavior scales. Few studies have discussed its impact on the nervous system of children.This study aims to investigate the effectiveness of teaching parents to engage in parent-child shared reading in improving language comprehension and event-related potential (ERP) performance in children with LD aged 12-36 months old compared to TD children of the same physiological age. Using questionnaire data and standardized assessment tools, 18 children with LD and 17 TD children were included in the study. The experimental group consisted of children with LD, while the TD children were further divided into a control shared reading group and a control group based on shared reading questionnaire data. The experimental group participated in at least two parent- child shared reading sessions per week for 8 weeks (total of 16 sessions), with 3-5- minute videos of the shared reading process uploaded to the cloud. Study participants rovided feedback via telephone every two weeks after reviewing the videos. The control shared reading group engaged in shared reading according how they used to prior to the study, while the control group received no intervention. Standardized assessment tests and auditory evoked potentials (AEPs) were conducted before and after the intervention to compare participants' receptive vocabulary skills and ERP performance.The results showed that after the parent-child shared reading intervention, the children in the experimental group exhibited significant improvements in vocabulary comprehension and oral expression, displaying an upward trend. Regarding ERPs, the latency of P300, N200, and P200 AEPs significantly decreased, and a significant negative correlation was found between language performance and P300 latency. These findings suggest that parent-child shared reading intervention for children with LD can effectively enhance the processing speed of auditory stimuli and the ability to discriminate auditory stimuli while promoting language abilities.The study concludes that parent-child shared reading intervention for 12-36months old children with LD can effectively promote their language comprehension and expression abilities. Electrophysiological evidence also demonstrated enhanced auditory information processing efficiency. These findings offer novel insights and empirical support for early intervention in children with LD
[[alternative]]A Survey on Parturient Women’s Beliefs Regarding Shared Reading in Postpartum Nursing Institution.
No full text[[abstract]]本研究旨在探討產婦的閱讀習慣與親子共讀之間的關聯性，以及不同背景變項對閱讀習慣與親子共讀的影響。研究對象包括204位產婦，以自行設計的「產婦閱讀習慣與親子共讀信念調查」問卷，經三位專家學者檢核進行題目刪減與修改後進行預試、信效度和因素分析。信度分析中，內部一致性係數Cronbach’s alpha為.67；在效度分析方面，KMO及Bartlett球型檢定，本研究之KMO值達.817，卡方值達顯著差異 (p< .0001)，表示適合進行因素分析。根據預試結果及因素分析後，將問卷題項整合為背景資料、構面一「產婦的閱讀習慣」，及構面二「產婦對親子共讀的信念與認知」，在民國113年05月14日至06月15日以電子問卷調查及採描述性統計、皮爾森相關系及多元性迴歸等統計分析來收集和分析數據。研究結果發現產婦的閱讀習慣與親子共讀存在顯著正相關，顯示產婦的閱讀習慣越高，對於親子共讀的信念越高。具體而言，產婦閱讀習慣會影響對於親子共讀信念、認知。在產婦背景變項中以子女數目與產婦的閱讀習慣呈顯著正相關，而寶寶為單胞胎或雙胞胎則與產婦的閱讀習慣呈顯著負相關，產婦的教育程度與親子共讀信念為顯著負相關。總結來說，本研究探討產後護理機構中婦閱讀習慣與親子共讀信念、認知之間相關系，並了解產婦對於親子共讀的信念與認知，希望能提升促進親子共讀的護理指導衛教。[[abstract]]This study aims to explore the correlation between maternal reading habits and parent-child co-reading, as well as the impact of different background variables on reading habits and parent-child co-reading. The research subjects included 204 postpartum women. The self-designed "Survey on Maternal Reading Habits and Parent-child Co-Reading Beliefs" questionnaire was used to conduct pre-test, reliability, validity and factor analysis after being reviewed by three experts and scholars to delete and modify the items. In the reliability analysis, the internal consistency coefficient Cronbach's alpha was .67; in the validity analysis, KMO and Bartlett's spherical test, the KMO value of this study reached .817, and the chi-square value reached a significant difference (p<.0001). Indicates that it is suitable for factor analysis. Based on the pre-test results and factor analysis, the questionnaire items were integrated into background information, facet one "maternal reading habits", and facet two "maternal beliefs and perceptions of parent-child reading". From May 14th to June 15th, data were collected and analyzed using electronic questionnaires and statistical analysis such as descriptive statistics, Pearson correlation and multiple regression. The results of the study found that there is a significant positive correlation between maternal reading habits and parent-child co-reading, showing that the higher the maternal reading habits, the higher the belief in parent-child co-reading. Specifically, maternal reading habits will affect the beliefs and cognitions about parent-child reading together. Among the maternal background variables, the number of children is significantly positively correlated with the maternal reading habits, while whether the baby is a single or twin is significantly negatively correlated with the maternal reading habits, and the maternal education level is significantly negatively correlated with the belief in parent-child reading. Related.In summary, this study explores the relationship between maternal reading habits and parent-child shared reading beliefs and cognitions in postpartum care institutions, and understands maternal beliefs and cognitions about parent-child shared reading, hoping to improve nursing guidance on promoting parent-child shared reading. Health education
[[alternative]]Investigating the Learning Effectiveness of Integrating Chatbots into Escape Room Games to Enhance Nurses Peripherally Inserted Central Venous Catheter Care Ability
No full text[[abstract]]背景：周邊置入中心靜脈導管(Peripherally Inserted Central Venous Catheter; PICC) 對護理人員而言是一個重要的實務學習技能。周邊置入中心靜脈導管屬於外露型輸液導管，當導管留置於上肢期間，護理人員必須具備周邊置入中心靜脈導管照護相關知識，並且必須充分了解導管的功能及特性，搭配臨床實際照護的經驗與演練。若照護不佳時，病人容易產生血栓、阻塞、移位、感染、插入處紅腫或皮膚對敷料過敏等合併症；一旦出現上述症狀，甚至因次引發敗血症等合併症，造成病人不適，危急時甚至會危害其生命，由此可凸顯護理人員學習臨床周邊置入中心靜脈導管照護的重要性與迫切性。透過聊天機器人融入密室逃脫遊戲在周邊置入中心靜脈導管護理照護課程能有效提升護理人員在周邊置入中心靜脈導管護理照護認知、自我效能。透過聊天機器人融入密室逃脫遊戲教學策略，將周邊置入中心靜脈導管護理照護融入遊戲關卡中，團隊合作共同解決關卡問題，提升護理人員在周邊置入中心靜脈導管護理照護認知及自我效能。目的：本研究旨在探究「聊天機器人融入密室逃脫遊戲」教學介入方式，對提升護理人員周邊置入中心靜脈導管護理照護認知、自我效能之學習成效。方法：本研究為類實驗設計 (quasi-experimental research design)，以方便性取樣（convenience sampling）方式進行雙組前後測研究。實驗組(n=32)進行「聊天機器人融入密室逃脫遊戲課程」，對照組(n=32)進行「傳統課程」。課程內容以「PICC導管種類介紹」、「PICC導管即刻護理」、「PICC導管傷口護理」、「PICC導管管路安全」、「PICC導管日常照護」為課程主題。課程前、課程結束後一週內及課後三週進行「認知測驗」及「自我效能」評量學習成效。研究工具包括：自擬周邊置入中心靜脈導管護理照護知識量表、沉浸體驗量表、王等（2001）一般自我效能及黃等（2013）學習滿意度。結果：課程介入前，實驗組在周邊置入中心靜脈導管護理照護認知低於對照組，雙組自我效能皆無顯著差異。在課程介入後一週內，實驗組在周邊置入中心靜脈導管護理照護認知高於對照組、自我效能得分皆高於前測，但兩組間僅有周邊置入中心靜脈導管護理照護認知達顯著差異 (p < 0.05)。課程介入後三週，實驗組在周邊置入中心靜脈導管護理照護認知及自我效能得分皆高於對照組，並皆具有顯著差異 (p < 0.05)。結果顯示，「聊天機器人融入密室逃脫遊戲教學」可有效提升護理人員在周邊置入中心靜脈導管護理照護知識，而「聊天機器人融入密室逃脫遊戲教學」較「傳統教學」影響護理人員在周邊置入中心靜脈導管護理照護知識更具有顯著效果。結論與建議：本研究結果證實「聊天機器人融入密室逃脫遊戲在周邊置入中心靜脈導管護理照護課程」能有效提升護理人員在周邊置入中心靜脈導管護理照護認知、自我效能。透過聊天機器人融入密室逃脫遊戲教學策略，將周邊置入中心靜脈導管護理照護融入遊戲關卡中，團隊合作共同解決關卡問題，提升護理人員在周邊置入中心靜脈導管護理照護認知及自我效能，使沒有教育訓練經驗的護理人員成效優於有教育訓練經驗的護理人員。未來可加以推廣至護理人員在職教育課程上，使學習者提高學習動機，進而達到終身學習。關鍵字：聊天機器人、密室逃脫遊戲、周邊置入中心靜脈導管護理照護、沉浸體驗、學習滿意度[[abstract]]Background:Peripherally Inserted Central Venous Catheter (PICC) is an important practical skill for nursing staff to learn. Peripherally Inserted Central Venous Catheter (PICC) is an exposed catheter. When the catheter is placed in the upper extremity, the nursing staff must have the knowledge of PICC care and fully understand the function and characteristics of the catheter, as well as the experience and practice of clinical care. If poor care is provided, patients are susceptible to complications such as thrombosis, obstruction, displacement, infection, redness and swelling at the insertion site, or skin allergy to the dressing. Once these symptoms occur, they may even lead to complications such as sepsis, causing discomfort to the patient, and even jeopardizing his/her life in case of emergency, which underscores the importance and urgency for nursing staff to learn about peripheral central venous catheterization in a clinical setting. This course can effectively enhance the nursing staff's awareness and self-efficacy in peripheral IV catheterization care through the integration of chatbots into the escape room game. Through the integration of chatbots into the Escape Room game teaching strategy, peripheral access center intravenous (I.V.) catheter care is integrated into the game levels, and the team works together to solve the problems of the levels, which improves the nursing staff's cognitive and self-efficacy in peripheral access center I.V. catheter care.Objective:The purpose of this study was to investigate the effectiveness of the teaching intervention “Chatting robots integrated into the escape room game” on improving nursing staff's cognition and self-efficacy in peripheral IV catheter care in the peripheral implantation center.Methods:This study was a quasi-experimental research design with convenience sampling for a two-group pre- and post-test study. The experimental group (n=32) underwent the “Chatting Robot in Secret Escape Game Course”, and the control group (n=32) underwent the “Conventional Course”. The course content was based on the themes of “Introduction of PICC catheter types”, “Immediate care of PICC catheter”, “Wound care of PICC catheter”, “Safety of PICC catheter”, and “Daily care of PICC catheter”. The Cognitive Test and Self-Efficacy were administered before the course, one week after the course, and three weeks after the course to assess learning outcomes. The study instruments included: Self-Administered Peripheral Access Center Intravenous Catheter Care Knowledge Scale, Immersion Experience Scale, Wang et al. (2001) General Self-Efficacy, and Huang et al. (2013) Satisfaction with Learning.Results:Prior to the course intervention, the experimental group had lower knowledge of intravenous catheter care in the peripherally inserted center than the control group, and there was no significant difference in self-efficacy between the two groups. One week after the intervention, the experimental group had a higher awareness of peripherally placed central venous catheter care than the control group and higher self-efficacy scores than the pre-test, but only the awareness of peripherally placed central venous catheter care was significantly different between the two groups (p < 0.05). Three weeks after the course intervention, the experimental group had higher peripherally inserted central venous catheter care cognitive and self-efficacy scores than the control group, and both groups had significant differences (p < 0.05). The results showed that the “Chatting Robot into Escape Room Game Teaching” could effectively improve the nursing staff's knowledge of peripheral IV catheter care, and the “Chatting Robot into Escape Room Game Teaching” was more effective than the “Traditional Teaching” in influencing the nursing staff's knowledge of peripheral IV catheter care.Conclusion and Recommendations:The results of this study confirmed that the “Chatting robot integrated into the escape game in peripheral IV catheter care course” can effectively improve the nursing staff's knowledge and self-efficacy in peripheral IV catheter care. Through the integration of chatbots into the Escape Room game teaching strategy, peripheral IV catheter care is integrated into the game levels, and the team works together to solve the problems of the game levels, to enhance the nursing staff's awareness and self-efficacy in peripheral IV catheter care, so that the effectiveness of the nursing staff who do not have any education and training experience will be better than those who have education and training experience. In the future, it can be extended to the nursing staff in-service education programs, so that the learners can improve the learning motivation, and then achieve lifelong learning.Keywords: Chat Robots, Escape Room Game, Peripherally Inserted Center IV Catheter Nursing Care, Immersion Experience, Learning Satisfactio
[[alternative]]The effect of Chan-Chuang qigong on fatigue, exercise capacity and quality of life in patients with heart failure
No full text[[abstract]]本研究旨在探討站樁氣功對心臟衰竭病人疲憊、運動耐力、生活品質及心臟功能之成效。採重複測量實驗性研究，以北部某區域教學醫院心臟衰竭病人為研究對象，共72人分成氣功組及對照組。氣功組進行站樁氣功，對照組給與心臟衰竭病常規照護。兩組分別於介入前、介入第四週、介入第八週及介入第十二週進行疲憊量表、六分鐘行走測試及生活品質量表之資料收集。研究資料以SPSS 26.0套裝軟體進行描述性及統論性統計，結果顯示:氣功組在組別與時間交互作用影響下，疲憊、六分鐘行走距離與生活品質分別於第四週（p=.007, p=.005, p=.005）、第八週（p=.038, p=.005, p=.016）及第十二週（p=.001, p<.001, p=.003），達統計顯著差異。左心室射血量與NT pro BNP於第十二週（p=.063, p=.638）未達統計顯著差異。本研究結論為站樁氣功運用於心臟衰竭病人可有效降低疲憊程度、提升運動耐力，以及提升生活品質，但尚無法支持改善心臟功能。未來須有更多研究探討站樁氣功對心臟衰竭病人改善心臟功能成效之相關研究。[[abstract]]This study aimed to investigate the impact of Chan-Chuang Qigong on fatigue, exercise capacity, quality of life, and heart function in heart failure patients. The study recruited 72 heart failure patients from a medical center in northern Taiwan for an experimental study. The participants were randomly divided into two groups: the qigong group, which received Chan-Chuang qigong, and the control group, which received standard care for heart failure. Data was collected using the Piper Fatigue Scale, a six-minute walking test, and the Minnesota Living with Heart Failure Questionnaire before the intervention as the baseline, and at the 4th, 8th, and 12th weeks during the intervention. Statistical analyses were conducted using SPSS version 26.0, and all data were analyzed using both descriptive and inferential statistics. In comparison to the control group at baseline, the Qigong group showed statistically significant differences in fatigue, six-minute walking distance, and quality of life at the 4th week (p=.007, p=.005, p=.005), the 8th week (p=.038, p=.005, p=.016), and the 12th week (p=.001, p<.001, p=.003). However, there were no statistically significant differences in left ventricular ejection volume and NT pro BNP at week 12 (p=.063, p=.638). The study concludes that Chan-Chuang Qigong is effective in reducing fatigue, improving exercise tolerance, and enhancing the quality of life in patients with heart failure. However, it does not support the improvement of heart function. More research is needed in the future to explore the impact of Chan-Chuang Qigong on improving heart function in patients with heart failure
[[alternative]]The Relationships of Menopausal Symptoms , Traditional Chinese Medical Body Constitution and Health Promotion Lifestyle in Women
No full text[[abstract]]研究背景：更年期女性面臨涵蓋身心理之更年期症狀，且該階段的心血管疾病風險逐年上升。更年期婦女的中醫體質以腎虛為本，標為心、肝、脾，且中醫體質的傾向影響著更年期症狀嚴重性，故中醫治療也常選用與臟腑相關穴位進行介入。而中醫體質由先天遺傳與健康促進生活型態組成，當更年期婦女健康促進生活型態越趨於正向，越能減少更年期症狀。研究目的：探討更年期婦女更年期症狀、健康促進生活型態及中醫體質之關係，與中醫穴位介入對於更年期婦女心血管疾病風險之成效。研究方法：本研究透過問卷調查，以橫斷性相關性研究設計，方便取樣選取北部某區域醫院中醫門診之更年期婦女80位，探討更年期婦女更年期症狀、健康促進生活型態與中醫體質之相關性。並以系統性文獻回顧，探討更年期婦女透過中醫穴位介入是否能改善心血管疾病風險，依搜尋策略於六個電子資料庫檢索，並針對納入與排除後的隨機對照試驗文獻進行分析。研究結果：本研究結果顯示更年期婦女更年期症狀與健康促進生活型態得分不具相關性（P>.05）。更年期婦女更年期症狀，與陽虛體質、陰虛體質及痰瘀體質呈正相關（P.05）。穴位介入於系統性文獻回顧顯示可改善更年期婦女心血管疾病風險生理、心理及荷爾蒙，但對於膽固醇、高密度脂蛋白膽固醇、低密度脂蛋白膽固醇等沒有直接影響。結論：更年期婦女更年期症狀越明顯，其中醫體質越傾向陽虛、陰虛及痰瘀體質，反之則體質越傾向平常體質。而透過穴位介入可改善更年期婦女心血管疾病風險生理、心理及荷爾蒙。故建議臨床可考慮中醫體質納入照護評估之一，並透過體質傾向，從而進行個別化醫療介入或預防照護，以達到預防為先，期許減少婦女的更年期症狀。[[abstract]]Abstract: Menopausal women face a range of menopausal symptoms encompassing both physical and psychological aspects, with an increasing risk of cardiovascular disease during this stage. In Traditional Chinese Medicine (TCM), the constitution of menopausal women is often characterized by Kidney Qi deficiency, with associated patterns involving the Heart, Liver, and Spleen. The tendency of TCM constitution affects the severity of menopausal symptoms, and TCM treatment often involves acupuncture points related to these organs. TCM constitution is influenced by both innate genetic factors and health-promoting lifestyle practices. A more positive health-promoting lifestyle in menopausal women can reduce menopausal symptoms.Objectives: To investigate the relationship among menopausal symptoms, Health Promoting lifestyles, TCM constitution, and the effectiveness of acupuncture intervention on cardiovascular disease risk in menopausal women.Methods: This study utilized a cross-sectional correlational research design through a questionnaire survey. A convenience sample of 80 menopausal women from the TCM outpatient department of a regional hospital in northern Taiwan was selected to examine the correlations among menopausal symptoms, health-promoting lifestyle, and TCM constitution. Additionally, a systematic review of the literature was conducted to assess whether acupuncture interventions could improve cardiovascular disease risk in menopausal women. Literature was retrieved from six electronic databases, and randomized controlled trials meeting the inclusion and exclusion criteria were analyzed.Results: The study revealed no significant correlation between menopausal symptoms and health-promoting lifestyle scores (P > .05). There was a positive correlation between menopausal symptoms and Yang deficiency constitution, Yin deficiency constitution, and Phlegm-Stasis constitution (P .05). The systematic review indicated that acupuncture can improve physiological, psychological, and hormonal aspects of cardiovascular disease risk in menopausal women, but does not directly affect cholesterol levels, high-density lipoprotein cholesterol, or low-density lipoprotein cholesterol.Conclusion: The study concluded that more severe menopausal symptoms are associated with a greater prevalence of Yang deficiency, Yin deficiency, and Phlegm-Stasis constitutions, whereas less severe symptoms correlate with a more balanced constitution. Acupuncture interventions were found to positively influence the physiological, psychological, and hormonal parameters related to cardiovascular disease risk in menopausal women. It is recommended that clinical practice consider integrating TCM constitution assessments into care evaluations and employ this information for personalized medical interventions or preventive care strategies, with the goal of alleviating menopausal symptoms
[[alternative]]Relationships among Illness perception, Resilience and Depression in Patients with Coronary artery disease
No full text[[abstract]]目的：冠心病(Coronary arterial disease, CAD)是全球人口死亡的主因之一，為國內每年龐大醫療支出與威脅國人健康的慢性疾病，亦可能引發憂鬱情緒，影響患者之生活品質。研究支持負面疾病知覺將產生憂鬱的負面情緒；而復原力是個人發展健康、正向因應策略的要素，可能有助於減緩憂鬱情緒。故本研究目的為探討冠心病患者憂鬱之相關因子，並進一步了解疾病知覺、復原力與憂鬱之間的關係。方法：本研究為橫斷式相關研究設計，採方便取樣。以北部某醫學中心心臟內科門診與病房之冠心病患者為研究對象。資料收集利用自填式結構問卷進行測量變項包含：人口學特性、疾病特性變項、疾病知覺、復原力與憂鬱。以IBM SPSS 22.0為統計工具，運用描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森積差相關分析及階層迴歸分析進行推論性統計分析，若分析結果符合中介前提，則進一步運用Sobel test驗證。結果：本研究共收得 62份有效問卷。研究對象平均年齡60.8歲(SD = 11.39)，71.6%為男性、大專以上教育程度佔 51.2%、已婚者佔 75.3%，有宗教信仰者佔 64.2%，平均罹患冠心病時間為 2.6 年(SD = 4.68)，平均LVEF為56.2(SD = 12.44)、冠狀動脈血管阻塞數量 2 條以上達 58.6%、CCS 心絞痛分級I級與II級達34.0%。結果顯示性別(t = -2.87, p = .005)、年齡(r = -0.17, p = .031)、宗教信仰 (t = -3.19, p = .002)、CCS 心絞痛分級(F = 4.640, p = .011)、疾病知覺(r = -0.20, p = .009)及復原力(r = -0.32, p = .000)與憂鬱有顯著相關。整體迴歸模式下性別(β = .154, p = .032)、宗教信仰(β = .253, p = .001)、復原力(β = - .287, p = .000)能預測憂鬱。疾病知覺在復原力納入後對憂鬱的影響轉為不顯著(β = - .066, p = .388)。經控制人口學特性與疾病特性後，復原力對於疾病知覺與憂鬱之間具完全中介效果，間接效果為 .099(63.9%)，經Sobel test驗證復原力為疾病知覺影響憂鬱的中介因子。結論：本研究結果高達37%冠心病患者出現憂鬱情緒，顯示及早識別此群體憂鬱之高危險群患者格外重要。疾病知覺與復原力皆可預測憂鬱，而復原力為疾病知覺影響憂鬱之中介因子。針對冠心病患者疾病認知較負面或短時間較難改善的情況下，建議提高其復原力可能比改善疾病認知更有效改善憂鬱。發展提升冠心病患者復原力為導向的照護措施，如增進患者對疾病的因應能力，將可有效預防冠心病患者憂鬱，並間接促進其身心安適或生活品質。[[abstract]]Background purpose: Coronary arterial disease (CAD) is one of the leading causes of motrality worldwide. It significantly contributes to rising healthcare costs and poses a substantial threat to public health as a chronic condition. CAD is also associated with depressive symptomss, which adversely impact patient’s quality of life. Existing research indicates that negative illness perceptions can generate depressive symptoms, while resilience, as a component of personal development and positive coping, may alleviate these depressive emotions. Therefore, this study aimed to explore the factors associated with depression in patients with CAD and to further understand the influence of illness perceptions and resilience on depressionStudy methods: This cross-sectional study employed a convenience sampling method. The study subjects are patients with coronary arterial disease from the cardiology outpatient clinics and wards of a medical center in northern Taiwan. Data collection was conducted using self- administered structured questionnaires, that assessed demographic characteristics, disease characteristics, illness perceptions, resilience, and depression. IBM SPSS 22.0 was used for statistical analysis, including descriptive statistics, independent sample t-tests, one-way ANOVA, Pearson correlation, and hierarchical regression analysis. The mediation effect was tested using the Sobel test.Study results: A total of 162 patients completed the surveys. The average age of the subjects was 60.8 years (SD = 11.39), with 71.6% being male, 51.2% having college education or higher, 75.3% being married, and 64.2% having religious beliefs. The average duration of CAD was 2.6 years (SD = 4.68), the average LVEF was 56.1 (SD = 12.44), 58.6% had more than two blocked arteries, and 34% were classified as CCS angina grade I or II. Significant correlations were found between depression and gender (t = -2.87, p = .005), age (r = -0.17, p = .031), religious beliefs (t = -3.19, p = .002), CCS angina grade (F = 4.640, p = .011), illness perception (r = -0.20, p = .009), and resilience (r = -0.32, p = .000). Hierarchical regression analysis indicated that gender (β = .154, p = .032), religious beliefs (β = .253, p = .001), and resilience (β = -.287, p= .000) predicted depression in the overall model. The effect of illness perception on depression became insignificant after accounting resilience (β = -.066, p = .388). Mediation analysis using hierarchical regression, after controlling for demographic and disease characteristics, showed that resilience fully mediated the relationship between illness perception and depression, with an indirect effect of .099 (63.9%). The Sobel test confirmed that resilience effectively mediated the relationship between illness perception and depression.Conclusion and recommendations: The study found that 37% of CAD patients experienced depressive symptoms. The results suggested that illness perception and resilience were significant predictors of depression. Furthermore, resilience mediated the relationship between illness perception and depression. For CAD patients with negative illness perceptions, enhancing resilience might be a more practical strategy for reducing depression than altering illness perceptions. Developing interventions to bolster resilience, such as enhancing coping abilities, might prevent depression in CAD patients and indirectly promote their physical and mental well-being
[[alternative]]Effects of mindfulness-based interventions on psychophysiological recovery and physical functioning in patients after coronary heart surgery
No full text[[abstract]]背景：冠心病人若未能適當控制與治療，不僅容易造成疾病再復發，引起心絞痛，使心臟無法獲得足 夠血液與氧氣供應，導致疾病嚴重度增加，進而接受冠狀動脈繞道手術，但術後可能因呼吸肌活力降低、胸骨正中切開手術造成胸部傷口疼痛及臥床不想活動，使得肺擴張不全或肺塌陷，亦會因生理症狀的不適感，加上擔心疾病對生命構成威脅，及對疾病治療的不確定感，讓病人出現焦慮與憂鬱之負面情緒，影響睡眠品質。目的：本研究目的探討正念處置對冠心術後病人身心復元及身體功能之成效。方法：採方便取樣，以北部某醫學中心之心臟科病房病人為研究對象，將符合條件受試者分派為實驗組（正念處置）與常規護理組，於手術前一天及處置介入後第七天進行身心復元（內在感受覺察、焦慮、憂鬱、睡眠品質、疼痛）及身體功能（肺活量、心肺耐力、活動後呼吸困難）測量，再將測量資料以 SPSS 29.0 for Windows 套裝軟體進行統計分析，比較兩組在身心復元及身體功能之間的差異。結果：實驗組提供 7 天正念處置訓練後，身心復元之內在感受覺察（t = 12.99,p <.001）、憂鬱（t = -2.85, p = .01）、睡眠品質（t = 4.38, p <. 001）達統計顯著差異。結論：本研究結果顯示冠心術後病人接受七天的正念處置，能減輕憂鬱，提升內在覺察感受與睡眠品質，進而增進身心復元，但對焦慮、疼痛及身體功能尚無法證實其具成效，建議未來可進行長期追蹤，以全面評估其成效。[[abstract]]Background: If patients with coronary heart disease are not properly controlled and treated, it is not only easy for the disease to relapse and cause angina pectoris, which will prevent the heart from receiving sufficient blood and oxygen supply, leading to an increase in the severity of the disease, and may lead to coronary artery bypass surgery, but postoperative complications may occur. Due to reduced respiratory muscle vitality, chest wound pain caused by median sternotomy surgery, and bed rest, resulting in incomplete lung expansion or lung collapse, discomfort due to physiological symptoms, and fear of life-threatening disease, and the risk of disease The uncertainty of treatment causes patients to have negative emotions of anxiety and depression, affecting their sleep quality.Aim: The purpose of this study is to explore the effect of mindfulness on the physical and mental recovery and physical function of patients after coronary heart surgery.Methods: Convenience sampling was adopted, and patients in the cardiology ward of a northern medical center were selected as the research subjects. Eligible subjects were assigned to the experimental group (mindfulness treatment) and the routine care group. The subjects were tested on the day before surgery and on the seventh day after intervention. Physical and mental recovery (interoceptive awareness, anxiety, depression, sleep quality, pain) and physical function (vital capacity, cardiorespiratory endurance, dyspnea after exercise) were measured, and the data were statistically analyzed using SPSS 29.0 for Windows software suite. Compare the differences between the two groups in physical and mental recovery and physical function.Results: After the experimental group was provided with 7 days of mindfulness processing training, the interoceptive awareness (t = 12.99, p <. 001), depression (t = -2.85, p = .01), and sleep quality (t = 4.38, p <. 001) reached a significant difference.Conclusion: The results of this study show that seven days of mindfulness treatment for post-coronary heart surgery patients can reduce depression, improve interoceptive awareness and sleep quality, and thereby enhance physical and mental recovery. However, its effectiveness on anxiety, pain and physical function has not yet been proven. It is recommended that it can be used in the future Conduct long-term tracking to fully assess its effectiveness