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[[alternative]]The Impact of Different Exercise Courses on Exercise Enjoyment and Self-efficacy Among Elderly Female Students in Community Colleges
No full text[[abstract]]背景與目的：「運動享受感」和「自我效能」是促使身體活動的實踐、長期堅持和享受樂趣的關鍵因素；彼拉提斯、八段錦、阻力訓練是運動訓練常用的運動模式，皆有助於健康促進。本研究目的為探討彼拉提斯、八段錦、阻力訓練三種不同運動課程對於社區大學中高齡女性學員運動享受感與自我效能之影響。方法：招募社區大學彼拉提斯、八段錦、阻力訓練三種運動課程班40-70歲中高齡女性學員，於運動課程中記錄運動心率及運動享受感、運動自我效能，比較運動學員的心裡感受，數據表示爲平均值 ± 標準誤，顯著性設定p .05)。結論：社區大學彼拉提斯、八段錦、阻力訓練三種運動課程對於中高齡女性學員，不僅有趣且活力十足，整體而言是令人滿意的，使其持續參與並享受運動帶來樂趣，積極落實健康促進；這三種運動課程皆達到中等運動强度，適合做爲一般民衆的運動模式值得推廣到社區。[[abstract]]Background and purpose: "Exercise enjoyment" and "self-efficacy" are key factors that promote the practice, long-term persistence and enjoyment of physical activities; Pilates, Baduanjin, and resistance training are commonly used exercise modes in sports training. Contributes to health promotion. The purpose of this study is to explore the impact of three different exercise courses, Pilates, Baduanjin, and resistance training, on the exercise enjoyment and self-efficacy of elderly female students in community colleges. Methods: Recruited female students aged 40-70 years old from community college Pilates, Baduanjin, and resistance training classes. During the exercise classes, exercise heart rate, enjoyment of exercise, and exercise self-efficacy were recorded, and the performance of the exercise students was compared. Feelings, data are expressed as mean ± standard error, significance is set at p .05). Conclusion: Community college Pilates, Baduanjin, and resistance training courses are not only interesting and energetic for middle-aged and elderly female students, but are overall satisfying, allowing them to continue to participate and enjoy the fun of sports. These three exercise courses all reach moderate exercise intensity and are suitable as exercise models for the general public and are worthy of being promoted to the community
[[alternative]]The Relationship between the Circulating Plasma CCL5 andExercise Performance
No full text[[abstract]]本研究旨在探讨CCL5与女性大学生运动表现之间的关系。本研究招募了12名训练有素和12名未训练的女性大学生，测量了她们的身体成分、运动表现（上肢力量、核心力量、柔韧性、灵活性、平衡性和耐力）以及血液中的CCL5水平。结果显示，训练组的垂直跳、俯卧撑、仰卧起坐、快速脚步、单腿站立、高抬腿和肌肉质量显著高于未训练组。同时，训练组的CCL5水平高于未训练组。CCL5水平与肌肉质量之间存在中度正相关性。综上所述，这些发现表明，CCL5可上调骨骼肌质量，从而增强运动表现。测量CCL5水平可能成为运动人才识别的新策略。[[abstract]]The aim of this study was to investigate the relationship between CCL5 and exercise performance in the female collage students. This study recruited 12 trained and 12 untrained female college students to measure their body composition, exercise performance (upper body strength, core strength, flexibility, agility, balance, and endurance), and blood CCL5 level. The vertical jump, push-up, curl-up, quick feet, single leg stand, high knees, and muscle mass were significantly higher in the trained group when compared with the untrained group. The CCL5 levels were higher in the trained group than the untrained group. There was a moderate positive correlation between CCL5 levels and muscle mass. In conclusion, these findings suggested that CCL5 upregulates the skeletal muscle mass, which in turn enhances exercise performance. Measurement of the level of CCL5 could be a novel strategy for sports talent identification
[[alternative]]Exploring the relationship between illness perception, self-efficacy, coping strategies, and self-management behaviors among patients with COPD
No full text[[abstract]]研究背景：慢性阻塞性肺病（COPD)是一種慢性肺部疾病，2019年已成為全球第三大死因。加強自我管理行為可以幫助病人長期保持良好的生活功能並延緩疾病進展。研究目的：本研究旨在探討COPD病人者的自我管理行為以及其影響因素，包括人口學特性、疾病特性、疾病感知、自我效能和因應策略。研究方法：本研究採橫斷式相關性研究設計，以結構式問卷進行慢性阻塞性肺病病人疾病自我管理及其相關因素探討。問卷內容包括個人基本資料表、「簡易版疾病認知問卷（BIPQ) 」、「中文版慢性阻塞性肺疾病自我效能量表（CSES-Chi）」、「簡明因應策略量表（Brief COPE)」以及「香港自我管理量表中文版（C-PIH HK）」，資料收集後進行描述性及推論性統計分析，其中包括平均值、標準差、百分比分析及獨立樣本t檢定、單因子變異數分析、皮爾森績差相關分析、階層迴歸分析等方法，以了解不同人口學與疾病特性病人在疾病自我管理的差異情形，以及疾病認知、疾病因應、疾病自我管理效能與自我管理行為的相關性，在控制人口學、疾病及治療因素後，分析疾病感知、因應策略及自我效能對自我管理行為的影響。研究結果：本研究納入144名COPD患者，平均年齡71.67歲，自我管理行為平均得分為70.99分，以症狀管理及依從性得分最高。COPD患者以男性、年齡超過65歲、未婚、接受過個案管理、GOLD 1分級者自我管理行為較佳。自我管理行為與疾病感知呈現顯著負相關，與因應策略現顯著正相關。階層回歸分析顯示，在控制其他變項後，因應策略對於自我管理行為可產生5.9%的變異量，是自我管理行為重要的預測因子，而經濟狀況及疾病感知對自我管理行為有顯著解釋力。研究結論：自我管理行為對於慢性阻塞性肺疾患者至關重要，本研究發現，對於COPD患者的自我管理行為應加強疾病和治療方面相關的知識，當發現患者經濟狀況較差、mMRC分數≧2分者，應特別關注其疾病自我照顧的狀態。疾病感知及因應策略也會影響自我管理行為，且因應策略也是自我管理行為重要的預測因子，當發現患者感受到疾病威脅越強烈，以及因應策略表現越差時，醫療專業人員應依照患者現況，向患者提供符合其需求的訊息，鼓勵患者積極參醫療決策與溝通，以提高其自我管理行為。[[abstract]]Background: COPD is a chronic lung disease that has become the third leading cause of death globally in 2019. Strengthening self-management behaviors can help patients maintain good functional capacity over the long term and delay disease progression.Purpose: This study aims to investigate the self-management behaviors of patients with COPD and their influencing factors, including illness perception, self-efficacy, and coping strategies. The objectives are to describe patients' clinical characteristics, illness perception, coping strategies, and self-efficacy, and to explore the impact of these factors on self-management behaviors.Method: This study uses a cross-sectional correlational design to investigate self-management in patients with COPD and its related factors. The study used structured questionnaires, including basic demographic information, BIPQ, CSES-Chi, Brief COPE and C-PIH HK scales. Descriptive and inferential statistical analyses, such as measures of central tendency, standard deviation, percentage analysis, independent samples t-tests, ANOVA, Pearson's correlation analysis, and hierarchical regression analysis, are conducted.Results: This study included 144 COPD patients, with an average age of 71.67 years. The mean score for self-management behavior was 70.99, with the highest scores observed in symptom management and adherence. Better self-management behavior was associated with being male, aged over 65, unmarried, having undergone case management, and classified as GOLD stage 1. The self-management behavior is significantly negatively correlated with the illness perception, and significantly positively correlated with coping strategy. Hierarchical regression analysis revealed that coping strategies collectively accounted for 5.9% of the variance in self-management behavior. Additionally, economic status and illness perception significantly predicted self-management behavior.Conclusion: Self-management behavior is crucial for patients with COPD, this study found that for the self-management behavior of COPD patients, knowledge related to the disease and treatment should be strengthened. When patients are found to have poor economic status, mMRC score ≥ 2, special attention should be paid to their disease self-care status. Illness perception and coping strategies also influence self-management behavior, and coping strategies are also important predictors of self-management behavior. When it is found that patients feel more threatened by the disease and have poor coping strategies, medical professionals should provide patients with information that meets their needs based on the patient's current situation, and encourage patients to actively participate in medical decision-making and communication to improve their self-management level
[[alternative]]The Family Caregivers Coping Experience in Taking Care of People with Schizophrenia in Indonesia: A Substantive Theory Study
No full text[[abstract]]Background: Schizophrenia is a chronic mental disorder characterized by significant impairment in perceiving reality and behavioural changes associated with delusions, hallucinations, disorganized thinking, disorganized behaviour, and negative symptoms. Most people with schizophrenia would be returned to their community after finishing the hospitalization and live with their families. Family caregivers generally have multiple tasks in helping people with schizophrenia to perform their daily needs and self-care activities that cause serial burdens such as financial, social, and physical burdens. Professionals need to understand the coping experience of caregivers in dealing with caregiving problems to develop appropriate support for caregivers. Objectives: This study aimed to explore the family caregiver coping experience and develop a substantive theory of the family caregivers' coping experience in taking care of people with schizophrenia in Indonesia. Methods: This study uses a qualitative design with a substantive grounded theory approach based on Strauss and Corbin's version. This study was conducted from September 2022 to October 2023 in Tasikmalaya City, West Java, Indonesia. Initially, caregivers were recruited using purposive sampling, meaning they are 18 years or above, lived with the client at home, and bear almost all of the care duties for at least six months. An in-depth interview method was driven to gather the data by following semi-structured interview guidelines as a reference. Then, the narrative was analyzed by adopting Strauss and Corbin's steps, which included open, axial, and selective coding. The theoretical saturation of this study was achieved after interviewing 22 family caregivers.Result: Undergoing a caregiving life through coping experience is the core category in this study. The core category is explained by nine categories, including impacting by caregiving role, unsupportive environment and low socioeconomic status, coping strategies, client factors, family caregiver factors, culture and belief factors, positive consequences, and negative consequences.Conclusion: This research has produced a substantive theory that describes the coping experiences of family caregivers in taking care of people with schizophrenia in Indonesia. Our study highlights the significance of health professionals, such as nurses, understanding the caregiving coping experience of the family caregiver, who is responsible for caring for someone with schizophrenia at home. Therefore, health service institutions and local health offices must pay more attention to formulating health policies related to effective and quality mental health service programs. Additionally, all stakeholders must ensure that there are sufficient health professionals and medication to help family caregivers optimize their roles in providing care assistance for their loved ones with schizophrenia in Indonesia.[[abstract]]Background: Schizophrenia is a chronic mental disorder characterized by significant impairment in perceiving reality and behavioural changes associated with delusions, hallucinations, disorganized thinking, disorganized behaviour, and negative symptoms. Most people with schizophrenia would be returned to their community after finishing the hospitalization and live with their families. Family caregivers generally have multiple tasks in helping people with schizophrenia to perform their daily needs and self-care activities that cause serial burdens such as financial, social, and physical burdens. Professionals need to understand the coping experience of caregivers in dealing with caregiving problems to develop appropriate support for caregivers. Objectives: This study aimed to explore the family caregiver coping experience and develop a substantive theory of the family caregivers' coping experience in taking care of people with schizophrenia in Indonesia. Methods: This study uses a qualitative design with a substantive grounded theory approach based on Strauss and Corbin's version. This study was conducted from September 2022 to October 2023 in Tasikmalaya City, West Java, Indonesia. Initially, caregivers were recruited using purposive sampling, meaning they are 18 years or above, lived with the client at home, and bear almost all of the care duties for at least six months. An in-depth interview method was driven to gather the data by following semi-structured interview guidelines as a reference. Then, the narrative was analyzed by adopting Strauss and Corbin's steps, which included open, axial, and selective coding. The theoretical saturation of this study was achieved after interviewing 22 family caregivers.Result: Undergoing a caregiving life through coping experience is the core category in this study. The core category is explained by nine categories, including impacting by caregiving role, unsupportive environment and low socioeconomic status, coping strategies, client factors, family caregiver factors, culture and belief factors, positive consequences, and negative consequences.Conclusion: This research has produced a substantive theory that describes the coping experiences of family caregivers in taking care of people with schizophrenia in Indonesia. Our study highlights the significance of health professionals, such as nurses, understanding the caregiving coping experience of the family caregiver, who is responsible for caring for someone with schizophrenia at home. Therefore, health service institutions and local health offices must pay more attention to formulating health policies related to effective and quality mental health service programs. Additionally, all stakeholders must ensure that there are sufficient health professionals and medication to help family caregivers optimize their roles in providing care assistance for their loved ones with schizophrenia in Indonesia
[[alternative]]The effectiveness of exercise training for upper and lower limbs with stationary bicycle in patients with chronic obstructive pulmonary disease
No full text[[abstract]]慢性阻塞性肺疾病是一種呼吸道長期發炎使得氣體無法通暢進出之阻塞性疾病，為能改善患者呼吸症狀與對日常活動等影響，本研究設計以兼具手搖車及腳踏車功能之兩用車做為復健工具，探討運動訓練對患者肺功能、呼吸困難程度、運動耐力及生活品質之成效。為實驗型研究設計，採用區塊隨機分派，於北部某準醫學中心胸腔內科門診進行收案，將研究參與者區分為實驗組或對照組，收案條件為年齡20~100歲、COPD嚴重度為中度以上、無須輔助高流量(>6 L/min)氧氣設備、意識清楚，且可以國、台語溝通患者。實驗組介入手足兩用車進行十二週上下肢運動訓練，對照組則維持常規衛教。於介入前、介入後十二週進行資料收集，使用博格自覺量表(Borg Category-Ratio Scale, Borg CR10 Scale)、慢性阻塞性肺疾病聖喬治呼吸問卷(Chronic Obstructive Pulmonary Disease:the St. George's Respiratory Questionnaire, SGRQ-C)、Epworth嗜睡量表(Epworth Sleepiness Scale, ESS)、阻塞性睡眠窒息症評估問卷(STOP-Bang)、肺功能、六分鐘行走測試，運用SPSS 22.0統計軟體，以廣義估計方程式模式分析各變項之成效。研究參與者共計54位，完成試驗有實驗組22人，對照組21人，兩組人口學及疾病屬性變項均具同質性，結果顯示實驗組肺功能FEV1/FVC較對照組增加4.11%(95% CI:1.10 to 7.11, p 6 L/min), clear consciousness, and ability to communicate in Mandarin or Taiwanese. The experimental group undergoes a 12-week upper and lower limb exercise training using the upper and lower limbs with stationary bicycle, while the control group receives regular health education. Data collection occurs before and after the 12-week intervention using the Borg Category-Ratio Scale (Borg CR10 Scale), the St. George's Respiratory Questionnaire for COPD (SGRQ-C), the Epworth Sleepiness Scale (ESS), the STOP-Bang Questionnaire for obstructive sleep apnea, pulmonary function tests, and the six-minute walk test. Data are analyzed using the generalized estimating equations (GEE) model with SPSS 22.0.A total of 54 participants completed the study, with 22 in the experimental group and 21 in the control group. Demographic and disease characteristics were homogeneous between groups. Results showed that the experimental group had a 4.11% increase in FEV1/FVC (95% CI: 1.10 to 7.11, p < .01), a 3.45% increase in FEV1 (95% CI: 0.53 to 6.38, p < .05), a 0.93 reduction in dyspnea (95% CI: -1.42 to -0.44, p < .001), a 55.88-meter increase in the six-minute walk distance (95% CI: 33.79 to 77.98, p < .001), and a 806.92 point reduction in SGRQ-C scores (95% CI: -1037.29 to -576.54, p < .001) compared to the control group. These results indicate that a 12-week dual-function exercise bike training program can improve pulmonary function, reduce dyspnea, enhance exercise endurance, and improve quality of life in COPD patients. The dual-function the upper and lower limbs with stationary bicycle is easy to operate and safe, making it suitable for rehabilitation training in COPD patients and providing valuable reference for healthcare professionals
[[alternative]]Effectiveness of Mindfulness Training program on Self-Concept and Related Factors in Adolescents with Tourette Syndrome
No full text[[abstract]]背景：妥瑞症是兒童期常見之慢性神經發展性疾患，抽動為其主要症狀。在台灣兒童妥瑞症之盛行率約為0.56%，男女比例約為4.5：1。妥瑞症常合併伴隨如專心不足過動異常和強迫症等共病症，可能導致妥瑞症青少年衍生較低的自我概念和影響日常作息。相關研究顯示，運用正念介入性措施可降低慢性病青少年壓力及焦慮，且有助於其症狀管理。鮮少研究以妥瑞症青少年為研究對象，運用正念介入性措施探討其自我概念及其相關因素之成效。目的：本研究目的為運用線上正念訓練課程介入於妥瑞症青少年對於自我概念及其相關因素之成效探討。方法：本研究採用類實驗之單組前後測設計，實施為期六週的線上正念訓練課程，每週一次，每次90分鐘。妥瑞症青少年於介入前、介入完成後四週及十二週填寫自我概念量表、抽動嚴重度量表、焦慮量表及五因素正念量表。統計方法採用廣義估計方程式、Kruskal-Wallis檢定、Mann-Whitney U檢定、斯皮爾曼等級相關係數，及皮爾森積差相關分析進行統計分析。結果：本研究共招募28位受試者，男性24位居多，平均年齡為13.03歲。研究結果顯示相較於前測，第一次後測的耶魯抽動整體嚴重程度量表總分降低9.07分 (p = .000)；焦慮次量表-認知情緒得分降低1.54分 (p = .019)。第二次後測的耶魯抽動整體嚴重程度量表總分，比前測降低7.14分 (p = .000）。相較於前測，第二次後測的五因素正念量表總分增加5.25分 (p = .027)。相較於無共病者，妥瑞症併有共病症者其焦慮程度較高，且其自我概念較差。結論/實務運用：本研究結果顯示接受線上正念訓練課程，有助於降低妥瑞症青少年抽動嚴重度、焦慮之認知情緒，及提升其正念態度；但對其自我概念無顯著之成效。線上正念訓練課程為非藥物介入性措施之一，有助降低抽動嚴重度及減緩焦慮，協助妥瑞症青少年與疾病共存之。建議未來研究宜採取大規模隨機對照試驗，以確認正念介入性措施成效。關鍵字：妥瑞症青少年、自我概念、抽動嚴重程度、焦慮、正念態度[[abstract]]Background: Tourette syndrome is a common chronic neurodevelopmental disorder in childhood, with tics as that main symptom. The prevalence of Tourette syndrome among children in Taiwan is approximately 0.56%, with a male-to-female ratio of approximately 4.5:1. Tourette syndrome is often associated with comorbidities such as attention deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD), which can lead to a lower self-concept and disruption of daily routines in adolescents with Tourette syndrome. Research has shown that using mindfulness-base interventions can reduce stress and anxiety in chronically ill adolescents and help them manage their symptoms. However, few studies have examined the effectiveness of mindfulness-based interventions on self-concept and related factors in adolescents with Tourette syndrome.Purpose: The purpose of this study was to examine the effectiveness of an online mindfulness training program intervention on self-concept and related factors in adolescents with Tourette syndrome.Methods: This study used a quasi-experimental, single-group, pre-post-test design with a six-week, 90-minute online mindfulness training program delivered once a week. Adolescents with Tourette syndrome were asked to complete the Self-Concept Scale, the Tic Severity Scale, the Anxiety Scale, and the Five Facet Mindfulness Questionaire prior to the intervention and at four and twelve weeks after completion of the intervention. Statistical analyses were performed using generalized estimating equations, Kruskal-Wallis test, Mann-Whitney U test, Spearman's rank correlation coefficient, and Pearson product-moment correlation analysis.Results: A total of 28 subjects were recruited in this study, with a predominance of 24 males and a mean age of 13.03 years. Results of the study showed a 9.07-point decrease (p = .000) in the Yale Global Tic Severity Scale (YGTSS) total score and a 1.54-point decrease (p = .019) in the Anxiety Subscale-Cognitive Mood Score at the first post-test compared to the pre-test. The total YGTSS score at the second post-test was 7.14 points lower than at the pre-test (p = .000). Compared to the pre-test, the total score on the Five Facet Mindfulness Questionaire increased by 5.25 points (p = .027) at the second post-test. Compared to those without comorbidities, Tourette syndrome patients with comorbidities had higher levels of anxiety and poorer self-concept.Conclusions/Practical Applications: The results of this study indicate that online mindfulness training program can help reduce the severity of tics and anxiety and improve mindfulness in adolescents with Tourette syndrome; however, it did not have a significant effect on their self-concept. Online mindfulness training program is one of the nonpharmacological interventions that may help adolescents with Tourette syndrome live with the disorder by reducing the severity of tics and anxiety. It is recommended that a large-scale randomized controlled trial be conducted to further validate the efficacy of mindfulness-based interventions.Keywords: Adolescents with Tourette Syndrome, self-concept, tics severity, anxiety, mindfulnes
[[alternative]]The Psychiatric Nurses’ Working Stress and Psychological Well-being in Post Pandemic Era
No full text[[abstract]]2019 年底全球受新型冠狀病毒(COVID-19)疾病的影響，臨床醫療人員工作量倍增，如今COVID-19 疫情趨緩，但病毒的威脅仍然存在。精神科護理人員因工作科別的特性本就承受工作壓力，在後疫情時代精神衛生護理人員之工作壓力及心理健康的變化應該被重視。本研究旨在探討臨床精神科護理人員在COVID-19 後疫情下之工作壓力及心理健康。採橫斷性相關性研究設計，方便取樣方式收案，以結構式問卷於臺灣北部某精神專科醫院精神科護理人員作為研究對象問卷內容共分為三個部分，包含「基本資料問卷」蒐集年齡、性別、工作資歷等人口學特性資料；「護理工作壓力源量表」蒐集不同工作壓力源之工作壓力感受程度；「DASS-21」蒐集憂鬱、焦慮和壓力心理狀態。於通過倫理委員會審查後，利用Google 表單在線上進行收案，共回收160 份有效問卷。研究結果顯示COVID-19 後疫情時代精神衛生護理人員之工作壓力源總分：最小得分為40，最大則是97，平均得分為69.056，標準差11.689；DASS-21 平均得分憂鬱9.06、焦慮6.31、壓力12.06；參與本研究的護理師於DASS-21 之憂鬱、焦慮、壓力得分皆高於常模分數。精神衛生護理人員的工作年資與工作壓力源、憂鬱、焦慮皆呈現負相關；工作壓力源與憂鬱、焦慮、壓力間呈現顯著正相關，在各自的迴歸模型中分別有33.7 %、25.4 %、29.9 %的解釋量；復健精神病房的工作壓力源感受於本研究中相較急性精神病房來的高，其中「若同事間沒有良好的互動關係，我會很有壓力」不論在急性病房或復健病房皆為最高的工作壓力源。研究結果可提供我國醫療單位建議，了解臨床精神科護理人員面臨之工作壓力及心理狀況，做為關懷員工心理健康及發展相關課程之參考。[[abstract]]At the end of 2019, COVID-19 significantly increased the workload for clinical medical personnel. While the pandemic has eased, psychiatric nurses continue to face substantial job stress due to the nature of their work. Monitoring changes in their work stress and mental health in the post-pandemic era is essential. This study examines the work stress and psychological well-being of psychiatric nurses following COVID-19. Utilizing a cross-sectional design and convenience sampling, researchers administered a structured questionnaire to psychiatric nurses at a hospital in northern Taiwan. The questionnaire included sections on demographic information, work stress sources, and psychological states (depression, anxiety, and stress). Data were collected online with 160 valid responses. The research found that mental health nurses post-COVID-19 have work stressor scores ranging from 40 to 97, with an average of 69.056 and a standard deviation of 11.689. Average DASS-21 scores are 9.06 for depression, 6.31 for anxiety, and 12.06 for stress, all higher than the norm. Experience is negatively correlated with work stressors, depression, and anxiety, while work stressors are positively correlated with depression, anxiety, and stress, explaining 33.7%, 25.4%, and 29.9% respectively. Work stressors are higher in rehabilitation wards than in acute wards, with poor colleague interaction being the top stressor in both settings. The results offer valuable insights for healthcare institutions to better support psychiatric nurses and enhance mental health strategies
[[alternative]]Discussion on TCM constitution trajectory, physiology, cancer-related fatigue and quality of life of lung cancer patients at different stages
No full text[[abstract]]背景：肺癌為世界衛生癌症別死因統計為第一位。根據衛生福利部111年度統計共 10,053 人死於肺癌。肺癌會因不同期別的癌症分期治療方式不同，影響其病人生理、疲憊、生活品質。肺癌不僅能使用西醫也可考量運用傳統中醫個人體質，期能相輔相成下制定個別性照護方式達到多元化護理照護。 目的：本研究旨在探討不同期別肺癌病人中醫體質與生理、癌因性疲憊及生活品質之相關性。 方法：本研究以重複測量之研究設計，於北部某區域教學醫院的胸腔科門診、胸腔科病房進行收案。研究工具包括基本屬性、呼吸困難量表、臺灣版簡明疲憊量表、生活品質SF-12量表、中醫體質問卷及病歷資料。利用SPSS 20.0版本之統計套裝軟體進行資料處理與分析。 結果：本研究結果顯示不同期別的肺癌病人其體質與生理功能無相關性，然而，針對整體肺癌病人，體質與癌因性疲憊及生活品質生理健康構面皆具有相關性，在生活品質心理健康部份則皆無相關性。 結論：肺癌病人的體質與生理、疲憊程度及生理健康構面感受皆具有正面的影響。本研究初步結果可供臨床照護病人之參酌。建議未來可依據病人體質表現，發展相應介入方案，並透過嚴謹研究設計探討其照護成效。[[abstract]]Background: Lung cancer is the leading cause of cancer-related mortality worldwide. According to the statistics from the Ministry of Health and Welfare, in 2022, a total of 10,053 people succumbed to lung cancer. The treatment strategies for lung cancer vary according to the stage of the disease, impacting patients' physiological status, levels of fatigue, and quality of life. In addition to conventional Western medicine, traditional Chinese medicine (TCM) incorporating individual body constitutions may offer complementary approaches. By integrating both, personalized care strategies can be developed to achieve a diversified approach to patient care. Objective: This study aims to explore the correlation between TCM body constitutions and the physiological status, cancer-related fatigue, and quality of life among lung cancer patients across different cancer stages. Methods: A repeated measures research design was employed, with data collected from the thoracic outpatient and inpatient departments at a regional teaching hospital in Northern Taiwan. Research tools included basic demographic information, the Dyspnea Scale, the Taiwanese version of the Brief Fatigue Inventory, the Quality of Life SF-12 Scale, the TCM Constitution Questionnaire, and medical records. Data processing and analysis were performed using SPSS version 20.0 statistical software. Results:The study revealed no correlation between body constitution and physiological function across different stages of lung cancer. However, among all lung cancer patients, body constitution showed a correlation with cancer-related fatigue and the physical health component of quality of life but not with the mental health component of quality of life. Conclusion: The body constitution of lung cancer patients positively influences their physiological status, fatigue levels, and perception of physical health. These ii preliminary results could guide clinical patient care. Future research could develop relevant intervention programs based on the patient body constitution and assess care efficacy through rigorous study designs
Enhancing Frailty Status and Health-Related Quality of Life in Community-Dwelling Frail Older Adults
No full text[[abstract]]Introduction: Frailty poses a significant concern among older adults residing in the community, impacting their health and quality of life. This study investigated the effectiveness of the Fitness and Nutrition Program for Seniors (FANS) in addressing frailty and enhancing health-related quality of life. The study aimed to evaluate the effects of a 6-month FANS on frailty status and health-related quality of life in community-dwelling frail older adults, and to compare the effects on fall efficacy, pain intensity, daily activities, stages of physical activity and nutrition behavior change, and satisfaction following the intervention.
Methods: A quasi-experimental design was used to assess the FANS among frail older adults (ClinicalTrials.gov Identifier NCT05242549). The intervention, based on the Transtheoretical Model, was conducted in a mixed setting, combining in-person sessions held at a community care center and remote group care delivered through the LINE app. The experimental group (43 individuals) received the FANS intervention, while the control group (38 individuals) continued with standard health promotion activities provided at the same community care center. Intention-to-treat analysis evaluated the intervention's impact. Measurements were taken before the intervention and at the 3-month and 6-month marks to assess changes in frailty status (using Cardiovascular Health Study criteria), health-related quality of life (Short Form-12), fall efficacy (Short Falls Efficacy Scale International), pain intensity (Pain Visual Analogue Scale), and daily activities (Instrumental Activities of Daily Living scale). Behavior change stages and satisfaction were monitored using the Fitness and Nutrition for Seniors Behavior Change Stages and Satisfaction Scale.
Results: Within the experimental group, significant improvements were observed over time across multiple measures, indicating intragroup effects, including frailty, overall health-related quality of life, fall efficacy, pain intensity, and daily activities. Between-group effects demonstrated statistically significant differences in daily activities. Time and group effects showed statistically significant improvements in frailty at 3 months and 6 months post-intervention. Following the intervention, a substantial percentage of participants in the experimental group progressed in behavior change stages related to physical activity and diet, with 83.72% in the action and maintenance stages for physical activity behavior change and 81.40% in those for dietary behavior change. The overall satisfaction rating for the program was 9.25 out of 10 (mean ± SD: 9.25 ± 0.24).
Conclusion: The FANS is a feasible and innovative community health promotion initiative tailored specifically for frail older adults residing in the community, particularly during a pandemic. This program has demonstrated significant improvements in frailty status, health-related quality of life, fall efficacy, pain intensity, and daily activities among community-dwelling frail older adults. Moreover, the program has facilitated notable advancements in behavior change stages, supporting community-dwelling frail older adults in adopting and maintaining healthy behaviors effectively
Foreign Residents in Taiwan: Qualitative Insights into Healthcare Seeking Experiences
No full text[[abstract]]Objective: This study aims to gain a deeper understanding of the healthcare seeking experiences of foreign residents in Taiwan.
Design: We adopted a qualitative phenomenological approach in which in depth, face-to-face interviews with participants were conducted. We collected and analyzed data from 20 interviews via Colaizzi's method. Our participants were diverse in terms of age, sex, nationality, primary language, occupation, duration of stay abroad, and city of residence in Taiwan.
Results: Our analysis identified six key themes: major health conditions, factors influencing decision-making in healthcare seeking, enablers of healthcare seeking, barriers to healthcare seeking, integrative healthcare seeking, and satisfaction with healthcare-seeking experiences. We also propose a framework for understanding these themes. Notably, our study revealed the existence of health inequalities among migrant caregivers in Taiwan.
Conclusion: In conclusion, this research demonstrates that Taiwan's healthcare policy generally accommodates foreigners. However, policymakers and healthcare providers need to pay more attention to the work environment and cultural differences to better support foreign residents and enhance appropriate and equitable healthcare access