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Article: [Nursing Experience Using Art Therapy to Help Women With Breast Cancer Face Changes in Body Image].

Hsu, Chieh / Huang, Chuen-Hsuan / Hsu, Ya-Chuan

Hu li za zhi The journal of nursing

2024 Volume 71, Issue 1, Page(s) 105–113

Abstract: The subject in this study was a female professional painter who underwent bilateral mastectomy because of bilateral breast cancer, experienced postoperative wound scarring, and developed alopecia due to the side effects of chemotherapy, which caused the ... ...

Abstract	The subject in this study was a female professional painter who underwent bilateral mastectomy because of bilateral breast cancer, experienced postoperative wound scarring, and developed alopecia due to the side effects of chemotherapy, which caused the patient to lose body image confidence and the motivation to engage in artistic creativity. The patient had shed tears early in the intervention and complained of difficulties with body image adjustment due to her altered appearance. Mastectomy patients must not only undergo drug treatment but also adjust psychologically to body image changes to decrease negative emotions. This was the author's motivation for involvement in this case. The nursing period was from 23 September to 30 December 2021. Physical, mental, spiritual, social, and family data were collected using observations and interviews. These data were evaluated and the main problems were determined to be disturbed body image related to altered body perception post-surgery, alopecia caused by chemotherapy, impaired physical mobility due to upper limb mobility limitations post-surgery, and nausea due to chemotherapy. The patient was encouraged to paint again and to use artistic creativity to comfort herself. Moreover, she was guided to express her innermost thoughts to face the impact of her changes in appearance. In addition, a care consultation channel was provided to facilitate experience sharing with other breast cancer patients, thus assisting the patient to cope with the mental impact of her treatments and face subsequent cancer treatments with a more positive attitude. Art therapy embraces a diverse variety of methods, including drawing and music. Art therapy is a valuable tool that facilitates both physical and mental healing. Based on this experience, nurses should include patients' close relatives when performing art therapy to facilitate shared care to overcome difficulties. We hope this nursing experience provides a practical reference for nurses.
MeSH term(s)	Female ; Humans ; Breast Neoplasms ; Art Therapy ; Body Image ; Mastectomy ; Alopecia
Language	Chinese
Publishing date	2024-01-22
Publishing country	China (Republic : 1949- )
Document type	English Abstract ; Journal Article
ISSN	0047-262X
ISSN	0047-262X
DOI	10.6224/JN.202402_71(1).13
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Article ; Online: Effects of Gum Chewing on Recovery From Postoperative Ileus: A Randomized Clinical Trail.

Hsu, Ya-Chuan / Szu, Shu-Ying

The journal of nursing research : JNR

2022 Volume 30, Issue 5, Page(s) e233

Abstract: Background: Sham feeding with products such as chewing gum has been theorized to decrease the incidence and time to resolution of postoperative ileus. The conflicting findings in the literature on this subject are because in part of the use of mixed ... ...

Abstract	Background: Sham feeding with products such as chewing gum has been theorized to decrease the incidence and time to resolution of postoperative ileus. The conflicting findings in the literature on this subject are because in part of the use of mixed study populations, which has led to difficulties in assessing the value of sham feeding in ameliorating this condition. Purpose: The aim of this study was to evaluate the efficacy of postsurgical gum chewing in restoring normal bowel movement in patients with colorectal cancer who had undergone abdominal surgery for colon resection. Methods: A randomized controlled trial was used to examine the time to first postoperative flatus and defecation. The intervention group ( n = 30) received xylitol chewing gum on the first day after colon resection, one piece of gum for 15 minutes, 3 times daily, until the time to first flatus and defecation. Both the intervention and control groups ( n = 30) received standard postoperative care and were encouraged to walk as soon as possible after surgery. The time to first flatus was reported by patients. Results: The time to first flatus and defecation in the intervention group was significantly shorter than that in the control group (39.13 ± 15.66 vs. 52.92 ± 21.97 hours and 54.55 ± 18.90 vs. 77.98 ± 34.59 hours, respectively). However, after controlling for age and surgical duration, only time to first flatus was significantly shorter in the intervention group. Significantly positive correlations were found between time to first flatus and time to first defecation in both groups. Conclusions/implications for practice: In this study, gum chewing was shown to have a positive effect on the time to first postoperative flatus and defecation. This inexpensive and noninvasive intervention may be recommended to decrease the time to resolution of postsurgical ileus in middle-aged and older patients who have undergone open abdominal surgery for colorectal resection.
MeSH term(s)	Humans ; Chewing Gum ; Flatulence/complications ; Ileus/epidemiology ; Ileus/etiology ; Postoperative Complications ; Xylitol
Chemical Substances	Chewing Gum ; Xylitol (VCQ006KQ1E)
Language	English
Publishing date	2022-10-01
Publishing country	China (Republic : 1949- )
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	2277010-0
ISSN	1948-965X ; 1682-3141
ISSN (online)	1948-965X
ISSN	1682-3141
DOI	10.1097/jnr.0000000000000510
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Article ; Online: The effects of a Socially Supportive Activities Program (SSAP) on mood in long term care: A pilot study.

Hsu, Ya-Chuan / Wright, Cheryl L

Geriatric nursing (New York, N.Y.)

2019 Volume 40, Issue 6, Page(s) 572–578

Abstract: This study examined the effects of a facilitated 10-week Socially Supportive Activities Program (SSAP) designed to improve mood in a geriatric institutional setting. A sample of 68 Taiwanese elders in long-term care facilities with depressive symptoms ... ...

Abstract	This study examined the effects of a facilitated 10-week Socially Supportive Activities Program (SSAP) designed to improve mood in a geriatric institutional setting. A sample of 68 Taiwanese elders in long-term care facilities with depressive symptoms were randomly assigned to either an experimental group (N = 35) or a control group (N = 33). Outcomes were measured before the intervention, week 1, and at week 12, one-week post intervention. In the experimental group, pre-post measurement results demonstrated significant reductions in depressive symptoms, measured by Geriatric Depression Scale, and significantly higher levels of self-transcendence, measured by the Self-Transcendence Scale. An additional post-intervention measure of mood was collected with the Apparent Emotional Rating Scale. The AERS also demonstrated a significantly higher score (better mood) in the experimental group than in the control group. This study supports the use of a structured, facilitated, well-designed social activities program like the SSAP, to enhance and improve mood in elders who live in long-term care facilities.
MeSH term(s)	Aged ; Depression/psychology ; Depression/therapy ; Female ; Humans ; Long-Term Care ; Male ; Pilot Projects ; Psychiatric Status Rating Scales ; Self Concept ; Social Support ; Taiwan
Language	English
Publishing date	2019-06-04
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	632559-2
ISSN	1528-3984 ; 0197-4572
ISSN (online)	1528-3984
ISSN	0197-4572
DOI	10.1016/j.gerinurse.2019.05.009
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Article ; Online: Melatonin exhibits partial protective effects against gemcitabine- and cisplatin-induced kidney and reproductive injuries in mice.

Wang, Shao-Chuan / Hsu, Hsuan-Chih / Chang, Ya-Chuan / Yu, Chia-Ying / Liu, Chien-Te / Sung, Wen-Wei

Aging

2023 Volume 15, Issue 23, Page(s) 14372–14383

Abstract: Cisplatin has the potential to cause kidney and reproductive organ injuries, prompting the search for protective agents against cisplatin-induced toxicity. Melatonin, an antioxidant hormone, has shown promise in mitigating oxidative stress in various ... ...

Abstract	Cisplatin has the potential to cause kidney and reproductive organ injuries, prompting the search for protective agents against cisplatin-induced toxicity. Melatonin, an antioxidant hormone, has shown promise in mitigating oxidative stress in various organs. However, its protective effects on cisplatin-induced kidney and reproductive injuries have not been extensively investigated. The aim of this study was to explore the potential protective effects of melatonin on cisplatin-induced kidney and reproductive injuries when administered in combination with gemcitabine in mice. Male C57BL/6 mice were subjected to a seven-week treatment with gemcitabine plus cisplatin, with or without melatonin intervention. The testis, epididymis, and kidney were assessed through histological analysis and measurement of blood parameters. Treatment with cisplatin led to a significant reduction in testicular weight, histological abnormalities, and alterations in reproductive hormone levels. Melatonin exhibited a slight protective effect on the testis, with higher doses of melatonin yielding better outcomes. However, melatonin did not reverse the effects of cisplatin on the epididymis. Administration of melatonin before and during treatment with cisplatin plus gemcitabine in mice demonstrated a modest protective effect on testicular injuries, while showing limited effects on epididymal injuries. Serum creatinine levels in the group treated with gemcitabine plus cisplatin treatment and high-dose melatonin approached those of the control group, indicating a protective effect on the kidney. These findings underscore the potential of melatonin as a protective agent against cisplatin-induced kidney and reproductive injuries and emphasize the need for further research to optimize its dosage and evaluate its long-term effects.
MeSH term(s)	Mice ; Male ; Animals ; Cisplatin/toxicity ; Melatonin/pharmacology ; Melatonin/metabolism ; Gemcitabine ; Mice, Inbred C57BL ; Testis/metabolism ; Antioxidants/pharmacology ; Antioxidants/metabolism ; Oxidative Stress ; Kidney/pathology ; Protective Agents/pharmacology
Chemical Substances	Cisplatin (Q20Q21Q62J) ; Melatonin (JL5DK93RCL) ; Gemcitabine ; Antioxidants ; Protective Agents
Language	English
Publishing date	2023-12-14
Publishing country	United States
Document type	Journal Article
ISSN	1945-4589
ISSN (online)	1945-4589
DOI	10.18632/aging.205307
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Article: Analysis of the Content and Comprehensiveness of Dermatology Residency Training Websites in Taiwan.

Chen, Po-Yu / Dai, Ying-Xiu / Hsu, Ya-Chuan / Chen, Tzeng-Ji

Healthcare (Basel, Switzerland)

2021 Volume 9, Issue 6

Abstract: With a growing trend in the popularity of web-based resources, it is important to evaluate residency program websites for providing accurate information for dermatology residency applicants. Little is known about the quality of dermatology residency ... ...

Abstract	With a growing trend in the popularity of web-based resources, it is important to evaluate residency program websites for providing accurate information for dermatology residency applicants. Little is known about the quality of dermatology residency websites in Taiwan. The aim of the study is to assesses the quality of official websites of dermatology training programs in Taiwan. A literature search for all related studies from inception to 31 July 2020 was performed using PubMed without restriction on language. We used criteria that had 6 domains and 25 items to evaluate 23 official websites of the dermatology training programs in Taiwan from August to September 2020. Of the 23 training programs, only 6 (26%) of the websites met more than half of the criteria. Notably, the items "features of the department" and "comprehensive faculty listing" were included in all websites. The criteria for interview process, board pass rates, social activities and information on the surrounding area were not met by all websites. Evidently, there is much room for improvement for the dermatology training program websites in Taiwan.
Language	English
Publishing date	2021-06-21
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare9060773
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Article ; Online: Analysis of the Content and Comprehensiveness of Dermatology Residency Training Websites in Taiwan

Po-Yu Chen / Ying-Xiu Dai / Ya-Chuan Hsu / Tzeng-Ji Chen

Healthcare, Vol 9, Iss 773, p

2021 Volume 773

Abstract	With a growing trend in the popularity of web-based resources, it is important to evaluate residency program websites for providing accurate information for dermatology residency applicants. Little is known about the quality of dermatology residency websites in Taiwan. The aim of the study is to assesses the quality of official websites of dermatology training programs in Taiwan. A literature search for all related studies from inception to 31 July 2020 was performed using PubMed without restriction on language. We used criteria that had 6 domains and 25 items to evaluate 23 official websites of the dermatology training programs in Taiwan from August to September 2020. Of the 23 training programs, only 6 (26%) of the websites met more than half of the criteria. Notably, the items “features of the department” and “comprehensive faculty listing” were included in all websites. The criteria for interview process, board pass rates, social activities and information on the surrounding area were not met by all websites. Evidently, there is much room for improvement for the dermatology training program websites in Taiwan.
Keywords	dermatology ; residency website ; residency training ; Medicine ; R
Subject code	005
Language	English
Publishing date	2021-06-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Why Is Green Hotel Certification Unpopular in Taiwan? An Analytic Hierarchy Process (AHP) Approach

Yen-Cheng Chen / Ching-Sung Lee / Ya-Chuan Hsu / Yin-Jui Chen

ISPRS International Journal of Geo-Information, Vol 10, Iss 255, p

2021 Volume 255

Abstract: The main purpose of this study was to investigate the factors that discouraged Taiwan hoteliers from applying for green hotel certification. The analytic hierarchy process (AHP) method was used to perform a weighted analysis that comprehensively ... ...

Abstract	The main purpose of this study was to investigate the factors that discouraged Taiwan hoteliers from applying for green hotel certification. The analytic hierarchy process (AHP) method was used to perform a weighted analysis that comprehensively identified important hindering factors based on information from hotel industry, government, academic, and consumer representatives. Overall, in order of importance, the five dimensions of hindering factors identified by these experts and scholars were hotel internal environment, consumers’ environmental protection awareness, environmental protection incentive policy, hotel laws and regulations policy, and hotel external environment. Among the 26 examined hindering factor indices, the three highest-weighted indices overall for hoteliers applying for green hotel certification were as follows: environmental protection is not the main consideration of consumers seeking accommodations, lack of support by investment owners (shareholders), and lack of relevant subsidy incentives. The major contribution of this study is that hoteliers can understand important hindering factors associated with applying for green hotel certification; therefore, strategies that can encourage or enhance the green certification of hotels can be proposed to improve corporate image in the hotel industry, implement social responsibility in this industry, and obtain consumers’ approval of and accommodation-willingness for green hotels.
Keywords	green hotel ; corporate social responsibility ; green hotel certification ; Geography (General) ; G1-922
Subject code	910
Language	English
Publishing date	2021-04-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: To Work at Clinics or at Hospitals? Analysis of Family Physician Recruitment Advertising in Taiwan.

Cheng, Yi-Shin / Tan, Ann Charis / Hsu, Ya-Chuan / Chen, Tzeng-Ji

International journal of environmental research and public health

2020 Volume 17, Issue 16

Abstract: Family physicians act as gatekeepers of the healthcare system and have an indispensable role in providing holistic care in the primary care system. While previous studies had focused on the geographic maldistribution of family physicians, the current ... ...

Abstract	Family physicians act as gatekeepers of the healthcare system and have an indispensable role in providing holistic care in the primary care system. While previous studies had focused on the geographic maldistribution of family physicians, the current study investigated the distribution of job opportunities for family physicians by analyzing recruitment advertisements posted in medical association journals, as an indirect way to observe the marketplace demand for physicians. We collected all the recruitment advertisements for family physicians in the twelve issues of the Taiwan Medical Journal, the official organ of the Taiwan Medical Association, in 2018. In contrast to 124 new trainees annually, 739 advertisements for family physicians were posted within the entire year. After eliminating repeated advertisements, there were 302 distinct advertisements, of which hospitals accounted for 18.9% (
MeSH term(s)	Advertising ; Delivery of Health Care ; Hospitals ; Humans ; Personnel Selection ; Physicians, Family ; Taiwan
Language	English
Publishing date	2020-08-05
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph17165636
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Article ; Online: In-kind donations to healthcare facilities during COVID-19: Experiences from a large medical center in northern Taiwan.

Lin, Ching-Wei / Hsu, Ya-Chuan / Wu, Chien-Cheng / Chen, Tzeng-Ji / Hwang, Shinn-Jang

Journal of the Chinese Medical Association : JCMA

2021 Volume 84, Issue 7, Page(s) 704–708

Abstract: Background: In early 2020, a global outbreak of 2019 novel coronavirus disease (COVID-19) caused high mortality rates and public panic. Worldwide demand for personal protective equipment has risen, with diminishing supplies and shortages reported. ... ...

Abstract	Background: In early 2020, a global outbreak of 2019 novel coronavirus disease (COVID-19) caused high mortality rates and public panic. Worldwide demand for personal protective equipment has risen, with diminishing supplies and shortages reported. During the pandemic, charitable donations have been made by the public, aimed at helping medical staff. Based on the open data, we investigate the charitable in-kind donations received by a large medical center in northern Taiwan (Taipei Veterans General Hospital [TPEVGH]) in Taiwan during the pandemic. Methods: The period of investigation was the first half of the year 2020. TPEVGH has received various public donations. The list of donations published on the hospital's official website was analyzed. The variables in the analysis were donation category, donation percentage, number of donations, and total donation amount. Results: Most in-kind donations were food and beverages (55.1%), with a monetary value of 3 124 510 New Taiwan Dollars (NTD) (24.3%). Medical equipment accounted for the second-highest number of items (34.8%) but was the highest monetary value (70.6%; 9 275 945 of 12 875 855 NTD). Daily necessities accounted for the lowest number of items (10.1%) and had a total monetary value of 475 400 NTD (3.7%). Over two-thirds were beverages (68.4%), all of which were bottles or cans for easy storage. Despite only five items (13.2%) being juice, the donation size was the largest, accounting for nearly half (47.1%) of the total monetary value. Only one item was fruit, which was high-class organic apples. The monetary value of this item was the highest (7.8%) among all donated food. Most donated snacks were biscuits. Conclusion: During the COVID-19 pandemic, most public donations to TPEVGH were food and daily necessities. While every donation should be appreciated, accepting high volumes of donations might incur donation management problems. Further research could be focused on managerial aspects, for example, quality and safety checking, storage, and distribution.
MeSH term(s)	Beverages ; COVID-19/epidemiology ; Charities/statistics & numerical data ; Food ; Humans ; Personal Protective Equipment ; SARS-CoV-2 ; Taiwan/epidemiology
Language	English
Publishing date	2021-05-12
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2107283-8
ISSN	1728-7731 ; 1726-4901
ISSN (online)	1728-7731
ISSN	1726-4901
DOI	10.1097/JCMA.0000000000000550
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Zs.A 2699: Show issues

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Article: [The Relationship Between Coping Behaviors and Symptom Distress in Elderly Patients With Cancer Undergoing Initial Chemotherapy].

Wu, Shih-Ping / Hsu, Ya-Chuan

Hu li za zhi The journal of nursing

2016 Volume 63, Issue 6, Page(s) 30–40

Abstract: Background: Elderly cancer patients undergoing initial chemotherapy often suffer discomfort from medication-related symptom distress. This discomfort may affect treatment responses and outcomes negatively.: Purpose: This correlational, cross- ... ...

Abstract	Background: Elderly cancer patients undergoing initial chemotherapy often suffer discomfort from medication-related symptom distress. This discomfort may affect treatment responses and outcomes negatively. Purpose: This correlational, cross-sectional design study used a purposive sample of 100 patients who were both over 60 years of age and currently undergoing initial chemotherapy. The participants completed a structured questionnaire that was administered at a medical center in southern Taiwan. The questionnaire included a demographics datasheet, Coping Behavior Scale, and Symptom Distress Scale. Data was analyzed using descriptive statistics, Pearson's correlations, Mann-Whitney U, and Kruskal Wallis tests, which were run on SPSS 19.0 software. Methods: This correlational, cross-sectional design study used a purposive sample of 100 patients who were both over 60 years of age and currently undergoing initial chemotherapy. The participants completed a structured questionnaire that was administered at a medical center in southern Taiwan. The questionnaire included a demographics datasheet, Coping Behavior Scale, and Symptom Distress Scale. Data was analyzed using descriptive statistics, Pearson's correlations, Mann-Whitney U, and Kruskal Wallis tests, which were run on SPSS 19.0 software. Results: Three-quarters (78%) of participants reported that they suffered from more than four distress symptoms. The top distress symptoms in terms of severity included: fatigue, poor appetite, insomnia, dry mouth, and altered bowel habits. The top distress symptoms in terms of frequency included: fatigue, dry mouth, poor appetite, insomnia, and altered bowel habits. "Problem-focused" coping was the most frequent type of coping behavior (mean = 3.19, SD = 0.24) that was used by participants. Furthermore, more frequent use of "emotions-focused" coping behaviors was associated with a greater risk of experiencing serious distress symptoms (r =.44, p < .001). Number of chronic diseases, cancer stage, and type of cancer treatment had no significant influence of symptom distress. Conclusions / implications for practice: Findings confirmed the relationship between coping behavior and symptom distress in elderly Taiwanese cancer patients undergoing initial chemotherapy. The results suggest that healthcare providers may use interventions that target patient coping behavior in order to alleviate the chemotherapy-induced symptoms of distress in elderly cancer patients.
MeSH term(s)	Adaptation, Psychological ; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Humans ; Middle Aged ; Neoplasms/drug therapy ; Neoplasms/psychology ; Stress, Psychological/psychology
Language	Chinese
Publishing date	2016-11-29
Publishing country	China (Republic : 1949- )
Document type	Journal Article
ISSN	0047-262X
ISSN	0047-262X
DOI	10.6224/JN.63.6.30
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