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  1. AU="Kao, Yu-Yin"
  2. AU="Katerina Demnerova"
  3. AU="Sorrentino, I"
  4. AU="Pogge von Strandmann, Elke"
  5. AU="Lenzi, Kerry A"
  6. AU="Sakakura, Akira"
  7. AU="Nowell, Sian"
  8. AU="Mirko Cortese"
  9. AU="Klein, Steffen"
  10. AU="Koike, Toru"
  11. AU="Hung, Chung-Yu"
  12. AU="Muendlein, Hayley I"
  13. AU="Papavramidis, Theodosios"

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  1. Artikel ; Online: Predictors of Self-Management Behaviors After Discharge Among Unplanned Dialysis Patients.

    Kao, Yu-Yin / Lee, Chien-Te / Wang, Ruey-Hsia

    The journal of nursing research : JNR

    2023  Band 31, Heft 2, Seite(n) e267

    Abstract: Background: Patients with unplanned dialysis must perform self-management behaviors to maintain their health in the community after discharge. Understanding the factors that predict the postdischarge self-management behaviors of patients with unplanned ... ...

    Abstract Background: Patients with unplanned dialysis must perform self-management behaviors to maintain their health in the community after discharge. Understanding the factors that predict the postdischarge self-management behaviors of patients with unplanned dialysis can assist nurses to implement appropriate discharge plans for this population.
    Purpose: This study was designed to predict the effects of uncertainty in illness, self-care knowledge, and social-support-related needs during hospitalization on the self-management behaviors of patients with unplanned dialysis during their first 3 months after discharge from the hospital.
    Methods: One hundred sixty-nine patients with unplanned dialysis from the nephrology department of a medical center in Taiwan were enrolled in this prospective study using convenience sampling. At hospital admission, demographic, uncertainty in illness, self-care knowledge, and social support information was collected using a structured questionnaire. Information on self-management behavior was collected at 3 months postdischarge when the patients visited outpatient clinics.
    Results: Hierarchical multiple regression analyses showed that self-care knowledge, uncertainty in illness, and social support were important predictors of self-management behaviors at 3 months postdischarge, explaining 65.6% of the total variance in self-management behaviors. Social support increased the variance in self-management behaviors by 27.9%.
    Conclusions/implications for practice: Comprehensive discharge planning to improve the postdischarge self-management behaviors of patients with unplanned dialysis should involve interventions to improve self-care knowledge, reduce uncertainty in illness, and increase social support. Building social support should be given priority attention.
    Mesh-Begriff(e) Humans ; Patient Discharge ; Prospective Studies ; Renal Dialysis/nursing ; Self-Management/psychology ; Male ; Female ; Middle Aged ; Aged ; Health Knowledge, Attitudes, Practice ; Taiwan ; Social Support ; Surveys and Questionnaires ; Regression Analysis
    Sprache Englisch
    Erscheinungsdatum 2023-04-01
    Erscheinungsland China (Republic : 1949- )
    Dokumenttyp Journal Article
    ZDB-ID 2277010-0
    ISSN 1948-965X ; 1682-3141
    ISSN (online) 1948-965X
    ISSN 1682-3141
    DOI 10.1097/jnr.0000000000000523
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel: Enhancing Spiritual Well-Being, Physical Activity, and Happiness in Hospitalized Older Adult Patients with Swallowing Difficulties: A Comparative Study of Thickeners and Swallowing Exercises.

    Kao, Yu-Yin / Lai, Yun-Ru / Huang, Chiung-Yu / Tsai, Meng-Yun / Kuo, Ming-Chun / Chen, Hsin-Wei / Lee, Suey-Haur / Lee, Chen-Hsiang

    Healthcare (Basel, Switzerland)

    2023  Band 11, Heft 18

    Abstract: Swallowing difficulties often occur in older adult patients during acute hospitalization, leading to reduced nutritional intake, increased frailty, and various psychosocial challenges. This randomized controlled study aimed to assess the effects of two ... ...

    Abstract Swallowing difficulties often occur in older adult patients during acute hospitalization, leading to reduced nutritional intake, increased frailty, and various psychosocial challenges. This randomized controlled study aimed to assess the effects of two interventions, thickeners and swallowing exercises, on the spiritual well-being, physical activity, and happiness of older adult patients with swallowing difficulties during acute hospitalization from October 2019 to August 2020. Sample size calculation was performed using a conservative estimate approach, resulting in an estimate-required sample size of 42 participants. The sampling method was a random cluster sampling approach, with three ward rooms assigned to the thickeners group, swallowing exercises group and control group, respectively. Seventy-two participants were assigned to the intervention groups (thickeners or swallowing exercises) or the control group using a 1:1:1 stratified random assignment. Data were collected before and after the intervention, and matched samples were analyzed using t-tests, ANOVA, and generalized estimating equations for statistical analysis. Both intervention groups showed significant improvements in spiritual well-being (
    Sprache Englisch
    Erscheinungsdatum 2023-09-21
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare11182595
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Correlation of sociodemographic profiles with psychological problems among hospitalized patients receiving unplanned hemodialysis.

    Kao, Yu-Yin / Lee, Wen-Chin / Wang, Ruey-Hsia / Chen, Jin-Bor

    Renal failure

    2020  Band 42, Heft 1, Seite(n) 255–262

    Abstract: ... ...

    Abstract Purpose
    Mesh-Begriff(e) Adult ; Aged ; Anxiety/epidemiology ; Depression/epidemiology ; Female ; Humans ; Kidney Failure, Chronic/complications ; Kidney Failure, Chronic/therapy ; Linear Models ; Male ; Middle Aged ; Prospective Studies ; Quality of Life ; Renal Dialysis/psychology ; Self Report ; Severity of Illness Index ; Sleep Wake Disorders/epidemiology ; Taiwan/epidemiology
    Sprache Englisch
    Erscheinungsdatum 2020-03-02
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 632949-4
    ISSN 1525-6049 ; 0886-022X
    ISSN (online) 1525-6049
    ISSN 0886-022X
    DOI 10.1080/0886022X.2020.1736097
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel: Impact on Mental Well-Being and Resilience of Patients with Multiple Chronic Conditions in Different Periods during the Coronavirus Disease 2019 Outbreak in Taiwan.

    Kao, Yu-Yin / Chen, Yi-Chun / Hsu, Tsuen-Wei / Zhong, Hua-Rong / Cheng, Ben-Chung / Lee, Chien-Te / Lee, Chen-Hsiang

    Healthcare (Basel, Switzerland)

    2021  Band 9, Heft 11

    Abstract: Concerns over the coronavirus disease 2019 (COVID-19) pandemic and control measures have affected the routine outpatient visits of individuals with comorbidities and their mental well-being. From October 2019 to August 2020, this cross-sectional study ... ...

    Abstract Concerns over the coronavirus disease 2019 (COVID-19) pandemic and control measures have affected the routine outpatient visits of individuals with comorbidities and their mental well-being. From October 2019 to August 2020, this cross-sectional study enrolled 135 patients who sought medical attention at a medical center in Taiwan. This period covered the early (October to December 2019), peak (January to April 2020), and late (May to August 2020) periods of the COVID-19 outbreak in Taiwan. The demographic data, social support data, activities of daily living (ADL), resilience scale scores, and mental well-being scale scores of the participants were compared. There were no statistically significant differences in the participation rate, demographic data, and social support data between the three periods. The correlation analysis confirmed significant negative relationships between the number of COVID-19 cases and outpatient department visits per month (r = -0.764,
    Sprache Englisch
    Erscheinungsdatum 2021-10-27
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare9111457
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel: [Caring for a terminal patient with nasopharyngeal carcinoma in the ICU who refuses treatment: a nurse's experience].

    Kao, Yu-Yin / Lin, Jong-Ni / Wu, Pi-Chi

    Hu li za zhi The journal of nursing

    2009  Band 56, Heft 1, Seite(n) 96–102

    Abstract: This article describes the experience of a nurse directly responsible for the care of a patient with terminal stage nasopharyngeal carcinoma who refused all medical treatment. Tumor bleeding had caused loss of consciousness, which led to the family ... ...

    Abstract This article describes the experience of a nurse directly responsible for the care of a patient with terminal stage nasopharyngeal carcinoma who refused all medical treatment. Tumor bleeding had caused loss of consciousness, which led to the family arranging ICU admission. While in the ICU, the patient was overwhelmed by feelings of hopelessness regarding his disease and believed his family was not emotionally supportive. The patient was verbally non-responsive, angry and lethargic. He also refused to accept any medical care or treatment. The author collected data through observation, physical assessment, interviews and written communication between May 9th, 2007 and May 23rd, 2007. The author confirmed the diagnosis and found that the patient had some related mental health problems, including imbalanced nutrition (less than body requirements), chronic feelings of hopelessness and anxiety. The author established a positive relationship with the patient utilizing Watson's caring theory and case-establishment trust in the nursing process. The author provided disease-related information to the patient, worked as an intermediary to encourage greater family member support and encouragement, helped the patient interact with visitors and encouraged development of the patient's self-esteem. This experience can benefit nursing professionals by fostering a greater understanding of patient self-esteem and the benefits of a positive treatment environment.
    Mesh-Begriff(e) Adult ; Humans ; Intensive Care Units ; Male ; Nasopharyngeal Neoplasms/nursing ; Nasopharyngeal Neoplasms/psychology ; Nasopharyngeal Neoplasms/therapy ; Treatment Refusal
    Sprache Chinesisch
    Erscheinungsdatum 2009-02
    Erscheinungsland China (Republic : 1949- )
    Dokumenttyp Case Reports ; English Abstract ; Journal Article
    ISSN 0047-262X
    ISSN 0047-262X
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Effects of Resourcefulness on Sleep Disturbances, Anxiety, and Depressive symptoms in Family Members of Intensive Care Unit Patients.

    Kao, Yu-Yin / Chen, Chun-I / Chen, Fen-Ju / Lin, Yu-Hua / Perng, Shou-Jen / Lin, Hung-Yu / Huang, Chiung-Yu

    Archives of psychiatric nursing

    2016  Band 30, Heft 5, Seite(n) 607–613

    Abstract: The study aimed to investigate the relationships among psychological distresses, resourcefulness, sleep disturbances, anxiety and depressive symptoms in family members of intensive care unit (ICU) patients. A cross-sectional, descriptive correlational ... ...

    Abstract The study aimed to investigate the relationships among psychological distresses, resourcefulness, sleep disturbances, anxiety and depressive symptoms in family members of intensive care unit (ICU) patients. A cross-sectional, descriptive correlational design was employed. Using structural equation modeling (SEM) approach, relationships among factors, mediators, and outcomes were analyzed. The SEM explained 59% of the variances in depressive symptoms and 36% in anxiety. Family members with greater learned resourcefulness had fewer sleep disturbances, depressive and anxiety symptoms. Nursing professionals need to detect psychiatric disease of family members and must be especially vigilant with people who have low resourcefulness and sleep disturbances.
    Mesh-Begriff(e) Adaptation, Psychological ; Anxiety/psychology ; Cross-Sectional Studies ; Depression/psychology ; Family/psychology ; Female ; Humans ; Intensive Care Units ; Male ; Middle Aged ; Models, Statistical ; Sleep Wake Disorders/psychology ; Stress, Psychological/psychology
    Sprache Englisch
    Erscheinungsdatum 2016-10
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 639197-7
    ISSN 1532-8228 ; 0883-9417
    ISSN (online) 1532-8228
    ISSN 0883-9417
    DOI 10.1016/j.apnu.2016.02.002
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  7. Artikel ; Online: Gelsolin and Progression of Aortic Arch Calcification in Chronic Hemodialysis Patients.

    Chiou, Terry Ting-Yu / Liao, Shang-Chih / Kao, Yu-Yin / Lee, Wen-Chin / Lee, Yueh-Ting / Ng, Hwee-Yeong / Lee, Po-Shun / Lee, Chien-Te

    International journal of medical sciences

    2016  Band 13, Heft 2, Seite(n) 92–98

    Abstract: Background: Vascular calcification (VC) is a key process associated with cardiovascular mortality in dialysis patients. Gelsolin is an actin-binding protein that can modulate inflammation, correlated inversely with hemodialysis (HD) mortality and ... ...

    Abstract Background: Vascular calcification (VC) is a key process associated with cardiovascular mortality in dialysis patients. Gelsolin is an actin-binding protein that can modulate inflammation, correlated inversely with hemodialysis (HD) mortality and involved in bone calcification homeostasis. In this report, we aim to characterize progression in aortic arch calcification (AAC) and investigate its association with gelsolin.
    Methods: 184 HD patients were enrolled and their annual posterior-anterior chest X-ray films (CXR) in 2009 and 2013 were examined. The severity of AAC was classified as grade 0 to 3. Blood levels of gelsolin were measured by ELISA kits. Biographic and biochemical data at baseline were analyzed with status of AAC at baseline and changes after 4 years.
    Results: At baseline, 60% of the patients had detectable AAC on CXR. After 4 years, 77% had AAC. Patients with grade 1 and 2 AAC had increased risk of progression (Odds ratio [OR] 2~3, P=0.001) compared to those with grade 0 at baseline. Compared to those with no AAC, patients with AAC progression had older age, lower gelsolin, higher waist circumference and prevalence of vascular disease. Regression analysis confirmed baseline gelsolin (odds ratio 0.845, 95% confidence interval [0.734-0.974]) and waist circumference as the independent factors associated with AAC progression. Gelsolin is positively correlated with serum albumin and negatively with tumor necrosis factor-alpha.
    Conclusion: Our study demonstrated that HD patients with grades 1 or 2 baseline AAC are at increased risk of further progression compared to those with grade 0. We also found lower blood levels of gelsolin associated with progressive AAC. Further investigation into the mechanistic roles of gelsolin in vascular calcification may provide new understanding of this key process.
    Mesh-Begriff(e) Adult ; Aged ; Aorta, Thoracic/diagnostic imaging ; Aorta, Thoracic/physiopathology ; Biomarkers/blood ; Gelsolin/blood ; Humans ; Middle Aged ; Radiography, Thoracic ; Renal Dialysis/adverse effects ; Vascular Calcification/diagnostic imaging ; Vascular Calcification/etiology
    Chemische Substanzen Biomarkers ; Gelsolin
    Sprache Englisch
    Erscheinungsdatum 2016
    Erscheinungsland Australia
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2151424-0
    ISSN 1449-1907 ; 1449-1907
    ISSN (online) 1449-1907
    ISSN 1449-1907
    DOI 10.7150/ijms.13785
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel ; Online: Prediction of the Development of Persistent Massive Ascites After Living Donor Liver Transplantation Using a Perioperative Risk Score.

    Wu, Yi-Ju / Wang, Shih-Ho / Elsarawy, Ahmed M / Chan, Yi-Chia / Chen, Chao-Long / Cheng, Ben-Chung / Li, Lung-Chi / Chiu, Chien-Hua / Lee, Yi-Wei / Lin, Yu-Cheng / Wee, Sin-Yong / Pan, Cheng-Chung / Kao, Yu-Yin / Chen, Ying-Hsiu / Lin, Hsiao-Wen / Lin, Li-Man / Lin, Chih-Che

    Transplantation

    2018  Band 102, Heft 6, Seite(n) e275–e281

    Abstract: Background: Persistent massive ascites (PMAS) longer than 14 days after living donor liver transplantation is not uncommon and associated with worse outcome. A predictive risk scoring system was constructed after analysis of recipient, graft, and ... ...

    Abstract Background: Persistent massive ascites (PMAS) longer than 14 days after living donor liver transplantation is not uncommon and associated with worse outcome. A predictive risk scoring system was constructed after analysis of recipient, graft, and surgery-related factors.
    Methods: We retrospectively reviewed adult living donor liver transplantation recipients from 2005 to 2011 after excluding cases that experienced any intervention for perioperative vascular-related events. Two groups were identified, PMAS and non-PMAS. The score was constructed from significant factors using weighted odds ratios (OR).
    Results: The study population included 439 recipients. Persistent massive ascites was evident in 74 cases (17%). Five significant risk predictors were identified in multivariate analysis: pretransplant serum creatinine greater than 1.5 mg/dL (OR, 5.693; weighted OR, 2), recipient spleen to graft volume ratio greater than 1.3 (OR, 4.466; weighted OR, 2), left lobe graft (OR, 3.196; weighted OR, 1), more than 1000 mL ascites at laparotomy (OR, 2.541; weighted OR, 1), and graft recipient weight ratio less than 0.8 (OR, 2.419; weighted OR, 1). The clinical scoring system was constructed and ranged from 0 to 7. Receiver operating characteristic analysis showed an area under the curve (0.778, P < 0.001). Internal validation of the score showed an area under the curve of 0.783. The 5- and 10-year survival rates for the non-PMAS versus the PMAS groups were 89% and 84% versus 81% and 48%, respectively (P = 0.001).
    Conclusions: The PMAS score is a predictive pretransplant clinical tool. A Clinical cutoff score of 4 might be decision-changing. Pretransplant correction of renal functions, deciding to harvest a large graft and/or consideration of splenic artery embolization could reduce the risk of PMAS.
    Mesh-Begriff(e) Adult ; Ascites/diagnosis ; Ascites/etiology ; Clinical Decision-Making ; Decision Support Techniques ; Female ; Humans ; Liver Transplantation/adverse effects ; Liver Transplantation/methods ; Living Donors ; Male ; Middle Aged ; Patient Selection ; Predictive Value of Tests ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Severity of Illness Index ; Time Factors ; Treatment Outcome
    Sprache Englisch
    Erscheinungsdatum 2018-04-05
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 208424-7
    ISSN 1534-6080 ; 0041-1337
    ISSN (online) 1534-6080
    ISSN 0041-1337
    DOI 10.1097/TP.0000000000002174
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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