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  • 1
    Online Resource
    Online Resource
    SAGE Publications ; 2007
    In:  Palliative Medicine Vol. 21, No. 8 ( 2007-12), p. 705-711
    In: Palliative Medicine, SAGE Publications, Vol. 21, No. 8 ( 2007-12), p. 705-711
    Abstract: Objectives : To explore the association between the place of death and the level of urbanization within the communities where the elderly were residing at the time of their death.Methods : A retrospective, population-based, cross-sectional study set in Taiwan, involving a total of 697 814 eligible deaths occurred between 1995 and 2004, among elderly people (aged 65 years or above). Results : After adjusting for other factors, the multilevel logistic regression analyses showed that home death was associated with lower levels of urbanization; as compared with participants living in the highest urbanization level (level 1), the respective adjusted odds of dying at home were 1.600, 2.769, 3.774, 4.481, 4.003 and 4.717 times for those living in the areas from the second highest to the lowest urbanization levels (levels 2—7). Conclusions : After adjusting for other socio-demographic, clinical and healthcare factors, the place of death has a significant association with the level of urbanization among the elderly. Palliative Medicine 2007; 21 : 705—711
    Type of Medium: Online Resource
    ISSN: 0269-2163 , 1477-030X
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2007
    detail.hit.zdb_id: 2027566-3
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  • 2
    In: Journal of Wound Care, Mark Allen Group, Vol. 30, No. Sup12 ( 2021-12-01), p. S14-S20
    Abstract: To compare the effectiveness of two commonly used moist dressings, Aquacel and Aquacel Foam (both ConvaTec Ltd., UK), in managing split-thickness skin graft (STSG) donor site wounds. Method: Patients undergoing STSG harvesting for reconstruction were eligible for this quasi-experimental study. After reconstruction surgery, the Aquacel (A) or Aquacel Foam (AF) dressings were applied on the donor site wound. The STSG donor site was assessed by two trained research nurses daily. Clinical outcomes including pain on dressing removal, use of intravenous analgesics, signs and symptoms of wound infection, incidence of exudate leakage and percentage healed were recorded in a standardised form. Cost of the dressing change was retrieved from the hospital billing system. Results: Of 50 patients recruited, 25 received dressing A and 25 received the AF dressing for their STSG donor site wound. The average pain score on dressing removal was significantly lower in the AF dressing group compared with the A dressing group (0.8±0.8 versus 3.1±1.5, respectively (p=0.04)). Regression analysis demonstrated that compared with dressing A, the AF dressing was associated with a lower average pain score (beta: –2.27, standard error: 0.33; p 〈 0.001), lower likelihood of pro re nata (PRN) intravenous analgesic use (odds ratio (OR)=0.21, 95% confidence interval: 0.06–0.71; p=0.01) and lower likelihood of exudate leakage (OR=0.11, p=0.01). The differences in time to wound healing, infection and cost were not statistically significant between the two groups. Conclusion: In this study, the AF dressing demonstrated superior performance in pain response on dressing removal for STSG donor site wounds compared with dressing A. Large-scale randomised controlled trials should be conducted to confirm the findings.
    Type of Medium: Online Resource
    ISSN: 0969-0700 , 2052-2916
    Language: English
    Publisher: Mark Allen Group
    Publication Date: 2021
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  • 3
    In: World Journal of Surgical Oncology, Springer Science and Business Media LLC, Vol. 11, No. 1 ( 2013-12)
    Abstract: Lymphedema is a common complication of axillary dissection for breast cancer. We investigated whether manual lymphatic drainage (MLD) could prevent or manage limb edema in women after breast-cancer surgery. Methods We performed a systematic review and meta-analysis of published randomized controlled trials (RCTs) to evaluate the effectiveness of MLD in the prevention and treatment of breast-cancer-related lymphedema. The PubMed, EMBASE, CINAHL, Physiotherapy Evidence Database (PEDro), SCOPUS, and Cochrane Central Register of Controlled Trials electronic databases were searched for articles on MLD published before December 2012, with no language restrictions. The primary outcome for prevention was the incidence of postoperative lymphedema. The outcome for management of lymphedema was a reduction in edema volume. Results In total, 10 RCTs with 566 patients were identified. Two studies evaluating the preventive outcome of MLD found no significant difference in the incidence of lymphedema between the MLD and standard treatment groups, with a risk ratio of 0.63 and a 95% confidence interval (CI) of 0.14 to 2.82. Seven studies assessed the reduction in arm volume, and found no significant difference between the MLD and standard treatment groups, with a weighted mean difference of 75.12 (95% CI, −9.34 to 159.58). Conclusions The current evidence from RCTs does not support the use of MLD in preventing or treating lymphedema. However, clinical and statistical inconsistencies between the various studies confounded our evaluation of the effect of MLD on breast-cancer-related lymphedema.
    Type of Medium: Online Resource
    ISSN: 1477-7819
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2013
    detail.hit.zdb_id: 2118383-1
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  • 4
    Online Resource
    Online Resource
    SAGE Publications ; 2010
    In:  Nursing Ethics Vol. 17, No. 4 ( 2010-07), p. 445-455
    In: Nursing Ethics, SAGE Publications, Vol. 17, No. 4 ( 2010-07), p. 445-455
    Abstract: End-of-life decision making frequently occurs in the intensive care unit (ICU). There is a lack of information on how a do-not-resuscitate (DNR) order affects treatments received by critically ill patients in ICUs. The objectives of this study were: (1) to compare the use of life support therapies between patients with a DNR order and those without; (2) to examine life support therapies prior to and after the issuance of a DNR order; and (3) to determine the clinical factors that influence the initiation of a DNR order in ICUs in Taiwan. A prospective, descriptive, and correlational study was conducted. A total of 202 patients comprising 133 (65.8%) who had a DNR order, and 69 (34.1%) who did not, participated in this study. In the last 48 hours of their lives, patients who had a DNR order were less likely to receive life support therapies than those who did not have a DNR order. Older age, being unmarried, the presence of an adult child as a surrogate decision maker, a perceived inability to survive ultimate discharge from the ICU, and longer hospitalization in the ICU were significant predictors of issuing a DNR order for critically ill patients. This study will draw attention to how, when, and by whom, critically ill patients’ preferences about DNR are elicited and honored.
    Type of Medium: Online Resource
    ISSN: 0969-7330 , 1477-0989
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2010
    detail.hit.zdb_id: 2031461-9
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  • 5
    Online Resource
    Online Resource
    Elsevier BV ; 2008
    In:  Journal of Pain and Symptom Management Vol. 35, No. 3 ( 2008-03), p. 258-266
    In: Journal of Pain and Symptom Management, Elsevier BV, Vol. 35, No. 3 ( 2008-03), p. 258-266
    Type of Medium: Online Resource
    ISSN: 0885-3924
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2008
    detail.hit.zdb_id: 1500639-6
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  • 6
    Online Resource
    Online Resource
    SAGE Publications ; 2000
    In:  Palliative Medicine Vol. 14, No. 6 ( 2000-09), p. 463-470
    In: Palliative Medicine, SAGE Publications, Vol. 14, No. 6 ( 2000-09), p. 463-470
    Abstract: The purpose of this study was threefold: (1) to examine attitudes held by Taiwanese family caregivers of hospice inpatients with cancer that serve as barriers to cancer pain management; (2) to determine the relationship of attitudinal barriers to family caregiver hesitancy to report pain and to administer analgesics; and (3) to determine the relationship of attitudinal barriers to the adequacy of analgesics used by the patient. A total of 80 pairs of palliative care inpatients and their primary family caregivers participated in this study. Family caregivers completed the Barriers Questionnaire–Taiwan (BQT) form and a demographic questionnaire. The instruments completed by patients consisted of the Brief Pain Inventory–Chinese version and a demographic questionnaire. The data revealed that Taiwanese family caregivers of palliative care patients with advanced cancer had concerns about reporting pain and administering analgesics, particularly as they related to disease progression, side-effects and p.r.n. analgesics. Older and less-educated family caregivers scored significantly higher on the BQT than did their younger, more educated counterparts. Family caregivers‘ concerns measured by the BQT were related to family caregivers‘ reluctance to administer analgesics to their patients. Implications for a broader understanding of analgesics in the advancement of pain management in palliative care in Taiwan are discussed.
    Type of Medium: Online Resource
    ISSN: 0269-2163 , 1477-030X
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2000
    detail.hit.zdb_id: 2027566-3
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  • 7
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2013
    In:  Cancer Nursing Vol. 36, No. 4 ( 2013-07), p. E35-E41
    In: Cancer Nursing, Ovid Technologies (Wolters Kluwer Health), Vol. 36, No. 4 ( 2013-07), p. E35-E41
    Type of Medium: Online Resource
    ISSN: 0162-220X
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2013
    detail.hit.zdb_id: 2049755-6
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  • 8
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2019
    In:  International Journal for Quality in Health Care Vol. 31, No. 7 ( 2019-08-01), p. 513-518
    In: International Journal for Quality in Health Care, Oxford University Press (OUP), Vol. 31, No. 7 ( 2019-08-01), p. 513-518
    Abstract: The Functional Assessment of Cancer Therapy-Lung (FACT-L) consists of the Functional Assessment of Cancer Therapy-General (FACT-G) and the Lung Cancer Subscale. The FACT-L is commonly used to measure quality of life in patients with lung cancer. This study evaluated the reliability and validity of the FACT-L in examining patients with lung cancer in Taiwan. Design This was a methodology study. Setting Patients with lung cancer at a regional hospital in Northern Taiwan. Participants Patients who had received an early diagnosis of lung cancer between 2013 and 2015 were recruited as respondents. Intervention(s) None. Main outcome measure(s) To verify the reliability and validity of the Taiwanese version of the FACT-L. Results A total of 104 patients who had received an initial diagnosis of lung cancer were recruited. The overall internal consistency of the FACT-L, as assessed using Cronbach’s α, was 0.82. Among the patients, 64 had a test–retest reliability (r) of 0.45 (P 〈 0.001) at 6 weeks after treatment. Moreover, longitudinal research indicated that the FACT-L detected score differences before and after treatment in these patients (Cohen’s d = −0.26). The Taiwanese version of the FACT-L considers 2-year survival as the gold standard, and the optimal combination of sensitivity and specificity was obtained when the receiver operating characteristic curve revealed cutoff points of 80 and 68 for the FACT-L and FACT-G, respectively. Conclusions The Taiwanese version of the FACT-L can be widely applied to assess the quality of life of patients with lung cancer.
    Type of Medium: Online Resource
    ISSN: 1353-4505 , 1464-3677
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2019
    detail.hit.zdb_id: 2002180-X
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  • 9
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2009
    In:  Journal of Gastrointestinal Surgery Vol. 13, No. 12 ( 2009-12), p. 2284-2291
    In: Journal of Gastrointestinal Surgery, Springer Science and Business Media LLC, Vol. 13, No. 12 ( 2009-12), p. 2284-2291
    Type of Medium: Online Resource
    ISSN: 1091-255X , 1873-4626
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2009
    detail.hit.zdb_id: 2057634-1
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  • 10
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2016
    In:  British Journal of Cancer Vol. 115, No. 11 ( 2016-11), p. 1304-1312
    In: British Journal of Cancer, Springer Science and Business Media LLC, Vol. 115, No. 11 ( 2016-11), p. 1304-1312
    Type of Medium: Online Resource
    ISSN: 0007-0920 , 1532-1827
    RVK:
    RVK:
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2016
    detail.hit.zdb_id: 2002452-6
    detail.hit.zdb_id: 80075-2
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