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  • 1
    Online Resource
    Online Resource
    Association between the time to definitive care and trauma patient outcomes: every minute in the golden hour matters
    Springer Science and Business Media LLC ; 2022
    In:  European Journal of Trauma and Emergency Surgery Vol. 48, No. 4 ( 2022-08), p. 2709-2716
    Details
    In: European Journal of Trauma and Emergency Surgery, Springer Science and Business Media LLC, Vol. 48, No. 4 ( 2022-08), p. 2709-2716
    Type of Medium: Online Resource
    ISSN: 1863-9933 , 1863-9941
    URL: Article
    DOI: 10.1007/s00068-021-01816-8
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2276432-X
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  • 2
    Online Resource
    Online Resource
    Impact of Rotating Shifts on Lifestyle Patterns and Perceived Stress among Nurses: A Cross-Sectional Study
    MDPI AG ; 2022
    In:  International Journal of Environmental Research and Public Health Vol. 19, No. 9 ( 2022-04-26), p. 5235-
    Details
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 19, No. 9 ( 2022-04-26), p. 5235-
    Abstract: Although rotating shifts have a negative health impact, their association with hospital nurses’ health risks remains controversial due to incomplete adjustment in lifestyle patterns and heterogeneity of work schedules. However, whether work schedule characteristics are associated with lifestyle patterns and perceived stress remains undetermined. We assessed the correlations of work schedule characteristics, lifestyle patterns, and perceived stress among hospital nurses. This cross-sectional study included 340 nurses from two hospitals. Final data from 329 nurses regarding work schedule characteristics, lifestyle patterns (physical activity, dietary behavior, and sleep pattern), and perceived stress were analyzed via linear regression models. Fixed-day-shift nurses had reduced perceived stress (β = 0.15, p = 0.007) compared with rotating-shift nurses. Additionally, among rotating-shift nurses, fixed-evening- and fixed-night-shift nurses had longer sleep duration (β = 0.27, p 〈 0.001; β = 0.25, p 〈 0.001) compared to non-fixed-rotating-shift nurses. Longer rotating-shift work was associated with healthier dietary behaviors (β = 0.15, p = 0.008), better sleep quality (β = −0.17, p = 0.003), lower perceived stress (β = −0.24, p 〈 0.001), and shorter sleep duration (β = −0.17, p = 0.003). Hospital nurses’ work schedule characteristics were associated with lifestyle patterns, dietary behavior, sleep pattern, and perceived stress. Fixed-shifts were beneficial for lifestyle and lower perceived stress. Longer rotating shifts could help nurses adjust their lifestyles accordingly.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    URL: Article
    DOI: 10.3390/ijerph19095235
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2175195-X
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  • 3
    Online Resource
    Online Resource
    Influence of Socioeconomic Status and Perceived Barriers on Physical Activity Among Taiwanese Middle-Aged and Older Women
    Ovid Technologies (Wolters Kluwer Health) ; 2017
    In:  Journal of Cardiovascular Nursing Vol. 32, No. 4 ( 2017-7), p. 321-330
    Details
    In: Journal of Cardiovascular Nursing, Ovid Technologies (Wolters Kluwer Health), Vol. 32, No. 4 ( 2017-7), p. 321-330
    Abstract: Physical activity (PA) is associated with cardiovascular health in general populations, particularly in women. Middle-aged and older women are at high risk of less engagement in PA for unknown and complicated reasons. Objectives: The aim of this study was to investigate whether PA was positively associated with socioeconomic status and psychosocial correlates of PA (self-efficacy and perceived benefits) but inversely correlated with perceived barriers in women (age 〉 40 years). Methods: A cross-sectional survey of 326 community-dwelling women was conducted. Data on socioeconomic status, PA, and its psychosocial correlates (ie, perceived benefits/barriers and self-efficacy) were collected using self-report questionnaires. Analyses were performed by multiple linear regressions. Results: Monthly income ( β = .35, P = .015), employment status ( β = .32, P 〈 .001), and perceived barriers to PA ( β = −.19, P = .008) were significantly associated with PA. More highly educated women participated in more ( β = .13, P = .033) vigorous PA, women with fewer perceived barriers participated in more ( β = −.14, P = .047) moderate-intensity PA, and employed women participated in more ( β = .35, P 〈 .001) walking. Significantly higher scores of perceived barriers, including “no trainer,” “feeling exhausted,” “lack of motivation,” and “lack of guidance,” were identified in women with low PA compared with those with moderate PA. Conclusion: Socioeconomic status and perceived barriers are associated with PA and its intensity level. Some specific barriers provide insights into the key factors that contribute to low PA in middle-aged and older women. These findings can be considered in future interventions to design PA promotion programs for this population to protect against cardiovascular diseases.
    Type of Medium: Online Resource
    ISSN: 1550-5049 , 0889-4655
    URL: Article
    DOI: 10.1097/JCN.0000000000000354
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2017
    detail.hit.zdb_id: 2053461-9
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  • 4
    Online Resource
    Online Resource
    Resolution of Intractable Hiccups after Near-Infrared Irradiation of Relevant Acupoints
    Elsevier BV ; 2006
    In:  The American Journal of the Medical Sciences Vol. 332, No. 2 ( 2006-08), p. 93-96
    Details
    In: The American Journal of the Medical Sciences, Elsevier BV, Vol. 332, No. 2 ( 2006-08), p. 93-96
    Type of Medium: Online Resource
    ISSN: 0002-9629
    URL: Article
    DOI: 10.1097/00000441-200608000-00009
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2006
    detail.hit.zdb_id: 2083424-X
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  • 5
    Online Resource
    Online Resource
    Effects of Individualized Aerobic Exercise Training on Physical Activity and Health-Related Physical Fitness among Middle-Aged and Older Adults with Multimorbidity: A Randomized Controlled Trial
    MDPI AG ; 2020
    In:  International Journal of Environmental Research and Public Health Vol. 18, No. 1 ( 2020-12-25), p. 101-
    Details
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 18, No. 1 ( 2020-12-25), p. 101-
    Abstract: The presence of multimorbidity in middle-aged and older adults, which reduces their physical activity and quality of life, is a global health challenge. Exercise is one of the most important health behaviors that individuals can engage in. Previous studies have revealed that aerobic exercise training is beneficial for healthy middle-aged and older adults and those with various chronic diseases, but few studies have designed individualized aerobic exercise training for individuals with multimorbidity. Although individuals with multimorbidity are considerably less adherent to physical activity interventions, telephone-based motivational interviewing may help in strengthening motivation and promoting behavioral change for increasing physical activity and health-related physical fitness. This study aimed to examine whether a 12-week individualized aerobic exercise training in a rehabilitation center combined with telephone-based motivational interviewing is effective in promoting physical activity and health-related physical fitness among middle-aged and older adults with multimorbidity. A randomized controlled trial was conducted. Forty-three participants (aged 〉 40) were recruited and randomly assigned to the intervention group, comparison group, or control group. The participants’ physical activity and health-related physical fitness were assessed at baseline and at 12 weeks. The results indicated that after individualized aerobic exercise training combined with telephone-based motivational interviewing, the participants reported increased total physical activity (Fin = 481.3, p = 0.011), vigorous-intensity physical activity (Fin= 298.9, p = 0.007), dominant and nondominant hand grip (kg) (Fin = 1.96, p = 0.019; Fin = 2.19, p = 0.027, respectively), FEV1/FVC (Fin = 0.045, p = 0.043), VO2 max (ml/kg/min) (Fin = 5.30, p = 0.001), VO2 max predicted (%) (Fin = 21.6, p = 0.001), work (watts) (Fin = 22.5, p = 0.001), and anaerobic threshold (L/min) (Fin = 0.165, p = 0.011). Twelve weeks of individualized aerobic exercise training in the rehabilitation center combined with telephone-based motivational interviewing can increase the total physical activity, vigorous physical activity, and cardiorespiratory fitness of middle-aged and older adults with multimorbidity.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    URL: Article
    DOI: 10.3390/ijerph18010101
    Language: English
    Publisher: MDPI AG
    Publication Date: 2020
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  • 6
    Online Resource
    Online Resource
    Moderate physical activity level as a protective factor against metabolic syndrome in middle‐aged and older women
    Wiley ; 2015
    In:  Journal of Clinical Nursing Vol. 24, No. 9-10 ( 2015-05), p. 1234-1245
    Details
    In: Journal of Clinical Nursing, Wiley, Vol. 24, No. 9-10 ( 2015-05), p. 1234-1245
    Abstract: To investigate whether physical activity is a protective factor against metabolic syndrome in middle‐aged and older women. Background Socio‐demographic and lifestyle behaviour factors contribute to metabolic syndrome. To minimise the risk of metabolic syndrome, several global guidelines recommend increasing physical activity level. However, only limited research has investigated the relationship between physical activity levels and metabolic syndrome in middle‐aged and older women after adjusting for socio‐demographic and lifestyle behaviour factors. Design Cross‐sectional design. Methods A convenience sample of 326 middle‐aged and older women was recruited. Metabolic syndrome was confirmed according to the National Cholesterol Education Program, Adult Treatment Panel III guidelines, and physical activity levels were measured by the International Physical Activity Questionnaire. Results The sample had a mean age of 60·9 years, and the prevalence of metabolic syndrome was 43·3%. Postmenopausal women and women with low socioeconomic status (low‐education background, without personal income and currently unemployed) had a significantly higher risk of developing metabolic syndrome. After adjusting for significant socio‐demographic and lifestyle behaviour factors, the women with moderate or high physical activity levels had a significantly lower ( OR  =  0·10; OR  =  0·11, p  〈   0·001) risk of metabolic syndrome and a lower risk for each specific component of metabolic syndrome, including elevated fasting plasma glucose ( OR  =  0·29; OR  =  0·26, p  =   0·009), elevated blood pressure ( OR  =  0·18; OR  =  0·32, p  =   0·029), elevated triglycerides ( OR  =  0·41; OR  =  0·15, p  =   0·001), reduced high‐density lipoprotein ( OR  =  0·28; OR  =  0·27, p  =   0·004) and central obesity ( OR  =  0·31; OR  =  0·22, p  =   0·027). Conclusions After adjusting for socio‐demographic and lifestyle behaviour factors, physical activity level was a significant protective factor against metabolic syndrome in middle‐aged and older women. Higher physical activity levels (moderate or high physical activity level) reduced the risk of metabolic syndrome in middle‐aged and older women. Relevance to clinical practice Appropriate strategies should be developed to encourage middle‐aged and older women across different socio‐demographic backgrounds to engage in moderate or high levels of physical activity to reduce the risk of metabolic syndrome.
    Type of Medium: Online Resource
    ISSN: 0962-1067 , 1365-2702
    URL: Issue
    URL: Article
    DOI: 10.1111/jocn.2015.24.issue-9pt10
    DOI: 10.1111/jocn.12683
    Language: English
    Publisher: Wiley
    Publication Date: 2015
    detail.hit.zdb_id: 2006661-2
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  • 7
    Online Resource
    Online Resource
    Systematic Review of Impact of Lifestyle‐Modification Programs on Metabolic Risks and Patient‐Reported Outcomes in Adults With Metabolic Syndrome
    Wiley ; 2014
    In:  Worldviews on Evidence-Based Nursing Vol. 11, No. 6 ( 2014-12), p. 361-368
    Details
    In: Worldviews on Evidence-Based Nursing, Wiley, Vol. 11, No. 6 ( 2014-12), p. 361-368
    Abstract: Metabolic syndrome (MetS) is primarily attributed to an unhealthy lifestyle, which is a modifiable risk factor. Researchers have been exploring various strategies, including lifestyle‐modification programs (LMPs), to prevent the progression of MetS. However, the effectiveness of LMPs on metabolic risks and patient‐reported outcomes (PROs) among adults with MetS remains inconclusive. Aim To evaluate the effectiveness of LMPs on the metabolic risks and PROs among adults with MetS. Methods A systematic review of randomized controlled trials published from January 1985 to June 2014 was conducted. The review extracted LMP interventions that included outcomes on the metabolic risks and PROs (quality of life and any other psychological health indicators). The quality of the included studies was assessed using the Cochrane Collaboration criteria. Results Among the five trials included, the most commonly applied intervention components were diet plans, supervised exercise, health education, individual counseling, behavioral modification, and motivational interviewing. Three fifths of the studies were nurse‐led, and only one of the selected trials was theory‐guided. LMPs can effectively reduce triglyceride levels, waist circumference, and systolic blood pressure. However, few trials consistently confirmed the benefits of metabolic risks, and none revealed a significant effect on high‐density lipoprotein, fasting blood glucose, or any PRO, except quality of life. The duration of LMPs in the included trials ranged from 4 to 24 weeks, and durations of at least 12 weeks significantly improved quality of life. Linking Evidence to Action LMPs had positive effects on some metabolic risks and on quality of life, whereas longer‐duration LMPs may have highly beneficial effects on quality of life. The essential elements of LMPs need to be evaluated more thoroughly to determine their effectiveness. Larger and more rigorous randomized controlled trials are required to assess the effectiveness of LMPs on metabolic risks and PROs among adults with MetS.
    Type of Medium: Online Resource
    ISSN: 1545-102X , 1741-6787
    URL: Issue
    URL: Article
    DOI: 10.1111/wvn.2014.11.issue-6
    DOI: 10.1111/wvn.12069
    Language: English
    Publisher: Wiley
    Publication Date: 2014
    detail.hit.zdb_id: 2140041-6
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  • 8
    Online Resource
    Online Resource
    Determinants of nurses’ readiness for disaster response: A cross-sectional study
    Elsevier BV ; 2023
    In:  Heliyon Vol. 9, No. 10 ( 2023-10), p. e20579-
    Details
    In: Heliyon, Elsevier BV, Vol. 9, No. 10 ( 2023-10), p. e20579-
    Type of Medium: Online Resource
    ISSN: 2405-8440
    URL: Article
    DOI: 10.1016/j.heliyon.2023.e20579
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2023
    detail.hit.zdb_id: 2835763-2
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  • 9
    Online Resource
    Online Resource
    Active Physical Activity Patterns Are Associated With Improved Quality of Life and Depression Status in Taiwanese Women With Metabolic Syndrome
    Ovid Technologies (Wolters Kluwer Health) ; 2019
    In:  Journal of Cardiovascular Nursing Vol. 34, No. 6 ( 2019-11), p. 491-502
    Details
    In: Journal of Cardiovascular Nursing, Ovid Technologies (Wolters Kluwer Health), Vol. 34, No. 6 ( 2019-11), p. 491-502
    Abstract: Metabolic syndrome (MetS), health-related quality of life (HRQL), and depression status are independently associated with cardiac health. Therefore, understanding the associations between MetS, HRQL, and depression status and determining factors related to improved HRQL and depression status in people with MetS may help in cardiovascular disease prevention. Objective: The aim of this study was to examine whether there are differences in HRQL and depression status between Taiwanese women with and without MetS and whether physical activity patterns are associated with HRQL and depression status in this population. Methods: A cross-sectional study of 326 Taiwanese middle-aged and older women (≥40 years) was conducted. Metabolic syndrome was determined based on the National Cholesterol Education Program Adult Treatment Panel III definition. Health-related quality of life and depression status were collected using the Short Form 36 Health Survey and Beck Depression Inventory. Univariate and multivariate linear regression analyses were conducted. Results: Women with MetS had lower HRQL ( P 〈 .001) and higher depression status ( P = .002) than those without MetS. Participants with active physical activity patterns had higher HRQL ( P 〈 .001) and lower depression status ( P = .046) than those with sedentary patterns. Among women with MetS, those with active physical activity patterns had higher HRQL ( P = .001) and lower depression status ( P = .007) than those with sedentary patterns. Conclusions: Metabolic syndrome is related to lower HRQL and higher depression status in women 40 years and older. Active physical activity patterns are associated with better HRQL and reduced depression status in middle-aged and older women (≥40 years) with MetS.
    Type of Medium: Online Resource
    ISSN: 1550-5049 , 0889-4655
    URL: Article
    DOI: 10.1097/JCN.0000000000000602
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2019
    detail.hit.zdb_id: 2053461-9
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  • 10
    Online Resource
    Online Resource
    Motivational Counseling to Reduce Sedentary Behaviors and Depressive Symptoms and Improve Health-Related Quality of Life Among Women With Metabolic Syndrome
    Ovid Technologies (Wolters Kluwer Health) ; 2019
    In:  Journal of Cardiovascular Nursing Vol. 34, No. 4 ( 2019-7), p. 327-335
    Details
    In: Journal of Cardiovascular Nursing, Ovid Technologies (Wolters Kluwer Health), Vol. 34, No. 4 ( 2019-7), p. 327-335
    Abstract: Motivational interviewing, as a counseling approach, could promote not only behavioral changes but also individuals' psychological adaptation. Previous studies provide evidence that motivational interviewing focused on increasing physical activity decreases the risk of metabolic syndrome in women. Its effects on sedentary behaviors, depressive symptoms, and health-related quality of life (HRQL) remain unknown. Objectives The aim of this study was to evaluate whether a 12-week motivational counseling program reduces sedentary behaviors and depressive symptoms and improves HRQL in Taiwanese women. Methods A randomized controlled study was conducted. Participants (n = 115) were randomly assigned into 3 groups: experimental group (received a brochure on lifestyle modification combined with 12 weeks of motivational counseling), comparison group (received a lifestyle modification brochure), and usual care group (UCG). Outcome variables were measured at baseline and at 12 weeks post intervention by the International Physical Activity Questionnaire, Beck Depression Inventory, and Medical Outcomes Short Form-36 Health Survey. Generalized estimating equations were applied to analyze the intervention effects of groups by interaction of group and time. Results Women in the experimental group not only reduced ( P 〈 .001) weekly sitting time by 374 minutes but also decreased ( P 〈 .05) depressive symptoms, as well as had greater overall HRQL including 8 subscales as compared with the UCG. As compared with the UCG, the women in the comparison group had no change in sedentary behaviors, but they had reduced depressive symptoms and improvement on some HRQL subscales. Conclusions Motivational counseling that incorporates behavioral change principles is effective in reducing sedentary behaviors and depressive symptoms and improving HRQL for women with metabolic syndrome.
    Type of Medium: Online Resource
    ISSN: 1550-5049 , 0889-4655
    URL: Article
    DOI: 10.1097/JCN.0000000000000573
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2019
    detail.hit.zdb_id: 2053461-9
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