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  • 1
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2018
    In:  Journal of Nursing Research Vol. 26, No. 1 ( 2018-2), p. 44-51
    In: Journal of Nursing Research, Ovid Technologies (Wolters Kluwer Health), Vol. 26, No. 1 ( 2018-2), p. 44-51
    Abstract: Hypoglycemia is recognized as a limiting factor in diabetes management. Fear of experiencing hypoglycemia may lead to lower quality of life, impaired glycemic control, and emotional distress, all of which impair the ability of patients to self-manage their diabetes effectively. Problem solving is central to diabetes self-management and may help patients achieve effective self-care of their disease. Purpose: The aim of this study was to investigate the ability of people with diabetes to avoid hypoglycemia and to explore associated factors. Methods: A cross-sectional, descriptive design was used for the study. Data were collected using a demographic and disease characteristics datasheet, the Hypoglycemic Problem Solving Scale, and the Disease-Associated Negative Mood Scale. Results: Three hundred thirteen participants were recruited, with a mean age of 55.49 years. The average item score for the questions on hypoglycemic problem-solving ability was 2.43 ( SD = 0.75). In comparing Hypoglycemic Problem Solving Scale subscales, participants scored highest on the problem orientation subscales and lowest on the problem-solving skills subscales. Multiple regression analysis revealed that being younger and unmarried and having a higher level of education, a diagnosis of Type 1 diabetes, and a lower negative mood score were each significantly associated with greater problem-solving ability as regards hypoglycemic events. Conclusions/Implications for Practice: We suggest that patients with diabetes, especially those who are older or with lower levels of education, receive disease-related psychological interventions and that healthcare professionals teach problem-solving abilities in conjunction with hypoglycemia management.
    Type of Medium: Online Resource
    ISSN: 1682-3141
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2018
    detail.hit.zdb_id: 2103410-2
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  • 2
    Online Resource
    Online Resource
    Elsevier BV ; 2013
    In:  Diabetes Research and Clinical Practice Vol. 99, No. 2 ( 2013-02), p. 112-119
    In: Diabetes Research and Clinical Practice, Elsevier BV, Vol. 99, No. 2 ( 2013-02), p. 112-119
    Type of Medium: Online Resource
    ISSN: 0168-8227
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2013
    detail.hit.zdb_id: 2004910-9
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  • 3
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2013
    In:  BMC Public Health Vol. 13, No. 1 ( 2013-12)
    In: BMC Public Health, Springer Science and Business Media LLC, Vol. 13, No. 1 ( 2013-12)
    Type of Medium: Online Resource
    ISSN: 1471-2458
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2013
    detail.hit.zdb_id: 2041338-5
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  • 4
    Online Resource
    Online Resource
    Wiley ; 2018
    In:  Journal of Clinical Nursing Vol. 27, No. 7-8 ( 2018-04), p. 1673-1683
    In: Journal of Clinical Nursing, Wiley, Vol. 27, No. 7-8 ( 2018-04), p. 1673-1683
    Abstract: To explore experiences of self‐monitoring of blood glucose among patients with non‐insulin‐treated type 2 diabetes. Background Self‐monitoring of blood glucose is essential to diabetes care and facilitates glycaemic control. Patients’ perspectives of self‐monitoring of blood glucose have seldom been discussed in the literature, and engagement in self‐monitoring of blood glucose is consistently low. Design The descriptive phenomenological method was used. Methods Purposive sampling was conducted to recruit participants from the endocrinology departments of medical institutions in Taiwan based on the following criteria: (i) having a medical diagnosis of type 2 diabetes, (ii) not being treated with insulin, (iii) having engaged in self‐monitoring of blood glucose at least once within the preceding 6 months, (iv) being at least 20 years old and (v) not having any major mental or cognitive disorders. Data were collected in outpatient consultation rooms, the participants’ homes and other settings where the participants felt secure and comfortable. In‐depth interviews were conducted to collect data from 16 patients with diabetes. Results The participants perceived that lifestyle affected blood glucose levels and did not know how to handle high or low blood glucose levels. Their willingness to continue self‐monitoring of blood glucose depended on whether healthcare professionals checked or discussed their blood glucose levels with them. Conclusions The patients’ knowledge regarding blood glucose variation and healthcare professionals’ attitudes affected the patients’ self‐monitoring of blood glucose behaviours. The empirical findings illustrated self‐monitoring of blood glucose experiences and recommended that healthcare professionals’ closely attend to patients’ requirements and responses to diabetes and incorporate the self‐monitoring of blood glucose into therapy plans. Relevance to clinical practice Healthcare professionals should reinforce patients’ knowledge on appropriate responses to high and low blood glucose levels, intervene appropriately, discuss self‐monitoring of blood glucose results with patients and track these results.
    Type of Medium: Online Resource
    ISSN: 0962-1067 , 1365-2702
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 2006661-2
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  • 5
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2010
    In:  Journal of Nursing Research Vol. 18, No. 2 ( 2010-06), p. 88-97
    In: Journal of Nursing Research, Ovid Technologies (Wolters Kluwer Health), Vol. 18, No. 2 ( 2010-06), p. 88-97
    Type of Medium: Online Resource
    ISSN: 1682-3141
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2010
    detail.hit.zdb_id: 2103410-2
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  • 6
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2017
    In:  International Journal for Quality in Health Care Vol. 29, No. 3 ( 2017-06), p. 335-342
    In: International Journal for Quality in Health Care, Oxford University Press (OUP), Vol. 29, No. 3 ( 2017-06), p. 335-342
    Type of Medium: Online Resource
    ISSN: 1353-4505 , 1464-3677
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2017
    detail.hit.zdb_id: 2002180-X
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  • 7
    Online Resource
    Online Resource
    Wiley ; 2011
    In:  Journal of Clinical Nursing Vol. 20, No. 7-8 ( 2011-04), p. 940-949
    In: Journal of Clinical Nursing, Wiley, Vol. 20, No. 7-8 ( 2011-04), p. 940-949
    Abstract: Aims.  (1) To explore the types and three components (frequency, duration and caloric expenditure) of leisure‐time physical activity in community older people with chronic diseases. (2) To identify leisure‐time physical activity‐related factors in these community older people. Background.  Previous research has focused primarily on measuring the actual physiological or psychological benefits of exercise or leisure‐time physical activity, little is known about the factors that determine the frequency, intensity and duration of exercise or leisure‐time physical activity. The identification of reliable predictors of the various components of leisure‐time physical activity will enable healthcare providers to intervene and change the patterns of leisure‐time physical activity in the sedentary older people more effectively. Design.  A cross‐sectional design was used for this study. Methods.  Participants were recruited from the Xinyi District in Taipei, Taiwan. A total of 206 older people were recruited and were asked to complete three questionnaires during a face‐to‐face interview with a researcher at the activity setting. Results.  The results showed that walking leisurely was the most frequent leisure‐time physical activity for participants. The age, gender, living arrangement, affective feeling and environmental control were significant variables of leisure‐time physical activity. Conclusions.  The study constructs accounted for moderate amounts of variance (22% for leisure‐time physical activity frequency, 27% for leisure‐time physical activity duration and 24% for leisure‐time physical activity caloric expenditure). This study also showed that different variables play different influential roles in the different components of LTPA. Relevance to clinical practice.  An effective intervention strategy for improving leisure‐time physical activity of older people may involve tailoring the type, format, intensity, frequency and duration of a physical activity according to an individual’s needs. This study described some environmental barriers to LTPA and recommended an increase in the accessibility to LTPA areas.
    Type of Medium: Online Resource
    ISSN: 0962-1067 , 1365-2702
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2011
    detail.hit.zdb_id: 2006661-2
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  • 8
    Online Resource
    Online Resource
    Wiley ; 2016
    In:  Journal of Advanced Nursing Vol. 72, No. 2 ( 2016-02), p. 339-347
    In: Journal of Advanced Nursing, Wiley, Vol. 72, No. 2 ( 2016-02), p. 339-347
    Abstract: To examine the association between insomnia with short sleep duration and hypercholesterolemia in Taiwanese adults. Background Previous studies mostly focused on the association between sleep duration and hyperlipidemia, but the results were not consistent. Besides, very few studies extensively examined the association between insomnia and hypercholesterolemia. This study hypothesized that insomnia with short sleep duration is associated with hypercholesterolemia. Design Secondary data analysis. This study analysed the latest database of the cross‐sectional Nutrition and Health Survey in Taiwan which was released on 2011 (data collected between 2005–2008) and collected data using stratified three‐staged probability sampling design. Methods This study analysed 1533 participants aged between 19–64 (733 males and 800 females) and used logistic regression model to calculate the odds ratio and the 95% confidence interval of insomnia with short sleep duration to hypercholesterolemia. Controlled confounders included age, gender, sample weight, body mass index, waist circumference, fasting plasma glucose, hypertension and diabetes. Results Insomnia with 5‐6 hours of sleep duration was significantly associated with hypercholesterolemia. The odds ratio of mild insomnia or moderate/severe insomnia with 5‐6 hours of sleep duration to hypercholesterolemia was higher, compared with the reference group (without insomnia and 〉 6 hours of sleep duration). Conclusion Insomnia with short sleep duration was associated with increased odds of hypercholesterolemia. Caregivers in clinical practice should watch out for the effect brought by this novel factor.
    Type of Medium: Online Resource
    ISSN: 0309-2402 , 1365-2648
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2016
    detail.hit.zdb_id: 2009963-0
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  • 9
    Online Resource
    Online Resource
    Elsevier BV ; 2016
    In:  Journal of the Formosan Medical Association Vol. 115, No. 9 ( 2016-09), p. 779-785
    In: Journal of the Formosan Medical Association, Elsevier BV, Vol. 115, No. 9 ( 2016-09), p. 779-785
    Type of Medium: Online Resource
    ISSN: 0929-6646
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2016
    detail.hit.zdb_id: 2250901-X
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  • 10
    Online Resource
    Online Resource
    Elsevier BV ; 2016
    In:  Diabetes Research and Clinical Practice Vol. 120 ( 2016-10), p. S35-
    In: Diabetes Research and Clinical Practice, Elsevier BV, Vol. 120 ( 2016-10), p. S35-
    Type of Medium: Online Resource
    ISSN: 0168-8227
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2016
    detail.hit.zdb_id: 2004910-9
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