Li-Chung Pien

Taipei Medical University | TMU · College of Nursing

Aim To investigate the association of long‐term care nursing assistants' dual caregiving roles with mental health and to determine whether social support moderates this relationship. Design A cross‐sectional survey. Methods We surveyed 962 certified long‐term care nursing assistants working in long‐term care and medical facilities across Taiwan f...

This study investigated the moderating effect of financial strain or social support on depressive symptoms among older people living alone in Taiwan. Data were collected from the “Taiwan Longitudinal Study on Aging (TLSA),” which included 1513 participants aged 65 and over, among them, 153 (10.1%) were living alone, while 1360 (89.9%) were living w...

Objective The aim of our study is to explore the associations between multiple types of workplace violence (WPV) and burnout risk, sleep problems, and leaving intention among nurses. Methods This cross-sectional survey recruited 1,742 nurses, and data on WPV experiences were collected through self-administered questionnaires. Work conditions, burn...

Background: Cognitive function, working memory, attention, and coordination are higher-level functions sharing a complex relationship. Limited evidence exists on the effectiveness of multi-domain cognitive function interventions to improve cognitive outcomes. We evaluated the effectiveness of such interventions on cognitive function, working memor...

Background: Comparative therapeutic benefits of combined and single neurostimulation therapies including neuromuscular electrical stimulation (NMES), pharyngeal electrical stimulation (PES), repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS), and traditional dysphagia therapy (TDT) remain unknown in...

Background Stroke may cause debilitating neurological deficiencies that result in motor, sensory, and cognitive deficits and poorer psychosocial functioning. Prior studies have provided some initial evidence for the significant roles of health literacy and poor oral health for old people. However, few studies have focused on the health literacy of...

Aim: Examine effectiveness of respiratory rehabilitation and moderating factors on lung function and exercise capacity in post-COVID-19 patients. Design: Meta-analysis. Methods: R software 4.0.2 assessed the effectiveness of respiratory rehabilitation adopting the random-effects model and presenting standardised mean differences (SMDs). Hetero...

Millions of people worldwide are mourning the loss of loved ones due to the COVID-19 epidemic, which may adversely impact their mental health. This meta-analysis aimed to investigate pandemic grief symptoms and disorders for developing policy, practice, and research priorities. The databases of Cochrane, Embase, Ovid-MEDLINE, WHO COVID-19, NCBI SAR...

Objective: Sleep-related breathing disorders (SRBD) have shown to cause worsened cognitive impairment among people with dementia. Therefore, we conducted the first meta-analysis to estimate the prevalence of SRBD among people with dementia. Methods: Comprehensive searches were conducted in Embase, Ovid-MEDLINE, PubMed, PsycINFO, Scopus, Web of S...

Objective: To estimate the global prevalence of low resilience among the general population and health professionals during the COVID-19 pandemic. Methods: Embase, Ovid-MEDLINE, PubMed, Scopus, Web of Science, CINAHL, WHO COVID-19 databases, and grey literature were searched for studies from January 1, 2020, to August 22, 2022. Hoy's assessment...

Background: Post-extubation and neurologic complications in COVID-19 patients have been shown to cause oropharyngeal dysphagia (OD). We performed the first meta-analysis to explore and estimate the pooled prevalence of OD, risk of mortality, and associated factors among hospitalized COVID-19 patients. Methods: We searched Scopus, PubMed, Embase,...

Background: Shift work and irregular work schedules among first responders have been associated with physical and psychological problems such as sleep disorders. We conducted the first meta-analysis to explore and estimate the prevalence of sleep disorders among first responders for medical emergencies. Methods: We searched four databases: Web o...

Workplace violence is recognized as a serious psychosocial work hazard in the workplace. Nurses face higher risks of workplace violence and poor mental health than other medical professionals. In addition to addressing personal factors, workplace violence should be understood and managed in the context of the organizational climate. In this article...

Aging is a major challenge facing modern society and has attracted global attention. Studies have provided some initial evidence that health literacy plays a role in determining frailty; however, most of these studies have used small convenience samples of individuals recruited from geographically limited areas, thus limiting the generalizability o...

Social jetlag, the discrepancy between social and biological timing, has been suggested to disturb metabolic functions. However, the relationship between social jetlag and obesity has been inconsistent in other studies. In this study we examined the association between social jetlag and obesity among day and shift workers. We invited 2508 day worke...

The current study aimed to explore sex-influenced risk factors for cognitive impairment among community-dwelling older adults in Taiwan. This cross-sectional study was a secondary analysis using a population-based design. We accessed and analyzed data from the Taiwan Longitudinal Study on Aging survey of 2011. Participants were older adults aged ≥5...

Background Post-stroke dysphagia (PSD) has been associated with high risk of aspiration pneumonia and mortality. However, limited evidence on pooled prevalence of post-stroke dysphagia and influence of individual, disease and methodological factors reveals knowledge gap. Therefore, to extend previous evidence from systematic reviews, we performed t...

Objectives To examine the effectiveness of prone positioning on COVID-19 patients with acute respiratory distress syndrome with moderating factors in both traditional ICU prone positioning (invasive mechanical ventilation) and awake self-prone positioning patients (non-invasive ventilation). Research methodology A comprehensive search was conducte...

Objectives Caring for a family member with a life-threatening illness may lead to increased levels of psychological morbidity. Given the lack of recognition of caregivers’ grief, this study aimed to determine the prevalence of anticipatory grief disorders in caregivers of persons with a life-threatening illness for better intervention and managemen...

Background The COVID-19 pandemic has negatively impacted the psychological well-being of individuals and society. Previous studies conducted on coronavirus outbreaks including Severe Acute Respiratory Syndrome and Middle East Respiratory Syndrome pandemic found that posttraumatic stress disorder (PTSD), depression, and anxiety were the most common...

Aims To examine coronavirus disease 2019 (COVID-19) pandemic-related work factors for adverse effects on the mental health and whether organisational strategies attenuate these effects. Background COVID-19 pandemic has led to increased work burden and mental health risks for nurses. Methods A total of 1499 Taiwanese full-time nurses completed a w...

The Brief Illness Perception Questionnaire (B-IPQ) has been recommended to validate illness perception. Nevertheless, this measurement has yet to be validated with an assessment of the construct and convergent validities and reliability in Indonesia. Our study aimed to psychometrically test the 8-item B-IPQ among Indonesians with type 2 diabetes me...

Background Prolonged or complicated grief disorder occurs in 9.8% of bereaved adults and can progress into adverse health effects if left unresolved. Evidence on the appropriate and specific diagnostic instrument for the assessment of prolonged or complicated grief disorders is lacking. Objective The purpose of this study was to evaluate the perfo...

Work–family conflicts (WFCs) are common in the healthcare sector and pose significant health risks to healthcare workers. This study examined the effect of WFCs on the health status and nurses’ leaving intentions in Taiwan. A self-administered questionnaire was used to survey 200 female nurses’ experiences of WFC from a regional hospital. Data on p...

Objective Work automation is increasing worldwide, and the probability of job automation has been associated with workers' adverse health outcomes. This study aimed to examine the association of occupation‐level automation probability with work stress and workers' health. Methods We used data from a national survey of 14,948 randomly selected gene...

: Job automation and associated psychosocial hazards are emerging workplace challenges. This study examined the trends in work conditions and associations with workers’ health over time in jobs with different automation probabilities. We utilized data from six waves of national questionnaire surveys of randomly selected 95,762 employees between 200...

Objectives: To examine the distribution of work-to-family conflict (W-FC) across socio-demographic groups and a wide spectrum of occupations, and its associations with workers' burnout, self-rated health and mental health status by gender. Methods: A cross-sectional household survey of representative employees was conducted in 2013. A standardiz...

Study objectives: The relationship between seasonal variation of obstructive sleep apnea and ambient temperature and pollutants has been inconsistent in previous studies. It is also unknown whether the seasonal variation in apnea-hypopnea index influences continuous positive airway pressure treatment dose. This study aims to examine the seasonalit...

Objective To examine the association between working hours and problem drinking in employees from different employment grades. Methods We used data from a national survey of randomly sampled Taiwanese workers. A total score of 2 or more on the Cut down, Annoyed, Guilty, and Eye‐Opener (CAGE) questionnaire was used to identify problem drinkers. Wee...

Aims To examine the associations between different workplace violence sources and health outcome in nurses. Background Workplace violence is a major threat to nurses’ physical and mental health. Other workers in the health sector, patients and visitors can cause workplace violence. To effectively prevent workplace violence related health problems,...

Aims To validate the Chinese version Psychosocial Safety Climate scale (PSC‐12), and examine the associations between PSC, workplace violence, and self‐rated health (SRH). Background PSC moderates the negative effect of workplace violence on health. To address workplace violence experienced by nurses across the Asia‐Pacific region, it is important...

Introduction The association between long working hours and alcohol drinking has been inconsistent, which may be due to an imprecise categorization of working hours and different drinking norms among occupational groups. This study aims to examine the association between working hours and drinking in different employment grades. Methods Data from...

Introduction: Effective drunk-driving policies are not adopted consistently in many countries. To understand how drinking behaviors influence national drunk-driving policymaking, the associations between drunk-driving policies and country-level drinking volumes and patterns were examined. Methods: Data for 194 countries were obtained from the WH...

Workplace violence is increasingly recognized as an important occupational health issue in Taiwan. This chapter provides an overview of the problem and policy debates concerning workplace violence in Taiwan, and presents empirical findings on its distributions, trends, antecedents, and associated health risks based on survey data of the general wor...

Workplace violence is increasingly recognised as an important occupational health issue in Taiwan. This study provides with an overview of the problem and policy debates concerning workplace violence in Taiwan, and presents empirical findings on its distributions, trends, antecedents and associated health risks based on survey data of the general w...

Objective Workplace violence is known to be an important psychosocial hazard in health care settings. While it is expected that the levels of organisational concerns and preventative efforts should be essential in determining the occurrence of workplace violence and workers’ health, little empirical research has been conducted to explore their asso...

Objective: Workplace violence is known to pose mental health risks. However, whether or not workplace violence in a surrounding area might further increase the risk of mental distress in workers has rarely been examined. Methods: The study subjects were 9,393 male and 7,716 female employees who participated in a nationwide survey in 2010. Their...

Objectives: The aim of this study was to examine the distribution of workplace violence and its association with health status and job satisfaction among employees in Taiwan. Methods: Study subjects were 9,509 male and 7,777 female employees in a nation-wide survey in 2010. A standardized questionnaire was administered to obtain information regardi...