Pi-Hsia Lee

• Taipei Medical University

Background The prevalence of end-stage renal disease (ESRD) in Taiwan is among the highest in the world. Although kidney transplant is the most effective treatment for ESRD, the willingness of patients with ESRD to undergo kidney transplantation is low in Taiwan. The factors associated with willingness to accept kidney transplantation remain unclea...

This cross-sectional study explored the prevalence of sarcopenia in older adults with type 2 diabetes, and the effects of diet and physical activity on sarcopenia. In total, 577 older adults with diabetes were recruited from a teaching hospital in Taiwan. Diet and physical activity were assessed by self-rated questionnaires, including the Healthy D...

Sleep quality and depression during pregnancy often affect women's adaptation to motherhood and are linked with adverse maternal and neonatal outcomes. Using a prospective cohort study comprising 190 pregnant women in central Taiwan, we investigated the trajectories of sleep quality and depressive symptoms and their associated predictors in perinat...

Aim The aim of this study was to explore predictors of nurses' willingness to handle abuse of older people. Background Abuse of older people is a long-discussed healthcare issue worldwide. Although nurses are considered capable of identifying and reporting cases of abuse of older people, no study has been conducted in Taiwan on nurses' willingness...

Background: Complications and comorbidities might increase medical burdens and lead to poor health outcomes among people aged 65 years and older who suffer from type 2 diabetes mellitus (T2DM). Aim: The aim of this study was to investigate whether the presence of complications and comorbidities was associated with health outcomes among older adults...

Objective To evaluate the effects of an integrated childbirth education intervention on reducing childbirth fear, anxiety, and depression, and improving dispositional mindfulness. Design A two-arm parallel, single-blind randomised controlled trial. Setting A teaching hospital in Northern Taiwan. Participants Pregnant women ≥ 20 years of age with...

Purpose This study applied the Theory of Planned Behavior to predict exercise behaviors and intentions of teenagers and analyzed sex differences. Design and methods A prospective study design was employed to survey tenth-grade students in Taipei, Taiwan. The 951 participants reported their exercise attitudes, subjective norms, perceived behavioral...

The current study was a single-blind clinical trial that evaluated the effect of auricular acupressure on older adults' depression and anxiety. Forty-seven older adults in long-term care institutions were randomly divided into two groups using block randomization. In the experimental group, patches with magnetic beads were pasted onto the auricular...

Background: Low self-efficacy affects new mothers' ability to sustain breastfeeding. Interventions that increase self-efficacy could improve sustained breastfeeding. Objectives: To develop an integrated breastfeeding education program based on self-efficacy theory, and evaluate the effect of the intervention on first-time mothers' breastfeeding...

Aims To examine the effectiveness of extracorporeal magnetic stimulation for treatment of stress urinary incontinence. Design Systematic review and meta‐analysis. Data resources Four electronic databases from inception to 18 May 2019. Review methods Two authors independently performed the search, assessed the methodological quality, and extracte...

Background and Objectives: To investigate the health literacy (HL) among older adults in Taiwan, we referenced an existing integrated model of HL to confirm the influencing factors of HL in older adults. We propose this study to examine the personal, situational, and socioenvironmental factors influencing HL among older adults. Materials and Method...

Purpose A recent increase in screen time during early childhood has adversely affected the sleep and psychosocial health of children; however, limited information is available regarding effective interventions to reduce the screen time among them. This study aimed to investigate the effect of a parental educational program on screen use, sleep qual...

Background: Missed care by nursing aides in long-term care facilities affects the resident's quality of care, and therefore, requires attention. Aims: 1) To identify the frequencies and reasons for missed care by nursing aides in long-term care facilities; 2) To clarify the correlation between missed care and the characteristics of nursing aides...

Objectives: The aim was to assess the effects of a parental sex education program on knowledge, attitudes, self-efficacy, and practices among immigrant parents. Methods: A cluster randomized trial was conducted at immigrant activity centers in northern Taiwan. Recruited participants were randomly assigned to an experimental (four centers, n = 86...

Purpose: The primary purpose of this study was to investigate changes in exercise intentions and behaviors among children across time. Then, we investigated how determinants in the Theory of Planned Behavior (TPB) predicted exercise intentions and behaviors, and explored if demographic predictors contributed to predicting behaviors. Design and me...

Purpose: The objective of this study was to conduct a systematic review and meta-analysis to examine the effects of aromatherapy on sleep improvements. Methods: A search of randomized controlled trials was conducted in four English and two Chinese medical electronic databases. Two authors independently performed the search, assessed the methodol...

Background: Single- and five-item measures have been used prevalently to assess exercise stages of change. Few studies have investigated the development of instruments that are able to continuously measure exercise stages of change and have conducted associated psychometric analyses. Purpose: This study aimed to translate the original, English-l...

Aims To examine the effects of work–family conflicts and sleep quality on the self‐perceived health status and the mediating effect of sleep quality on the relationship between work–family conflicts and self‐perceived health status among hospital nurses. Background Studies related to hospital nurses’ work–family conflicts, sleep quality and health...

BACKGROUND Health education (HE) courses in schools are vital paths for improving teenagers' health literacy. HE and physical education (PE) teachers lead HE courses, and their teaching intentions and competency influence the effectiveness of the courses and the ability to promote students' health literacy. This study attempted to understand HE and...

Purpose: This study aims to evaluate the executive function and learning attention in children with internet addiction (IA). Design and methods: Children aged 10-12 were screened by Chinese Internet Addiction Scale to compose the IA group and internet nonaddiction group. Their executive functions were evaluated by Stroop color and word test, Wis...

The purpose of this study was to investigate the effects that listening and not listening to music had on pain relief, heart rate variability (HRV), and knee range of motion in total knee replacement (TKR) patients who underwent continuous passive motion (CPM) rehabilitation. We adopted a single-group quasi-experimental design. A sample of 49 TKR p...

Background: The self-care behaviors of patients with diabetes represent the most important part of diabetic healthcare. However, few studies have investigated the self-care behaviors of diabetes patients in the context of diabetes shared care networks. Purpose: The present study applied a health belief model to determine the self-care behaviors...

The number of people living with dementia is growing as the average age of the population rises. Eating difficulties are a common problem for dementia patients and their caregivers. The etiology of these difficulties is often complicated. Weight loss, poor nutrition, aspiration pneumonia, and associated medical admissions or even mortality may occu...

Aims Brisk walking may be a measure for reducing impacts of chronic diseases in middle-aged and older people. Understanding the perceptions of regular brisk walkers would be valuable for healthcare providers endeavoring to cultivate and promote regular brisk walking in middle-aged and older people. Therefore, the aim of this study was to explore an...

A good classroom environment can promote students' learning motivation and affect their academic efficacy and adaptation. This study compares the perceptions of Taiwanese middle school students regarding actual and preferred classroom environments and explores the association with sex and grade level. Data were collected using cross-sectional resea...

The Internet has been gaining worldwide popularity in recent years, but a loss of control over Internet use might lead to negative impacts on our daily lives. This study explored the effects of Internet addiction on autonomic nervous system function through heart rate variability (HRV) analysis. This was a cross-sectional design. Data were collecte...

Increased media viewing such as watching television and videos and playing on/using computers has been associated with childhood obesity. Guidelines from the American Academy of Pediatrics recommend limiting children's total media time to no more than 2 hours per day. Information about media usage and school-aged obesity in Taiwan is lacking. The p...

Aims To assess the level of and the differences in managerial competencies, research capability, time management, executive power, workload and work-stress ratings among nurse administrators (NAs), and to determine the best predictors of managerial competencies for NAs. Background Although NAs require multifaceted managerial competencies, research...

This paper is a report of a study conducted to (a) to compare hospitalized patients' and nurses' perceptions of the hospital environment, nurse-physician relationships and quality of care; (b) to determine which factors best predict the quality of care from hospitalized patients' and nurses' perspectives; and (c) to assess the relationships among a...

To gain an understanding of the accuracy of acuity assessment made by emergency department (ED) triage nurses, to compare the differences between the characteristics of triage nurses according to hospital variables and the accuracy of acuity ratings, and to explore the influence of nursing variables on the judgement of triages. A cross-sectional qu...

The middle school years are an important stage in the development of students' self-esteem. Schools can help students to develop their self-esteem by setting appropriate teaching indicators. This study aims to construct teaching indicators for self-esteem in the disciplines of Health Education and Physical Education. The Delphi technique was used....

Self-esteem, a key construct of personality, influences thoughts, actions, and feelings. Adolescence is a critical stage to the development of self-esteem. Taiwan currently offers no self-esteem building curriculum in the public education system. Therefore, incorporating self-esteem-related teaching activities into the existing curriculum represent...

Although the prevalence of obesity continues to increase worldwide, information related to obese school-aged children's perceptions of exercise remains limited. This study aimed to explore perceptions of exercise held by obese school-aged children. This study used a qualitative research design. Using purposive sampling, 11 obese students who were 1...

This paper is a report of a study conducted to compare levels of job satisfaction and perceptions of the quality of patient care, collaboration and teamwork among healthcare professionals in four acute care hospitals and to determine the factors associated with job satisfaction for physicians, nurses and other healthcare professionals. Positive int...

High nursing turnover is a problem facing many countries, including Taiwan, and can be very challenging for nursing leaders and hospital administrators. More than one-third of the nurses participating in this study considered leaving their current jobs. Understanding what factors influenced nurses to leave their jobs should be of interest to nursin...

The purpose of this study was to investigate the demographics, training, and practice patterns of folk medicine practitioners, their opinions toward statutory regulation of folk medicine, and the formal education and credentialing for folk medicine providers in the metropolitan Taipei area. A cross-sectional survey design was used. Included in the...

This study performed a meta-analysis of seven parallel-group comparison studies evaluating the efficacy of tuina in treating cervical spondylosis. Tuina is a form of Chinese manipulative therapy. It has been used as a modality for the treatment of symptoms associated with such a musculoskeletal condition as cervical spondylosis. However, evidence r...

Objectives: This three-year longitudinal study examined changes in the patterns of risk and protective factors of substance initiation (smoking, alcohol use, betel quid chewing, and illicit drug use) among a vocational high school student cohort in Taipei. Methods: A total of 1763 10th graders were followed to the 12th grade (2000-2002). Logistic r...

This paper is a report of a systematic review to evaluate the efficacy of reflexology in any condition. Anecdotal evidence has shown potential benefits of reflexology in a variety of health conditions. However, the efficacy of reflexology has yet to be determined. Cochrane library, PubMed, MEDLINE, EBM review, ProQuest Medical Bundle and SCOPUS dat...

To describe the Instructional System Design Processes (analysis, design, development, implementation, and evaluation) used to develop an e-learning education programme for staff nurses at a 700-bed teaching medical center in Taiwan. Evidence has shown that education via e-learning improves knowledge and skills; however, with cost constraints and li...

Health-related quality of life measures are increasingly being used in evaluating health care outcome around the world. There is a demand for the development of quality of life measures to be used cross-culturally. The aim of this study is to evaluate the psychometric properties of the Taiwanese version of Kiddo-KINDL, a health-related quality of l...

This study aimed at exploring the impacts of a school-wide no smoking strategy and a classroom-based smoking prevention curriculum on smoking-related knowledge, attitude, behavior, and skill of junior high school students. Using a pre-post quasi-experimental design, 469 seventh-to ninth-grade students at four junior high schools in Taiwan, were sel...

The issue of active and passive cigarette smoking among pregnant women at home has become a major source of debate. The purpose of this study was to explore the knowledge of, self-efficacy with, and behavior toward avoiding environmental tobacco smoke and related factors among pregnant women in Taiwan. A cross-sectional research design was used. Wo...

This randomized controlled study examined whether a 4-week blood pressure (BP) biofeedback program can reduce BP and BP reactivity to stress in participants with mild hypertension. Participants in the active biofeedback group (n=20) were trained in 4 weekly laboratory sessions to self-regulate their BP with continuous BP feedback signals, whereas p...

This 3-year longitudinal study examined changes in patterns of risk factors and protective factors of smoking initiation and cessation among vocational high school students in Taipei, Taiwan. In 2000, a total of 2151 10th grade students from 16 vocational high schools were assessed and followed up in the 11th and 12th grades. Self-administered ques...

This paper reports a study whose main aim was to understand the correlation between stages of exercise and health-related qualities of life among overweight and obese adults in Taiwan. Regular exercise has been shown to improve health-related quality of life in the general population and among patients with chronic diseases. Nevertheless, systemati...

This is a cross-sectional study that purposely selected healthy community centers (HCC) in Taipei City to explore factors affecting volunteers' health training program participation (HTPP). The major objectives were to: (1) examine volunteer's HTPP; (2) explore relationships among volunteers' HTPP, self-efficacy (SE) in healthy community building,...

The use of school screening for the early detection of scoliosis and spinal deformities has become widespread in the United States and Canada. Since scoliosis screening is not mandated in Taiwan, knowledge and research about scoliosis in school-age children are relatively lacking. The purpose of this paper is to review relevant literature to summar...