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Information needs of older people with heart failure： listening to their own voice

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Journal of Geriatric Cardiology 2016年第5期13卷 435-438页

作者： Ming-Ming YU sek Ying Chair Carmen WH Chan Kai Chow Choi School of Nursing Peking Union Medical College Beijing China Nethersole School of Nursing The Chinese University of Hong Kong Hong Kong China

According to a large-scale census in 2000, there were approximately 4,000,000 patients with heart failure （HF） aged between 35 and 74 years in China. Patient education shows its importance and essentiality in controlling the disease by improving the self-care abilities of patients,t21 However, a shortened period of hospitalization compromises the effectiveness and efficacy of the education. It is therefore suggested that the information needs of patients with HF should be simultaneously addressed to make education more appropriate and tailored.

关键词： Education Heart failure Information needs Qualitative study

Type D personality negatively associated with self-care in Chinese heart failure patients

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Journal of Geriatric Cardiology 2016年第5期13卷 401-407页

作者： Xi CAO Xiu-Hua WANG Eliza ML wong Choi Kai Chow sek Ying Chair The Nethersole School of Nursing The Chinese University of Hong Kong Hong Kong China Nursing School Central South University Changsha China

Background Little is known about the association between type D personality and self-care behaviors in heart failure （HF） patients. We examined the effect of type D personality on self-care behaviors and self-efficacy among Chinese HF patients. Methods A cross-sectional study with a convenience sample was conducted. All participants completed the questionnaires of the self-care of HF index （V6） and type D personality scale. Demographic and clinical variables were obtained from medical records and patient interviews. The me- thods used for data analysis included descriptive analysis, independent-sample t-test, Z2 test, and multiple linear regression. Results A total of 127 HF patients were included and 61.4% of them were male. The average age for this study sample was 64.9± 12.34 years. The majority of the participants were in a New York Heart Association class III or IV （87%）, and the average length of living with HF was 38.24 ± 41.1 months. A total of 33.1% of the participants were identified as having type D personality. No significant differences were determined in the demographic and clinical variables between type D and non-type D patients, except for the mean age and the length of living with HF. Type D patients were younger and had a shorter time of living with HF than their non-type D counterparts. Multiple regression demonstrated significant associations between type D personality and self-care maintenance and self-efficacy after adjusting the demographic and clinical factors. However, type D personality was not significantly associated with self-care management behaviors. Conclusions Type D personality was negatively related to self-care maintenance and self-efficacy in Chinese HF patients. Future study is warranted to develop a tailored intervention to improve engagement in self-care behaviors in HF patients with type D personality.

关键词： Heart failure Self care Self-efficacy Type D personality

Effects of a nurse-led heart failure clinic on hospital readmission and mortality in Hong kong

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Journal of Geriatric Cardiology 2016年第5期13卷 415-419页

作者： Ho Yu Cheng sek Ying Chair Qun Wang Janet WH Sit Eliza ML wong Siu Wai Tang The Nethersole School of Nursing: Faculty of Medicine The Chinese University of Hong Kong Hong Kong China Cardiac Rehabilitation Centre Tung Wah Eastern Hospital Hong Kong China

Background Heart failure （HF） is a physically and socially debilitating disease that carries the burden of hospital re-admission and mortality. As an aging society, Hong kong urgently needs to find ways to reduce the hospital readmission of HF patients. This study evaluates the effects of a nurse-led HF clinic on the hospital readmission and mortality rates among older HF patients in Hong kong. Methods This study is a retrospective data analysis that compares HF patient in a nurse-led HF clinic in Hong kong compared with HF patients who did not attend the clinic. The nurses of this clinic provide education on lifestyle modification and symptom monitoring, as well as titrate the medications and measure biochemical markers by following established protocols. This analysis used the socio-demographic and clinical data of HF patients who were aged 〉 65 years old and stayed in the clinic over a six-month period. Results The data of a total of 78 HF patients were included in this data analysis. The mean age of the patients was 77.38 ± 6.80 years. Approximately half of the HF patients were male （51.3%）, almost half were smokers （46.2%）, and the majority received 〈 six years of formal education. Most of the HF patients （87.2%） belonged to classes II and III of the New York Heart Association Functional Classification, with a mean ejection fraction of 47.15± 20.31 mL. The HF patients who attended the clinic （n = 38, 75.13 ± 5.89 years） were significantly younger than those who did not attend the clinic （n = 40, 79.53 ± 6.96 years）（P = 0.04）, and had lower recorded blood pressure. No other statistically significant difference existed between the socio-demographic and clinical characteristics of the two groups. The HF patients who did not attend the nurse-led HF clinic demonstrated a significantly higher risk of hospital readmission [odd ratio （OR）： 7.40; P 〈 0.01] than those who attended after adjusting for the effect of age and blood pressure. In addition, HF patients who att

关键词： Heart failure Hospital readmission Mortality Nurse-led clinic

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香港地区高级护理人才培养的经验与挑战

中国护理管理 2022年第7期22卷 971-974页

作者：车锡英香港中文大学那打素护理学院香港特别行政区999077 香港护理专科学院中国香港

介绍香港地区高级护理人才培养的经验和挑战,以期为我国高级护理实践人才的培养提供借鉴和参考。

关键词：高级护理实践人才培养香港特别行政区

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Evolvement of left ventricular assist device： the implications on heart failure management

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Journal of Geriatric Cardiology 2016年第5期13卷 425-430页

作者： sek Ying Chair Doris SF Yu Michael Timothy Ng Qun Wang Ho Yu Cheng Eliza ML wong Janet WH Sit The Nethersole School of Nursing Faculty of Medicine The Chinese University of Hong Kong Hong Kong China Department of Psychology Faeulty of Social Science The Chinese University of Hong Kong Hong Kong China

Heart failure （HF） is a potentially fatal disease that affects increasing number of people worldwide. Although heart transplant is the ＂gold standard＂ therapy for HF, due to the limited availability of organs, many patients died when waiting for the transplant. Left ventricular assist device （LVAD）, as a mechanical circulatory support, has become a new light for patients with HF. With the technical advancements, LVADs work not only as a bridge to transplant, but also assist heart recovery and even as a destination therapy in long-term treatment. This observation paper reviewed the development of LVAD and its clinical roles. The challenges and possible solutions in nursing care for pa- tients with LVAD at different stage of implantation were discussed. The healthcare professionals could obtain a better understanding about the LVAD treatment for HF patients.

关键词： Destination therapy Heart failure Left ventricular assist device Nursing

Information needs of older people with heart failure:listening to their own voice

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Journal of Geriatric Cardiology 2016年第05期 435-438页

作者： Ming-Ming YU sek Ying Chair Carmen WH Chan Kai Chow Choi School of Nursing Peking Union Medical College Nethersole School of Nursing The Chinese University of Hong Kong

According to a large-scale census in 2000,there were approximately 4,000,000 patients with heart failure（HF）aged between 35 and 74 years in China.[1]Patient education shows its importance and essentiality in controlling the disease by improving the self-care abilities of patients.[2]However,a shortened period of hospitalization compromises the effectiveness and efficacy of the *** is therefore suggested that the information needs of patients

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Effects of a nurse-led heart failure clinic on hospital readmission and mortality in Hong kong

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Journal of Geriatric Cardiology 2016年第05期 415-419页

作者： Ho Yu Cheng sek Ying Chair Qun Wang Janet WH Sit Eliza ML wong Siu Wai Tang The Nethersole School of Nursing Faculty of MedicineThe Chinese University of Hong Kong Cardiac Rehabilitation Centre Tung Wah Eastern Hospital

Background Heart failure(HF) is a physically and socially debilitating disease that carries the burden of hospital re-admission and *** an aging *** kong urgently needs to find ways to reduce the hospital readmission of HF *** study evaluates the effects of a nurse-led HF clinic on the hospital readmission and mortality rates among older HF patients in Hong *** This study is a retrospective data analysis that compares HF patient in a nurse-led HF clinic in Hong kong compared with HF patients who did not attend the *** nurses of this clinic provide education on lifestyle modification and symptom monitoring,as well as titrate the medications and measure biochemical markers by following established *** analysis used the socio-demographic and clinical data of HF patients who were aged ≥65 years old and stayed in the clinic over a six-month *** The data of a total of 78 HF patients were included in this data *** mean age of the patients was 77.38 ± 6.80 *** half of the HF patients were male(51.3%),almost half were smokers(46.2%),and the majority received ≤ six years of formal *** of the HF patients(87.2%)belonged to classes Ⅱ and Ⅲ of the New York Heart Association Functional Classification,with a mean ejection fraction of 47.15 ± 20.31 *** HF patients who attended the clinic(n= 38,75.13 ± 5.89 years) were significantly younger than those who did not attend the clinic(n = 40,79.53 ± 6.96 years)(P = 0.04),and had lower recorded blood *** other statistically significant difference existed between the socio-demographic and clinical characteristics of the two *** HF patients who did not attend the nurse-led HF clinic demonstrated a significantly higher risk of hospital readmission[odd ratio(OR):7.40;P < 0.01]than those who attended after adjusting for the effect of age and blood *** addition,HF patients who attended the clinic had lower mortality(n

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Supportive care needs and health-related quality of life among Chinese lung cancer survivors

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Advances in Lung Cancer 2012年第2期1卷 5-12页

作者： Dorothy Ngo-Sheung Chan Kai-Chow Choi Carmen Wing-Han Chan Rayman Wai-Man Wan Suzanne So-Shan Mak Eliza Mi-Ling wong sek-Ying Chair Winnie Kwok-Wei So Department of Clinical Oncology Prince of Wales Hospital Hong Kong China The Nethersole School of Nursing The Chinese University of Hong Kong Hong Kong China

Purpose: The purpose of this study was to explore the supportive care needs and health-related quality of life (HRQoL) of lung cancer survivors, and to identify the association between patient characteristics, HRQoL and supportive care needs. Method: This was a sub-study of a larger scale survey of cancer survivors’ supportive care needs. A total of 48 lung cancer survivors were recruited from a regional teaching hospital, and a three-part structured questionnaire was used to collect 1) socio-demographic and clinical characteristics, 2) supportive care needs and 3) health-related quality of life data. Results: The three most commonly reported unmet needs were all in the health-system information domain: 1) being informed about your results as soon as possible (58%), 2) being informed about cancer which is under control or diminishing (50%), and 3) being informed about things you can do to help yourself get well (46%). The second most common unmet need domain was access to healthcare and ancillary support services. The survivors generally reported satisfactory HRQoL. However, household income and unmet physical and psychological needs were independently associated with HRQoL among these survivors. Conclusion: The high unmet needs in the health-system information area call for a review of the content and amount of information provided to lung cancer survivors. In addition, more attention should be given to lung cancer survivors with low incomes but high physical and psychological unmet needs, who require appropriate follow-up and long-term care of a physical, social and psychological kind.

关键词： Supportive Care Needs Health-Related Quality of Life Lung Cancer Survivor

Evolvement of left ventricular assist device:the implications on heart failure management

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Journal of Geriatric Cardiology 2016年第05期 425-430页

作者： sek Ying Chair Doris SF Yu Michael Timothy Ng Qun Wang Ho Yu Cheng Eliza ML wong Janet WH Sit The Nethersole School of Nursing Faculty of MedicineThe Chinese University of Hong Kong Department of Psychology Faculty of Social ScienceThe Chinese University of Hong Kong

Heart failure(HF) is a potentially fatal disease that affects increasing number of people *** heart transplant is the "gold standard" therapy for HF,due to the limited availability of organs,many patients died when waiting for the *** ventricular assist device(LVAD),as a mechanical circulatory support,has become a new light for patients with *** the technical advancements,LVADs work not only as a bridge to transplant,but also assist heart recovery and even as a destination therapy in long-term *** observation paper reviewed the development of LVAD and its clinical *** challenges and possible solutions in nursing care for patients with LVAD at different stage of implantation were *** healthcare professionals could obtain a better understanding about the LVAD treatment for HF patients.

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