honor roll

榮譽事蹟

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2024.08
教師榮譽事蹟

113年國立陽明交通大學第二季重要期刊論文

113年第二季重要論文獲獎名單

1.簡莉盈特聘教授
  • 論文題目:In vitro fertilization and risk of type 1 diabetes mellitus: a population-based nested case-control study
  • 期刊:Human Reproduction
  • 作者:通訊作者-簡莉盈
  • 論文摘要:
STUDY QUESTION
Is the mode of conception (natural, subfertility and non-IVF, and IVF) associated with the risk of Type 1 diabetes mellitus among offspring?

SUMMARY ANSWER
The risk of Type 1 diabetes in offspring does not differ among natural, subfertility and non-IVF, and IVF conceptions.

STUDY DESIGN, SIZE, DURATION
A population-based, nested case–control study was carried out, including 769 children with and 3110 children without Type 1 diabetes mellitus within the prospective cohort of 2 228 073 eligible parent-child triads between 1 January 2004 and 31 December 2017.

MAIN RESULTS AND THE ROLE OF CHANCE
Based on 14.3 million person-years of follow-up (median, 10 years), the incidence rates of Type 1 diabetes were 5.33, 5.61, and 4.74 per 100 000 person-years for natural, subfertility and non-IVF, and IVF conceptions, respectively. Compared with natural conception, no significant differences in the risk of Type 1 diabetes were observed for subfertility and non-IVF conception (adjusted odds ratio, 1.04 [95% CI, 0.85–1.27]) and IVF conception (adjusted odds ratio, 1.00 [95% CI, 0.50–2.03]).

WIDER IMPLICATIONS OF THE FINDINGS
It has been reported that children born to parents who conceived through IVF had worse metabolic profiles than those who conceived naturally. Considering the findings of the present and previous studies, poor metabolic profiles may not be sufficient to develop Type 1 diabetes mellitus during childhood.


2.楊秋月教授
  • 論文題目:The association of social support and hope between self-stigma and perceived recovery among people with schizophrenia: Serial mediation effect
  • 期刊:Journal of Advanced Nursing
  • 作者:通訊作者-楊秋月
  • 論文摘要:
這篇論文探討社會支持和希望感受在自我烙印與思覺失調症患者復元覺知間的中介作用。主要目的是檢視社會支持和希望感受在自我烙印與復元覺知之間的序列中介效應。本研究的重要特色包括:
研究設計:為橫斷面研究,於2019年9月至2020年6月期間進行,研究對象來自台灣北部七個精神復健病房,共157名思覺失調症患者。
資料分析:利用Pearson相關檢測變項間關係,並使用PROCESS macro model 4 與 model 6進行簡單中介效應和序列中介效應的檢驗。
重要發現:
(1)自我烙印與復元覺知的關係:研究結果顯示,自我烙印與思覺失調症患者的復元覺知之間存在顯著的負相關。顯示自我烙印不利病人的復元。
(2)社會支持的中介效應:同儕支持在自我烙印與復元覺知之間扮演完全中介作用,能削弱自我烙印對復元覺知的負面影響。
(3)希望感受的中介效應:希望感受在自我烙印與復元覺知之間也扮演完全中介作用,顯示希望感受能夠減輕自我烙印對復元覺知的負面影響。
(4)序列中介效應:社會支持和希望感受在自我烙印與復元覺知之間具有顯著的序列中介效應,顯示這兩個因素以序列的順序減輕自我烙印對復元覺知的負面影響。
這篇論文的研究結果強調了同儕支持和希望感受在減少自我烙印和促進復元覺知中的重要作用,為臨床應用提供了寶貴的見解,建議加強復健病房中的同儕支持和積極社會互動以促進患者的個人復元。


3.陳俞琪教授
  • 論文題目:Short-Term Effects of an eHealth Care Experiential Learning Program among Patients with Type 2 Diabetes: A Randomized Controlled Tria
  • 期刊:Journal of Medical Internet Research
  • 作者:通訊作者-陳俞琪
  • 論文摘要:
​​​論文摘要:研究背景:第二型糖尿病(Type 2 Diabetes Mellitus, T2DM)是一種不可逆的慢性疾病,對醫療和經濟造成相當大的負擔。儘管衛生機關對於DM照護方面不遺餘力,但糖尿病的發生率和盛行率仍不減反增,甚至成為台灣腎病的主要原因。隨著醫療與科技的跨領域結合,智慧健康照護成為提升患者健康結果的新興方式。智慧照護提供了病患持續性的照護,但這需要患者具備足夠的資訊科技化健康識能(eHealth literacy, eHL)才能發揮效益,也是落實日常自我健康管理的關鍵。因此,研究團隊基於體驗學習理論,發展了智慧健康照護體驗學習介入方案,旨在增強病患使用智慧健康照護的能力,從而促進患者的健康參與,並在日常生活中進行有效的自我管理,最終改善其健康結果。

研究方法:本研究採用隨機對照試驗設計,實驗組接受為期三個月的智慧健康照護體驗學習計劃,而對照組則接受一般照護。研究在三個時間點收集資料:介入前、介入後及介入後三個月,對參與者的eHL、健康參與度及電子健康照護技術的使用情況進行評估。研究結果採用廣義估計方程(generalized estimating equation, GEE)方法進行意向性治療分析(intention to treat analysis, ITT)。

研究結果: 本研究共招募了92名參與者(每組46名),其中86人完成介入和後續評估,平均年齡為62.38歲。結果顯示,實驗組在介入後的eHL得分顯著高於對照組(β = 19.94, SE = 3.52, P < .001),健康參與度(β = 0.28, SE = 0.13, P = .037)及電子健康照護技術使用情況(β = 3.96, SE = 0.42, P < .001)也有顯著提升,改善在介入後三個月內依然保持顯著。

結論 智慧健康照護體驗學習計劃能顯著提升第二型糖尿病患者的eHL、健康參與度以及健康科技的使用情況,透過體驗學習促使病患使用健康科技具正向態度,提升智慧健康照護的知能,促進自我健康責任與自我管理行為我照護能力,這也為健康科技導入持續性整合照護中,提供以患者為中心照護之實證依據。未來可在臨床實務上運用體驗學習計劃,可以更有效地促使病患與家屬應用健康科技,提升慢性病管理成效。


4.陳紀雯教授
  • 論文題目:Effects of parents’ voice on reducing heel puncture pain in high-risk newborns: A randomized controlled trial
  • 期刊:Nursing in Critical Care
  • 作者:通訊作者-陳紀雯
  • 論文摘要:
  • Both maternal and paternal voices can stabilize high-risk newborns’ heart and respiratory rates.
  • Exposure to maternal and paternal voices significantly alleviated pain among high-risk newborns.
  • Slower speech and high voices are more effective.
5.陳紀雯教授
  • 論文題目:Health-promoting lifestyle and life satisfaction in full-time employed adults with congenital heart disease: Grit as a mediator
  • 期刊:European Journal of Cardiovascular Nursing
  • 作者:通訊作者-陳紀雯
  • 論文摘要:
  • Knowledge of health-promoting lifestyle and grit may serve as useful indicators of life satisfaction for full-time employed adults with congenital heart disease.
  • Patients can be assisted in identifying how appropriate health-promoting lifestyles positively influence life satisfaction through the mediation of grit.
  • As congenital heart disease programmes develop educational and psychological initiatives, they can incorporate techniques that enhance grit among individuals.

6.邱愛富教授
  • 論文題目:Factors associated with sleep quality in patients undergoing cardiac surgery: A longitudinal study
  • 期刊:Nursing in Critical Car
  • 作者:通訊作者-邱愛富
  • 論文摘要:
Poor sleep quality is associated with multiple factors in cardiac surgery patients. The aim of this study is to examine the trajectory of sleep quality and its associated factors over 3 months in Taiwanese patients undergoing cardiac surgery. This longitudinal study enrolled 95 patients undergoing cardiac surgery in northern Taiwan. Sleep quality was measured using the Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale before surgery, at discharge, and at 1 month and 3 months postsurgery.

Main findings: The majority of participants reported poor sleep quality before cardiac surgery (76.8%) and at discharge (81.6%), and they showed significant improvements in sleep quality at 1 month and 3 months postsurgery. Significant daytime sleepiness was reported by 25.3% of patients before cardiac surgery, and this proportion significantly decreased at 3 months postsurgery. The significant predictors of sleep quality in cardiac surgery patients were symptom distress, sleep medications, occupation, left ventricular ejection fraction, ACE-I drugs and potassium ions, which explained 53.7% of the total variance in sleep quality.

Relevance to Clinical Practice: poor sleep quality was common in patients undergoing cardiac surgery and was associated with multiple factors, including symptom distress, cardiac function, medications, and psychosocial and environmental factors. Patient education on symptom management, medication adherence and sleep hygiene are suggested to improve sleep quality in patients undergoing cardiac surgery.


7.陳律言助理教授
  • 論文題目:The Impact of Relocation Patterns on Psychological Stress
  • 期刊:Psychological Science
  • 作者:通訊作者-陳律言
  • 論文摘要:
本篇主題為針對莫拉克風災的1,236戶的受災家庭,在災後可能受到的心理壓力,進行長達10年追蹤的縱貫研究,意在探討遭遇重大天災後,搬遷模式對於人們的影響。
在採用階層線性模式(hierarchical linear modeling, HLM)分析後發現幾項因素對於人們的壓力有明顯影響,包含環境、文化、家庭等…以及不同的搬遷模式。研究發現那些在災後迅速找到穩定住所的災民,雖然在初始階段的心理壓力相對較低,但長期來看,他們的心理壓力會逐漸上升,最後變得相對地較高。相反的,經過幾年才找到穩定居所的災民,剛開始會承受相對較高的心理壓力,但長期下來,壓力則相對地較低。這也可以讓我們在照護上重新思考,不同搬遷樣態的災民,在不同的階段會面臨的不同的身心壓力。