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Your search keyword '"Mei-Ling Shih"' showing total 3 results
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3 results on '"Mei-Ling Shih"'

1. Social support as a mediator between sleep disturbances, depressive symptoms, and health-related quality of life in patients undergoing hemodialysis.

Author

Kuei-Ching Pan, Shih-Yuan Hung, Chun-I Chen, Chu-Yun Lu, Mei-Ling Shih, and Chiung-Yu Huang

Subjects
Medicine, Science
Abstract

BackgroundThe hemodialysis regimen is an inevitable and mandatory treatment for patients with end-stage renal disease (ESRD). During the dialysis journey, patients may experience maladaptation in terms of sleep disturbances, depressive symptoms, and reduced health-related quality of life (HRQOL). Psychosocial resources such as social support may have beneficial influences on health outcomes, but studies have rarely analyzed the integrated relationships among risk factors which include pain, sleep disturbances, duration since diagnosis and various health outcomes in Taiwan. This study aimed to bridge this gap by investigating the relationships among related risk factors, social support, sleep disturbances, depressive symptoms, and HRQOL, which is composed of physical quality of life (PQOL) and mental quality of life (MQOL), in ESRD patients.MethodA correlational design was used, and 178 patients aged 20 years or older were recruited via convenience sample. The relationships among the risk factors, the mediators, depressive symptoms, PQOL, and MQOL were analyzed using structural equation modeling.ResultsThe findings showed that more than 70% of the participants reported poor sleep quality, and 32% reported depressive symptoms. When participants had greater pain and more sleep disorders, they were more likely to be depressed. When participants had more appraisal support; they had better PQOL and fewer depressive symptoms. Overall, the structural equation model explained 31.8% of the variance in self-reported depressive symptoms, 29.4% of the variance in PQOL, and 5.7% of the variance in MQOL. Moreover, appraisal support enhanced PQOL and reduced depressive symptoms by exerting its two mediating effects on sleep disturbances.ConclusionOur findings indicate that patients with ESRD who have more social support have better PQOL and MQOL and fewer depressive symptoms than those with less social support.

Published
2019
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2. Establishment of a Comprehensive Inpatient Suicide Prevention Network by Using Health Care Failure Mode and Effect Analysis

Author

Po-Feng Yen, Ying-Jhu Wang, Yang-Chin Chang, Te-Chang Changchien, Yu-Ting Cheng, Yu-Hui Huang, Mei-Ling Shih, Reng-Sheng Ju, and Yung-Chieh Yen

Subjects
Suicide Prevention, Quality management, Taiwan, Psychological intervention, Hospitals, General, Suicide prevention, Consultation rate, 03 medical and health sciences, Patient safety, 0302 clinical medicine, Health care, Humans, Medicine, Healthcare Failure Mode and Effect Analysis, 030212 general & internal medicine, General hospital, Referral and Consultation, Inpatients, business.industry, medicine.disease, Quality Improvement, 030227 psychiatry, Suicide, Psychiatry and Mental health, Medical emergency, business, Failure mode and effects analysis
Abstract

Inpatient suicide is a common sentinel event. However, evidence supporting effective inpatient suicide prevention measures is currently lacking. In this project, health care failure mode and effect analysis was used in a general hospital quality improvement process to identify suicide risk and reduce inpatient suicide behavior. Interventions were designed to improve steps in the process with the highest risk of failure, resulting in significantly higher consultation rates and reduction of attempted suicide.

Published
2019
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3. Resilience and coping styles as predictors of health outcomes in breast cancer patients: A structural equation modelling analysis

Author

Mei-Ling Shih, Chiung-Yu Huang, Chun-I Chen, Chao-Ming Hung, and Hui-Ling Lai

Subjects
Adult, Sleep Wake Disorders, Coping (psychology), Taiwan, Breast Neoplasms, Anxiety, Health outcomes, Structural equation modeling, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Breast cancer, Psychological adaptation, Adaptation, Psychological, medicine, Prevalence, Humans, Marriage, Depressive symptoms, Aged, Neoplasm Staging, business.industry, Depression, Avoidance coping, Age Factors, Middle Aged, Resilience, Psychological, medicine.disease, Oncology, Latent Class Analysis, 030220 oncology & carcinogenesis, Income, Educational Status, Female, medicine.symptom, business, Clinical psychology
Abstract

Introduction Resilience has been associated with psychological adaptation to many threatening life events, but previous studies have rarely analysed the integrated relationships among demographic and disease characteristics and various health outcomes in Taiwan. This study examined the associations among demographic factors, disease characteristics, resilience, coping styles and adverse health outcomes, including anxiety and depressive symptoms and sleep disorders. Methods A descriptive, cross-sectional study design was used. Data from a convenience sample of 175 patients with breast cancer aged 20 years or older were collected using a self-reported questionnaire. A structural equation modelling approach was applied to examine the relationships among the variables. Results The results showed that greater resilience was related to fewer depressive symptoms, lower anxiety levels and better sleep quality. All three coping styles, including active coping, minimising the situation and avoidance coping, were negatively correlated with depressive symptoms, but only active coping was significantly correlated with sleep quality. Resilience had a direct effect on depressive symptoms, anxiety and sleep disorders. Furthermore, a mediating effect of resilience was observed on the relationship between marital satisfaction and depressive symptoms. Conclusion Resilience can strengthen breast cancer-related adaptation. Additionally, breast cancer survivors who used mainly the active and minimising coping styles tended to experience fewer depressive symptoms.

Published
2018

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