6 results on '"Jojo Yan Yan Kwok"'
Search Results
2. Acupressure can reduce preoperative anxiety in adults with elective surgery: A systematic review and meta-analysis of randomised controlled trials
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Wenxuan Xie, Fen Ye, Xinyi Yan, Mengyao Cao, Mu-Hsing Ho, Jojo Yan Yan Kwok, and Jung Jae Lee
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General Nursing - Published
- 2023
3. Symptom Burden and Unmet Support Needs of Patients With Parkinson's Disease: A Cross-Sectional Study in Asia-Pacific Regions
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Jarugool Tretriluxana, Man Auyeung, Jojo Yan Yan Kwok, Chia Chin Lin, Tsai Wei Huang, Helen Y.L. Chan, and Pui Hing Chau
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Male ,medicine.medical_specialty ,Palliative care ,Referral ,Cross-sectional study ,Taiwan ,Disease ,Southeast asian ,03 medical and health sciences ,0302 clinical medicine ,Quality of life (healthcare) ,Surveys and Questionnaires ,Humans ,Medicine ,Outpatient clinic ,030212 general & internal medicine ,General Nursing ,Aged ,business.industry ,Health Policy ,Parkinson Disease ,General Medicine ,Middle Aged ,Thailand ,Cross-Sectional Studies ,Family medicine ,Quality of Life ,Hong Kong ,Female ,Geriatrics and Gerontology ,business ,Psychosocial ,030217 neurology & neurosurgery - Abstract
Objectives Support care is rarely assessed and offered to people with long-term neurologic conditions, particularly Parkinson's disease. This study aimed to assess the symptom burden and unmet support care needs in people with mild to severe Parkinson's disease. Design Cross-sectional study. Setting and Participants Patients with Parkinson's disease were recruited from neurologic outpatient clinics from 3 East and Southeast Asian regions, including Hong Kong, Taiwan, and Thailand. Methods A standardized set of questionnaires assessing unmet care needs [Palliative care Outcome Scale (POS)], disease-specific symptom burden (POS–Symptoms–Parkinson's Disease), generic health-related quality of life (HRQOL) (EQ-5D-3L), and sociodemographic and clinical background. Results Completed questionnaires (n = 186) were collected from 64 Hong Kong Chinese, 64 Taiwanese, and 58 Thai patients. Their mean age was 67.23 ± 8.07, 54% were female, and 80% had mild-to-moderate disease. Their mean POS score was 10.48 ± 6.38, indicating moderate unmet support needs. Two-thirds of the participants rated constipation, fatigue, leg problem, and daytime somnolence as the most prevalent and burdensome symptoms. Patients from Hong Kong and Taiwan prioritized psychosocial and spiritual support, whereas Thai patients prioritized physical needs and emotional concerns. Multivariate adjustment for demographics and clinical characteristics showed that high psychological, spiritual, and practical burdens are associated with young age, male gender, and advanced disease stages. Conclusions and Implications Patients experience significant symptom burden and moderate unmet support needs at the early to middle stage of Parkinson's disease. Routine assessment of changes in symptom burden should start early. The timely referral of support care services should provide appropriate psychospiritual and practical support in addition to motor training. Planning for support care services should consider cultural and health service contexts.
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- 2021
4. The effects of advance care planning intervention on nursing home residents: A systematic review and meta-analysis of randomised controlled trials
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Alina Yee Man Ng, Naomi Takemura, Xinyi Xu, Robert Smith, Jojo Yan-yan Kwok, Denise Shuk Ting Cheung, and Chia Chin Lin
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Death ,Advance Care Planning ,Terminal Care ,Caregivers ,Humans ,General Nursing ,Aged ,Nursing Homes ,Randomized Controlled Trials as Topic - Abstract
Advance care planning is a communication and decision-making process during which people express their wishes for future healthcare and treatment decisions. Advance care planning is particularly relevant to frail older adults. Recently, more advance care planning interventions have been implemented in nursing homes using randomised controlled trial approaches; however, no meta-analysis has been performed evaluating and synthesising the effect of advance care planning in nursing homes.To determine the effect of advance care planning interventions on end-of-life outcomes in nursing home populations.Systematic review and meta-analysis of randomised controlled trials.Medline, EMBASE, Cochrane Library, Medical database, British Nursing Index, PsycInfo and CINAHL Plus from inception to March 2021.Randomised controlled trials or cluster randomised controlled trials implementing advance care planning interventions in nursing homes, and studies reporting end-of-life outcomes and published in English were included. Studies in which advance care planning was part of a more comprehensive intervention were excluded. The outcomes were evaluated using pooled odds ratios (ORs) or standardised mean differences (SMDs) with random-effects meta-analysis models. A meta-regression was performed to evaluate the heterogeneity of the included studies. The Cochrane Risk of Bias Tool 2.0 was used to assess the methodological quality of the included studies.Nine trials were identified with 2905 participants, with sample sizes ranging from 87 to 1292. The number of nursing homes involved ranged from 1 to 64. The types of advance care planning intervention differed, with most studies adopting formal education or training for nursing home staff, while the remainder adopted train-the-trainer approaches. The quality of the included studies varied, with two out of nine scoring low in overall risk of bias. Our comprehensive meta-analysis indicated with moderate heterogeneity that advance care planning interventions significantly increased the documentation of end-of-life care preferences (OR = 1.95, 95% CI: 1.64, 2.32), but not satisfaction with end-of-life care from families' perspectives (SMD = 0.08, 95% CI: -0.08, 0.23). The meta-regression did not identify any variables in advance care planning interventions to explain the heterogeneity.Advance care planning intervention yielded beneficial effects in nursing home residents by increasing the number of documented end-of-life care wishes but demonstrated no effect on satisfaction with end-of-life care from family caregivers' perspectives. This review highlights the need for more rigorously designed implementation studies to examine the effects of advance care planning interventions on healthcare outcomes among frail older adults in nursing homes.
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- 2022
5. Effects of mind–body exercises on the physiological and psychosocial well-being of individuals with Parkinson's disease: A systematic review and meta-analysis
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Helen Y.L. Chan, Jojo Yan Yan Kwok, and Kai Chow Choi
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Complementary and Manual Therapy ,medicine.medical_specialty ,Mind–body problem ,Population ,Alternative medicine ,Subgroup analysis ,Cochrane Library ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Randomized controlled trial ,law ,Humans ,Medicine ,030212 general & internal medicine ,education ,Exercise ,Aged ,Randomized Controlled Trials as Topic ,Advanced and Specialized Nursing ,education.field_of_study ,Mind-Body Therapies ,business.industry ,Parkinson Disease ,Middle Aged ,Exercise Therapy ,Complementary and alternative medicine ,Meta-analysis ,Physical therapy ,business ,Psychosocial ,030217 neurology & neurosurgery - Abstract
The effects of mind-body exercises on individuals with chronic illnesses have attracted increasing attention. However, little effort had been made to systematically review the effects of these mind-body exercises on individuals with Parkinson's disease (PD). This review aimed to appraise the current evidence of the effects of mind-body exercises on the physiological and psychological outcomes for the PD population.Systematic review and meta-analysis of randomized controlled trials.Four English databases, namely, the EMBASE, Ovid Medline, Psych Info, and Cochrane Library, were searched on January 2016.Studies involving participants with idiopathic PD were included if mind-body exercises were applied and compared with a non-exercise control to improve physiological and psychosocial well-being. The Effective Public Health Practice Project quality assessment tool was used for quality appraisal. RevMan 5.3 was employed to perform this meta-analysis. A subgroup analysis regarding the types and the dose of intervention was conducted to explore the sources of heterogeneity.Ten studies met the inclusion criteria for quality appraisal. The overall methodological rating of these studies indicated that one study was strong; five studies were moderate; and four studies were weak. Nine articles comprising five Tai Chi, two yoga, and two dance studies were included in the meta-analysis. The results of this review showed that mind-body exercises had a large, significant beneficial effect in motor symptoms in terms of UPDRS III for people with mild to moderate PD [SMD=-0.91, 95% CI (-1.37, -0.45), p0.05]. Significant subgroup differences were found among various types of mind-body exercises (p=0.001). Yoga demonstrated the largest and most significant beneficial effect in reducing UPDRS III scores [SMD=-2.35, 95% CI (-3.21, -1.50), p0.01]. The pooled meta-analysis results showed that mind-body exercises had a large, significant effect in improving postural instability in terms of the Berg Balance Scale [SMD=1.48, 95% CI (0.91, 2.06), p0.01] and Timed Up and Go test [SMD=-0.97, 95% CI (-1.46, -0.47), p0.01] and moderate, significant effect in improving functional mobility in terms of the Six-minute Walk test [SMD=0.78, 95% CI (0.35, 1.21), p0.05].This review found that mind-body exercises demonstrated immediate moderate to large beneficial effects on motor symptoms, postural instability, and functional mobility among individuals with mild to moderate PD. However, the effects of mind-body exercises on psychosocial well-being had not been amply investigated, especially for yoga intervention. Future research should address the psychosocial effects of mind-body exercises on the PD population.
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- 2016
6. Effectiveness of aerobic exercise and mind-body exercise in cancer patients with poor sleep quality: A systematic review and meta-analysis of randomized controlled trials
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Jojo Yan Yan Kwok, Tai Chung Lam, Chia Chin Lin, Wen Deng, Denise Shuk Ting Cheung, Robert Smith, Jingxia Lin, Naomi Takemura, and Ka Yan Ho
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Patients ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,Quality of life ,law ,Neoplasms ,Sleep Initiation and Maintenance Disorders ,Physiology (medical) ,medicine ,Humans ,Aerobic exercise ,Medical prescription ,Exercise ,Randomized Controlled Trials as Topic ,Mind-Body Therapies ,business.industry ,Cancer ,medicine.disease ,Confidence interval ,030228 respiratory system ,Neurology ,Strictly standardized mean difference ,Meta-analysis ,Quality of Life ,Physical therapy ,Neurology (clinical) ,business ,030217 neurology & neurosurgery - Abstract
Summary Exercise has promising effects on sleep disturbances and quality of life among cancer patients. Aerobic exercises (AE) and mind-body exercises (MBE) have different mechanisms for improving sleep, but whether they are effective remains unclear. This systematic review and meta-analysis is the first to examine the effectiveness of AE and MBE on sleep outcomes, specifically among cancer patients with sleep disturbances. A systematic search of several databases, from inception to January 2018, was conducted. The pooled effect sizes suggested that both AE (standardized mean difference (SMD) = 0.33, 95% confidence intervals (CI): 0.11, 0.54) and MBE (SMD = 0.18, 95% CI: 0.06, 0.30), improved sleep outcomes in cancer patients with poor sleep quality post-intervention. The effects remained significant after 3–6 months for AE, but not MBE. Due to the heterogeneity in AE, future studies should establish the optimal AE prescription. For MBE, future research should study essential components that make the intervention effect sustainable.
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- 2020
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