Publications by authors named "Li-Hwa Lin"

Article Synopsis
  • Researchers looked into how well ChatGPT, a type of smart computer program, helps nursing students study for their exams.
  • * The study checked how accurately ChatGPT answered questions from Taiwan's nursing licensing exam and what made some questions harder for it.
  • * ChatGPT got about 80.75% of the answers right overall, but it did better on General Medicine questions than on others like Basic Nursing.
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Article Synopsis
  • The study explored how self-perceived quality of transitional care affects recovery in patients with strokes and fractures, using the Care Transition Measure (CTM-15) to assess care quality before discharge.
  • It found that better self-reported care quality was linked to improved abilities in daily living activities shortly after leaving the hospital.
  • The results highlighted the necessity of tailoring transitional care strategies to meet the diverse needs of different patient groups, rather than applying a uniform approach for all.
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Aim: This study aimed to develop a video-based advance care planning intervention, and examine the effectiveness of the intervention on knowledge, behavioral intentions and advance directive signing among older patients admitted to a geriatric unit in Taiwan.

Methods: This randomized controlled trial was carried out in two geriatric wards of a medical center in northern Taiwan, between June 2014 and June 2015. The participants were randomly assigned to the intervention (n = 39) or control (n = 43) group.

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Article Synopsis
  • The study developed and evaluated a risk management tool based on the LACE predictive score to help reduce hospital readmissions in long-term home care patients.
  • A before-and-after study in a Taiwanese LTHC unit showed a significant 44.7% reduction in readmission rates after implementing this tool.
  • While the LACE model's predictive performance needs improvement, it demonstrated good clinical utility with a negative predictive value of 87.9%, especially benefiting patients with infection-related readmissions.
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Surrogates often do not accurately predict older people's preferences about end-of-life (EOL) care. Few studies have examined the impact of advance care planning (ACP) on EOL decision-making consistency between older people and their surrogates, and these studies have yielded conflicting results. To evaluate the effectiveness of ACP in improving EOL decision-making consistency between older people and their surrogates.

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Aims And Objectives: To track changes in patients' knee function, walking ability and quality of life (QOL) before and after knee arthroplasty surgery and explore factors that influenced these parameters.

Background: The number of days as an inpatient for those who undergo joint replacement operations has been greatly reduced in recent years. However, it remains unclear whether shortening the inpatient time has affected patients' recovery or their QOL.

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Background: Almost 80% of patients in the intensive care unit are intubated and on mechanical ventilation. Thus, their airway clearance ability is compromised and their risk of lung collapse increased. A variety of interventions are used to enhance airway clearance with the goal of preventing atelectasis and infection.

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This randomized, controlled study employed two feeding protocols for 107 participants in two intensive care units (ICUs) of a medical center to investigate the efficacy of intermittent nasogastric (NG) feeding in preventing aspiration pneumonia in critically ill patients on ventilators. The participants were randomly assigned to receive continuous (51 patients) or intermittent (56 patients) feeding. The primary outcomes, including gastric emptiness index and pulmonary aspiration index, were examined on Day 0 and Day 7 of the intervention.

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