Publications by authors named "Sheila Twinn"
Background: Theories of health behavior and empirical research highlight the risk perception as a significant factor for people adopting cancer screening. However, screening uptakes and risk perception of cervical cancer in mainland Chinese women remains unknown.
Objective: This paper adopted the protection motivation theory (PMT) to examine Chinese women's knowledge and perceptions of cervical cancer risk and factors influencing utilization of cervical screening.
Background: The existing knowledge on fatalism in the field of cancer has arisen largely from the cancer prevention and screening literature. Little is known about the role of fatalism in cancer survivorship, particularly within Chinese population.
Objective: This study aimed to explore the role of fatalism in coping with breast cancer survivorship in Chinese women.
Aims: To explore Chinese baccalaureate-prepared nurses' perceptions of the concept and practices of clinical decision-making.
Background: Clinical decision-making is an integral part of nursing practice. Several studies have explored the experiences and factors which influence nurses' clinical decisions and these have recognised the cultural impact.
Objective: This study evaluated the effects of a home-based rehabilitation program for Chinese patients with myocardial infarction in terms of health-related quality of life and psychological status.
Methods: This was a randomized, controlled trial with data collected at 2 university-affiliated public general hospitals in Xian (Shaanxi Province, People's Republic of China). One hundred and sixty patients with a myocardial infarction were randomly assigned to either the interventional group (a home-based cardiac rehabilitation program using a self-help manual) or the control group (usual care).
Aim: To identify omissions in hand hygiene practice and glove use among hospital workers in Hong Kong.
Background: Hospital-acquired infection is the commonest complication affecting hospitalised patients. Even though research evidence suggests that hand hygiene and proper glove use are the most important ways to prevent the spread of disease and infection, compliance with both are reported to be unacceptably low.
Aim And Objective: The primary aim was to examine the prevalence of poststroke depression in Chinese stroke survivors six months after discharge from a rehabilitation hospital. A second aim was to determine whether six-month poststroke depression was associated with psychological, social and physical outcomes and demographic variables.
Background: There has been increasing recognition of the influence of depression on poststroke recovery.
Background: Accurate information and knowledge about cervical cancer and screening importantly influence women's cervical screening participation. Sexual behavior plays a crucial role in human papillomavirus transmission and the subsequent development of cervical cancer. Indeed, the uptake of cervical screening among Chinese women is relatively low compared with other populations.
View Article and Find Full Text PDFAim: This paper is a report of a study conducted to examine self-reported adherence to a therapeutic regimen for continuous ambulatory peritoneal dialysis.
Background: Studies of patients' adherence during dialysis have primarily focused on haemodialysis and have frequently yielded inconsistent results, which are attributed to the inconsistent tools used to measure adherence. Levels of adherence to all four components of the therapeutic regimen (i.
A range of quality of life (QOL) measurements specific for people living with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) are available. They were, however, developed before or at about the time of introducing highly active antiretroviral therapy (HAART) and there has been very little measurement developed from a Chinese perspective. A study was therefore undertaken and we report our findings of the first phase, in which Chinese people living with HIV/AIDS in Hong Kong were asked to explain their perceptions of QOL so as to identify their construct of QOL using a qualitative approach.
View Article and Find Full Text PDFPurpose: To establish baseline data in a population of young Chinese women from which lifestyle risk factors for cardiovascular disease (CVD) and the implications for long-term cardiovascular health can be examined.
Methods: In a cross-sectional postal survey, a 125-item questionnaire (a translated version of the Minnesota Women's Health Survey) assessing lifestyle risk factors and perceptions of health was mailed to 987 Hong Kong Chinese nurses aged 26 years and returned by 617, yielding a response rate of 63%.
Results: Of the women surveyed, 7% reported they smoked, 21% consumed alcohol regularly, and 32% exercised regularly.
Aim: To explore Chinese health care professionals' perceptions of cardiac rehabilitation for patients with coronary heart disease in mainland China.
Background: Coronary heart disease is a rapidly growing major health problem in mainland China and little is known about the current provision of rehabilitation for this population.
Design: A qualitative study.
Background: Apart from promoting physical recovery and assisting in activities of daily living, a major challenge in stroke rehabilitation is to minimize psychosocial morbidity and to promote the reintegration of stroke survivors into their family and community. The identification of key factors influencing long-term outcome are essential in developing more effective rehabilitation measures for reducing stroke-related morbidity. The aim of this study was to test a theoretical model of predictors of participation restriction which included the direct and indirect effects between psychosocial outcomes, physical outcome, and socio-demographic variables at 12 months after stroke.
View Article and Find Full Text PDFAim: To evaluate further the psychometric properties of the Chinese version of the Hospital Anxiety and Depression Scale (HADS) as a screening instrument for anxiety and depression in Chinese patients with coronary heart disease in Xian, China.
Background: There is considerable evidence that anxiety and depression are common in patients with coronary heart disease (CHD) and are associated with increased morbidity and mortality. A valid, reliable and sensitive screening tool that can be used readily on this group of patients would be useful for assessment, intervention and outcome evaluation.
Aim: To evaluate further the psychometric properties of the Chinese version of the Hospital Anxiety and Depression Scale (HADS) as a screening instrument for anxiety and depression in Chinese patients with coronary heart disease (CHD) in Xian, China.
Background: There is considerable evidence that anxiety and depression are common in patients with CHD and are associated with increased morbidity and mortality. A valid, reliable and sensitive screening tool that can be used readily on this group of patients would be useful for assessment, intervention and outcome evaluation.
Effect of music on procedure time and sedation during colonoscopy: a meta-analysis.
World J Gastroenterol
September 2008
Aim: To integrate results from different studies in examining the effectiveness of music in reducing the procedure time and the amount of sedation used during colonoscopic procedure.
Methods: An electronic search in various databases was performed to identify related articles. Study quality was evaluated by the Jadad's scale.
Clinical encounter experiences of patients with nasopharyngeal carcinoma.
Integr Cancer Ther
March 2008
Nasopharyngeal carcinoma (NPC) is a commonly occurring cancer among Hong Kong Chinese, especially in the relatively young population group. Since the disease carries a favorable prognosis, sequelae following treatment have become an important concern for patients suffering from NPC, particularly because of the strong interplay of psychological, social, and biological issues during their rehabilitation. In this qualitative study, in-depth, semistructured audiotaped interviews were undertaken with 32 patients receiving rehabilitation at the physiotherapy department of a regional teaching hospital in Hong Kong.
View Article and Find Full Text PDFAim: This paper is a report of a study to explore Chinese patients' and partners' experiences during early convalescence from a first heart attack.
Background: There are important socio-cultural differences between Chinese and western populations and comparatively little is known about the experiences of Chinese patients and partners living with a first heart attack.
Method: A qualitative study using focus groups was conducted in 2005 with 17 Chinese patients and their partners during convalescence from a first heart attack.
Stoma patients are vulnerable to poor psychosocial health outcomes owing to the loss of an important bodily function and the distortion of their self-image. We used a cross-sectional, descriptive, and correlational design to investigate the relationship between self-efficacy and quality of life of stoma patients in Hong Kong and to examine the association between self-efficacy and stoma patients' sociodemographic characteristics. Using a convenience sampling method, 96 patients (mean age, 64 years) were recruited from 2 acute hospitals.
View Article and Find Full Text PDFAim: This paper is a report of a study to examine attitudes towards life-sustaining treatment in family caregivers of older Chinese people with dementia.
Background: Deferring decisions about life-sustaining treatments to surrogate decision-makers is common among older people with dementia. However, surrogate decision-makers frequently lack knowledge about disadvantages and benefits of treatments and do not understand the principles of surrogate decision-making.
Aim And Objectives: The aim of this study was to examine the sleep experiences of older patients during a period of hospitalization on an extended care ward.
Background: Hospital wards have been demonstrated as environments that are not conducive to sleep for patients. Findings highlight the difficulties of falling asleep and getting insufficient sleep as the major causes of sleep disturbances.
Aims: The aim of this study was to identify the major stressors affecting Chinese adults whose partner had been admitted to an intensive care unit and to understand the major coping strategies employed to manage such stressors.
Background: Recently a greater number of patients of higher acuity have been admitted to intensive care units and survive lengthy illnesses of an unpredictable course. Such critical illnesses have been identified as a major life event to family members of these patients.
Aims And Objectives: The aims of this study were to examine the responses of Hong Kong Chinese women receiving an abnormal smear result and to compare any differences in responses depending on the diagnosis of the abnormal smear.
Background: The implementation of cervical screening programmes has resulted in an increasing number of women receiving an abnormal smear result requiring cytological surveillance or referral for colposcopy. Evidence suggests that women frequently misunderstood such results, believing that they already have cancer.
In this study, we examined Chinese nursing students' attitudes toward and use of traditional Chinese medicine (TCM). Survey questionnaires were distributed to 439 nursing students, 263 of whom (60%) returned them. Of the respondents, 92% had used TCM, while 48% had used TCM at least once during the previous year.
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