Your browser does not support JavaScript!
認知及行為指標研究團隊及認知與社會行為評估核心實驗室

認知及行為指標研究團隊及認知與社會行為評估核心實驗室

 

主持人: 徐亞瑛教授

研究專長:失能老人及其家庭照顧者之照護、失能老人(中風、髖關節骨折、失智症患者)及其照顧者之過渡期照護、質性研究

 

研究團隊成員:

徐亞瑛教授、黃子庭教授、邱逸榛副教授、裴育晟醫師、趙一平博士、林仲志副教授、黃秀梨副教授、徐文俊醫師

 

研究架構圖:

 

研究計畫:

 

說明

本研究團隊研究主軸,包括認知及行為指標的發展、測量、評估與診斷;並探討老化及疾病/失能對認知及行為指標的影響,及介入措施如何改變認知及行為指

標等。最終將以美國及日本之群體老化資料庫進行跨國比較分析。

背景

認知及行為層面的變項是老化過程中重要的指標,對新世紀的老年人來講,認知功能的衰退及相關行為改變是重要的健康問題,不只會影響到老年人的生活品質,有一大部分可能進展到失智症(dementia)。研究顯示,區分老化及疾病造成的認知功能與行為之改變,能協助疾病的診斷及發展適當的介入措施,而延緩失智的產生及進展,對整個社會人力及經濟負荷的減輕有非常顯著的助益。

目的

本群體計劃的主軸為「老化過程之認知及行為指標」,主要目的為:

(1)發展認知及行為指標以利測量、評估與診斷;

(2)探討老化及疾病/失能對認知及行為指標的影響;

(3)決定失智症處理與認知訓練等介入措施對改變認知及行為指標之成效。

方法

()認知及行為指標的測量、評估與診斷部分,除相關量表的測試之外,將藉著影像及資訊科技,發展更精確及更全面性的評估診斷工具,包括林仲志教授,發展智慧型老化認知及行為資訊分析及偵測系統。資工系趙一平博士,發展認知功能缺損及失智症的磁振造影生物指標。此外,失智症中心徐文俊醫師團隊,對認知功能缺損及失智症患者之早期診斷、治療及長期性追蹤。()老化及疾病/失能對認知和行為指標的影響部分,將藉由對不同健康及失能、疾病狀況老人的認知與行為指標,做長期的追蹤,進一步瞭解健康及疾病對這些指標的影響,此部分的子計劃包括:護理系黃子庭教授針對社區老人功能喪失及認知/行為指標改變的過程;護理系徐亞瑛教授探討髖關節骨折對老人認知/行為指標長期的影響;邱逸榛副教授針對認知缺損及失智症患者之預想記憶與回想記憶進行評估、測量。()介入措施如何改變認知/行為指標部分,藉由不同的介入醫療及照護方式,探討對認知功能缺損的老人,在接受這些介入措施後,認知/行為指標的改變,此部分的子計劃包括林仲志教授探討遊戲方塊對認知功能的影響;復健科裴育晟醫師及資工系趙一平博士,探討音樂對失智症患者認知/行為指標改變的成效;護理系邱逸榛副教授,探討照護管理模式對失智症患者的照護成效;徐亞瑛教授探討跨專業照護模式對老年病患創傷後認知功能的影響;黃子庭教授探討運動對社區老人認知功能的影響。此外,護理系黃秀梨博士探討末期失智症照護之成效。

 

主要成果 

【論文】2013-2016

      1.    Kuo LM, Huang HL, Hsu WC, Shyu YIL*. (in press). Home-based caregiver training: benefits differ by care receivers' dementia diagnosis. Geriatric Nursing. (SCI, SSCI)

      2.    Tseng MY, Liang J, Shyu YI*, Wu CC, Cheng HS, Chen CY, Yang SF. (2016). Effects of interventions on trajectories of health-related quality of life among older patients with hip fracture: a prospective        

             randomized controlled trial. BMC Musculoskeletal Disorders, 17(1), 114. (SCI)

      3.    Kuo WY, Shyu YI*, Wang JS, Chen MC, Wu CC, Huang YF. (2016). The impact of sleep duration on recovery post-hip fracture among older diabetic adults in Taiwan. Geriatric Nursing, 37(2), 137-144. (SCI,

             SSCI)

      4.    Shyu YI, Liang J, Tseng MY, Li HJ, Wu CC, Cheng HS, Chou SW, Chen CY, Yang CT. (2016). Enhanced interdisciplinary care improves self-care ability and decreases emergency department visits for older

             Taiwanese patients over 2 years after hip-fracture surgery: a randomised controlled trial. International Journal of Nursing Studies, 56, 54-62. (SCI, SSCI)

      5.    Wang HP, Liang J, Kuo LM, Shyu YIL*. (in press). Trajectories of nutritional status and cognitive impairment among older Taiwanese with hip fracture. Journal of Nurrition Health & Aging. (SCI).6.         

      6.    Huang TT, Yang SD, Tsai YH, Chin YF, Wang BH, Tsay PK. (2016). Effectiveness of individualised intervention on older residents with constipation in nursing home: a randomised controlled trial. Journal of

            Clinical Nursing, 24(23-24), 3449-3458. (SCI, SSCI)

      7.    Huang TT, Chung ML, Chen FR, Chin YF, Wang BH. (2016). Evaluation of a combined cognitive-behavioural and exercise intervention to manage fear of falling among elderly residents in nursing homes.

            Aging & Mental Health, 20(1), 2-12. (SCI)

      8.    Tseng WC†, Pei YC†, Wong AMK, Li HY, Fang TJ. (in press).Distinct disease and functional characteristics of thyroid-surgery-related vocal fold palsy. Thyroid. Equal contribution (SCI)

      9.    Soriano RG, Pei Y, Fang TJ. (in press). In-office hyaluronate injection laryngoplasty as palliative treatment for unilateral vocal fold paralysis. ORL-Journal for Oto-Rhino-Laryngology, Head and Neck

             Surgery. Equal contribution (SCI)

      10.  Chang WH, Fang TJ, Li HY, Jaw FS, Wong AM, Pei YC*. (2016). Quantitative electromyographic characteristics of idiopathic unilateral vocal fold paralysis. Laryngoscope. Advance online publication. doi:

             10.1002/lary.25944 (SCI)

      11.  Fang TJ, Pei YC*, Hsin LJ, Lin WN, Lee LA, Li HY, Wong AM. (2015). Quantitative laryngeal electromyography assessment of cricothyroid function in patients with unilateral vocal fold paralysis.

             Laryngoscope, 125(11), 2530-2535. (SCI)

      12.  Tseng MY, Shyu YL, Liang J*, Tsai WC. (2015). Interdisciplinary intervention reduced the risk of being persistently depressive among older patients with hip fracture. Geriatrics & Gerontology

             International. Advance online publication. doi: 10.1111/ggi.12617 Equal contribution (SCI, SSCI)

      13.  Chu PC, Liu HL, Lai HY, Lin CY, Tsai HC, Pei YC*. (2015). Neuromodulation accompanying focused ultrasound-induced blood-brain barrier opening. Scientific Reports, 5, 15477. (SCI)

      14.  Fang TJ, Hsin LJ, Chung HF, Chiang HC, Li HY, Wong AM, Pei YC*. (2015). Office-based intracordal hyaluronate injections improve quality of life in thoracic-surgery-related unilateral vocal fold paralysis.

            Medicine (Baltimore), 94(40), e1787. (SCI)

      15.  Wang CL, Shyu YL*, Wang JY, Lu CH. (2015). Progressive compensatory symbiosis: spouse caregiver experiences of caring for persons with dementia in Taiwan. Aging & Mental Health. Advance online

            publication. doi: 10.1080/13607863.2015.1081148 (SCI, SSCI)

      16.  Liu HY, Yang CT, Cheng HS, Wu CC, Chen CY, Shyu YI*. (2015). Family caregivers' mental health is associated with postoperative recovery of elderly patients with hip fracture: A sample in Taiwan. Journal

            of Psychosomatic Research, 78(5), 452-458. (SCI, SSCI)

      17.  Wang CM, Chen JY, Chuang CC, Tseng WC, Wong AM, Pei YC*. (2015). Aging-related changes in swallowing and in the coordination of swallowing and respiration determined by novel non-invasive

            measurement techniques. Geriatrics & Gerontology International, 15(6), 736-744. (SCI)

      18.  Chen CC, Chung CY, Lee TH, Chang WH, Tang SF, Pei YC*. (2015). Increased risk of posterior circulation infarcts among ischemic stroke patients with cervical spondylosis. Neuropsychiatric Disease and

            Treatment, 11, 273-278. (SCI)

      19.  Huang HL, Shyu YI*, Chen MC, Huang CC, Kuo HC, Chen ST, Hsu WC. (2015). Family caregivers' role implementation at different stages of dementia. Clinical Interventions in Aging, 10, 135-146. (SCI)

      20.  Pei YC, Fang TJ, Hsin LJ, Li HY, Wong AM. (2015). Early hyaluronate injection improves quality of life but not neural recovery in unilateral vocal fold paralysis: an open-label randomized controlled study.

             Restorative Neurology and Neuroscience, 33(2), 121-30. (SCI)

       21. Huang TT, Liu CB, Tsai YH, Chin YF, Wong CH. (2015). Physical fitness exercise versus cognitive behavior therapy on reducing the depressive symptoms among community-dwelling elderly adults: a

             randomized controlled trial. International Journal of Nursing Studies, 52(10), 1542-1552. (SCI, SSCI)

       22. 黃惠玲、徐亞瑛、徐文俊、黃慈心 (2015)。以能力為基礎的失智症衛教師訓練課程模式。長庚科技學刊,2323-34

       23. 邱逸榛、廖叙淳、彭立民、黃秀梨、林青蓉 (2015)。運用理論引導失智症家庭照顧者量裁式照護之經驗。長庚護理雜誌,26(4)503-512

       24. 蔡宜燕、劉彥君、李佳琳、楊月穎、邱逸榛* (2015)。口腔健康評估量表-非牙醫專業人員中文版發展與信效度檢定。長庚護理雜誌,26(4)400-409

       25.  Liu HY, Wang YN, Huang HL, Hsu WC, Lin YE, Huang TH, Shyu YI*. (2014). Psychometric properties of the finding a balance scale for family caregivers of elders with dementia in Taiwan. Research in

              Nursing & Health, 37(4), 336-346. (SCI, SSCI)

       26.  Wang HH, Sheu JT, Shyu YI, Chang HY, Li CL. (2014). Geriatric conditions as predictors of increased number of hospital admissions and hospital bed days over one year: Findings of a nationwide cohort of

               older adults from Taiwan. Archives of Gerontology and Geriatrics, 59(1), 169-174. (SCI)

       27.  Kuo LM, Huang HL, Hsu WC, Shyu YI*. (2014). Health-related quality of life and self-efficacy of managing behavior problems for family caregivers of vascular dementia and Alzheimer's disease patients.

              Dementia and Geriatric Cognitive Disorders, 38(5-6), 310-20. (SCI)

       28.  Liu HY, Tseng MY, Li HJ, Wu CC, Cheng HS, Yang CT, Chou SW, Chen CY, Shyu YI*. (2014). Comprehensive care improves physical recovery of hip-fractured elderly Taiwanese patients with poor

              nutritional status. Journal of the American Medical Directors Association, 15(6), 416-422. (SCI)

       29.  Yang CT, Liu HY, Shyu YI*. (2014). Dyadic relational resources and role strain in family caregivers of persons living with dementia at home: a cross-sectional survey. International Journal of Nursing Studies,

              51(4), 593-602. (SCI, SSCI)

       30.  Huang YF, Liang J, Shyu YI*. (2014). Ageism perceived by the elderly in Taiwan following hip fracture. Archives of Gerontology and Geriatrics, 58(1), 30-36. (SCI)

       31.  Chin YF, Liang J, Wang WS, Hsu BR, Huang TT*. (2014). The role of foot self-care behavior on developing foot ulcer in diabetic patients with peripheral neuropathy: a prospective study. International

               Journal of Nursing Studies, 51(12), 1568-1574. (SCI, SSCI)

       32.  Pei YC, Lee TC, Chang TY, Ruffatto D 3rd, Spenko M, Bensmaia S. (2014). A multi-digit tactile motion stimulator. Journal of Neuroscience Methods, 226, 80-87. (SCI)

       33.  Chiu YC, Lee YN, Wang PC, Chang TH, Li CL, Hsu WC, Lee SH. (2014). Family caregivers' sleep disturbance and its associations with multilevel stressors when caring for patients with dementia. Aging and

              Mental Health, 18(1), 92-101. (SCI, SSCI)

       34.  Chiu YC, Kolanowski AM, Huang CY, Lin LJ, Chang TH, Hsu KH, Hu CJ, Chen YJ. (2014). Leisure-time physical activity and neuropsychiatric symptoms of community-dwelling persons with cognitive

              impairment. Geriatric Nursing, 35(5), 345-350. (SCI, SSCI)

       35. Shyu YI, Tseng MY, Liang J, Tsai WC, Wu CC, Cheng HS. (2013). Interdisciplinary intervention decreases cognitive impairment for older Taiwanese with hip fracture: two-year follow-up. International

              Journal of Geriatric Psychiatry, 28(12), 1222-1231. (SCI, SSCI)

       36. Huang HL, Kuo LM, Chen YS, Liang J, Huang HL, Chiu YC, Chen ST, Sun Y, Hsu WC, Shyu YI*. (2013). A home-based training program improves caregivers' skills and dementia patients' aggressive

              behaviors: a randomized controlled trial. American Journal of Geriatric Psychiatry, 21(11), 1060-1070. (SCI, SSCI)

       37. Shao JH, Chang AM, Edwards H, Shyu YI, Chen SH. (2013). A randomized controlled trial of self-management programme improves health-related outcomes of older people with heart failure. Journal of

              Advanced Nursing, 69(11), 2458-2469. (SCI, SSCI)

       38. Chiu YC, Huang CY, Kolanowski AM, Huang HL, Shyu YL, Lee SH, Lin CR, Hsu WC. (2013).The effects of participation in leisure activities on neuropsychiatric symptoms of persons with cognitive

             impairment: a cross-sectional study. International Journal of Nursing Studies, 50(10), 1314-1325. (SCI, SSCI)

       39. Huang HL, Shyu YI*, Huang HL, Chen ST, Li HJ, Shiu MN, Pong MC. (2013). Factors associated with dementia care practices among community health nurses: Results of a postal survey. International

             Journal of Nursing Studies, 50(9), 1219-1228. (SCI, SSCI)

       40. Li HJ, Cheng HS, Liang J, Wu CC, Shyu YI*. (2013). Functional recovery of older people with hip fracture: does malnutrition make a difference? Journal of Advanced Nursing, 69(8), 1691-1703. (SCI, SSCI)

       41. Shyu YI, Liang J, Tseng MY, Li HJ, Wu CC, Cheng HS, Chou SW, Chen CY, Yang CT. (2013). Comprehensive and subacute care interventions improve health-related quality of life for older patients after

             surgery for hip fracture: a randomised controlled trial. International Journal of Nursing Studies, 50(8), 1013-1024. (SCI, SSCI)

       42. Kuo LM, Huang HL, Huang HL, Liang J, Chiu YC, Chen ST, Kwok YT, Hsu WC, Shyu YI*. (2013). A home-based training program improves Taiwanese family caregivers' quality of life and decreases their

             risk for depression: a randomized controlled trial. International Journal of Geriatric Psychiatry, 28(5), 504-513. (SCI, SSCI)

        43. Wang YN, Shyu YI*, Tsai WC, Yang PS, Yao G. (2013). Exploring conflict between caregiving and work for caregivers of elders with dementia: a cross-sectional, correlational study. Journal of Advanced

              Nursing, 69(5), 1051-1062. (SCI, SSCI)

        44. Shyu YI, Liang J, Tseng MY, Li HJ, Wu CC, Cheng HS, Yang CT, Chou SW, Chen CY. (2013). Comprehensive care improves health outcomes among elderly Taiwanese patients with hip fracture. The

              Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 68(2), 188-197. (SCI, SSCI)

        45. Huang LT, Wong AM, Chen CP, Chang WH, Cheng JW, Lin YR, Pei YC*. (2013). Global motion percept mediated through integration of barber-poles presented at bilateral visual hemifields. PLoS One, 8(8),

              e74032. (SCI)

        46. Pei YC, Chang TY, Lee TC, Saha S, Lai HY, Gomez-Ramirez M, Chou SW, Wong AM. (2013). Cross-modal sensory integration of visual-tactile motion information: instrument design and human

              psychophysics. Sensors (Basel), 13(6), 7212-7223. (SCI)

        47. Chin YF, Huang TT*, Hsu BR. (2013). Impact of action cues, self-efficacy, and perceived barriers on daily foot exam practice in type 2 diabetes mellitus patients with peripheral neuropathy. Journal of

              Clinical Nursing, 22(1-2), 61-68. (SCI, SSCI)

        48. Chin YF, Huang TT*. (2013). Development and validation of a diabetes foot self-care behavior scale. Journal of Nursing Research, 21(1), 19-25. (SCI, SSCI)

        49. Lao CL, Kuo YH, Hsieh YT, Chen JC*. (2013). Intranasal and subcutaneous administration of dopamine D3 receptor agonists functionally restores nigrostriatal dopamine in MPTP-treated mice. Neurotoxicity

              Research, 24(4), 523-531. (SCI)

        50.  郭玟佑、徐亞瑛* (2013)。運用長照資源協助腦中風家庭照顧者減輕其照顧負荷。長期照護雜誌,17(3)345-355

        51.  王靜琳、徐亞瑛 (2013)。運用家庭復原力模式於一位照顧非預期重覆住院失能老人家庭之護理經驗。慈惠學報,913-26

 

【專利】

1. 裴育晟:Memory consolidation enhancement device記憶固化提昇裝置

中華民國發明專利第M404440(2011/05/21)

2. 裴育晟:Multi-digit tactile motion stimulator觸覺運動刺激裝置

中華民國發明專利第I469774(2015/01/21)

中國發明專利2012 I0380518.3 (2014/07/09)

3. 林仲志:互動提問回答遊戲編輯系統及方法

中華民國發明專利第I475528(2015/03/01)

4. 林仲志:腦力開發或訓練之多面向感應裝置

中華民國發明專利第I515697(2016/01/01)

 

【衛教手冊】

1. 徐亞瑛:老年髖關節骨折保健:認知功能缺損老人家庭照顧

2. 徐亞瑛:及早認識失智症的高危險因子:輕度認知障礙

 

                                                                 聯絡窗口: 劉錦螢小姐 03-211-8800#5736