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老化認知行為及早期失智研究團隊

老化認知行為及早期失智研究團隊

 

 

 

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、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

(一)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。(二)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。(三)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】2014-2017

1.          Liu, H.-Y., Yang, C.-T., Wang, Y.-N., Hsu, W.-C., Huang, T.-H., Lin, Y.-E, Liu C.-Y., & Shyu, Y.-I. L.* (in press). Balancing competing needs mediates the association of caregiving demand with caregiver role strain and depressive symptoms of dementia caregivers: A cross-sectional stud. Journal of Advanced Nursing. (SCI, SSCI)

2.          Huang, H. L., Weng, L. C., Hu, W. Y., Shyu, Y. L., Yu, W. P., & Chen, K. H. (in press). End-of-life care discussion for residents with dementia in long-term care facilities. Journal of Nursing Research. (SCI, SSCI)

3.          Liu, H.-Y., Yang, C.-T., Tseng, M.-Y., Chen, C.-Y., Wu, C.-C., Cheng, H.-S., Lin, Y.-E, & Shyu, Y.-I. L. (in press). Trajectories in postoperative recovery of elderly hip-fracture patients at risk for depression: A follow-up study. Rehabilitation Psychology. (SSCI)

4.          Kuo, L.-M., Huang, H.-L., Liang, J., Kwok, Y.-T., Hsu, W.-C., Liu, J.-Y., & Shyu, Y.-I. L.* (2017). Trajectories of health-related quality of life among family caregivers of individuals with dementia: A home-based caregiver-training program matters. Geriatric Nursing, 38(2), 124-132. (SCI, SSCI)

5.          Yeh, H.-F., Shao, J.-H., Li, C.-L., Wu, C.-C., & Shyu, Y.-I.* (2017). Predictors of postoperative falls in the first and second postoperative years among elderly hip fracture patients. Journal of Clinical Nursing. Advance online publication. doi: 10.1111/jocn.13743 (SCI, SSCI)

6.          Chang, H.-Y., Shyu, Y.-I. L., Wong, M.-K., Chu, T.-L., Lo, Y.-Y., & Teng, C.-I.* (2017). How does burnout impact the three components of nursing professional commitment? Scandinavian Journal of Caring Sciences. Advance online publication. doi: 10.1111/scs.12425 (SSCI)

7.          Wang, C.-L., Shyu, Y.-I. L.,* Wang, J.-Y., & Lu, C.-H. (2017). Progressive compensatory symbiosis: Spouse caregiver experiences of caring for persons with dementia in Taiwan. Aging & Mental Health, 21(3), 241-252. (SCI, SSCI)

8.          Kuo, L.-M., Huang, H.-L., Liang, J., Kwok, Y.-T., Hsu, W.-C., Su P.-L., & Shyu, Y.-I. L.* (2017). A randomised controlled trial of a home-based training programme to decrease depression in family caregivers of persons with dementia. Journal of Advanced Nursing, 73, 585-598. (SCI, SSCI)

9.          Wang, H.-P., Liang, J., Kuo, L.-M., & Shyu, Y.-I. L.* (2017). Trajectories of nutritional status and cognitive impairment among older Taiwanese with hip fracture. Journal of Nutrition Health & Aging, 21(1), 38-45. (SCI)

10.      Huang, Y.-F., Liang, J., & Shyu, Y.-I. L.* (2016). Number of comorbidities negatively influence psychological outcomes of the elderly following hip fracture in Taiwan. Journal of Aging & Health, 28, 1343-1361. (SSCI)

11.      Wang, H.-H., Shyu, Y.-I. L., Chang, H.-Y., Bai, Y.-B., Stanaway, F., Lin, J.-D., & Li, C.-L.* (2016). Prevalence, characteristics, and acute care utilization of disabled older adults with an absence of help for activities of daily living: Findings from a nationally representative survey. Archives of Gerontology and Geriatrics, 67, 28-33. (SCI)

12.      Tseng, M.-Y.,† Shyu, Y.-I. L.,† Liang, J.,* & Tsai, W. C. (2016). Interdisciplinary intervention reduced the risk of being persistently depressive among older patients with hip fracture. Geriatrics & Gerontology International, 16, 1145-1152. †Equal contribution (SCI, SSCI)

13.      徐佩琪、莊依菲、鐘美怡、徐亞瑛、黃秀梨*、鄭亘妙（2016）。失智症友善社區評估：以台北市中正區崁頂次分區為例。長庚護理，27（3），467-475。

14.      Kuo, L.-M., Huang, H.-L., Hsu, W.-C., Wang, Y.-T., & Shyu, Y.-I. L.* (2016). Home-based caregiver training: Benefits differ by care receivers' dementia diagnosis. Geriatric Nursing, 37, 376-384. (SCI, SSCI)

15.      Chen, K. H.,* Liu, C. Y., Shyu, Y. I. L., & Yeh, S. L. (2016). Living with chronic obstructive pulmonary disease: The process of self-managing chronic obstructive pulmonary disease. The Journal of Nursing Research, 24(3), 262-271. (SCI, SSCI)

16.      Shyu, Y.-I. L.,* Liang, J., Tseng, M.-Y., Li, H.-J., Wu, C.-C., Cheng, H.-S., Chou, S.-W., Chen, C.-Y., & Yang, C.-T. (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)

17.      Chen, S.-H., Shyu, Y.-I. L., Ko, Y. S., Kung, H. L., & Shao, J.-H.* (2016). Perceptions about eating experiences of low-literate older adults with heart disease: A qualitative study. Journal of Advanced Nursing, 72, 802-812. (SCI, SSCI)

18.      Kuo, W., Shyu, Y.-I. L.,* Wang, J.-S., Chen, M.-C., Wu, C.-C., & Huang, Y.-F. (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)

19.      Tseng, M.-Y., Liang, J., Shyu, Y.-I. L.,* Wu, C.-C., Cheng, H.-S., Chen, C.-Y., & Yang, S.-F. (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)

20.      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，23，23-34。

21.      Chang, H.-Y., Shyu, Y.-I. L., Wong, M. K., Friesner, D., Chu, T.-L., & Teng, C.-I.* (2015). Which aspects of professional commitment can effectively retain nurses in the nursing profession? Journal of Nursing Scholarship, 47, 468-476. (SCI, SSCI)

22.      Liu, H.-Y., Yang, C.-T., Cheng, H.-S., Wu, C.-C., Chen, C.-Y., & Shyu, Y.-I. L.* (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, 452-458. (SCI, SSCI)

23.      Huang, H.-L., Shyu, Y.-I. L.,* Chen, M.-C., Huang, C.-C., Kuo, H.-C., Chen, S.-T., & Hsu, W.-C. (2015). Family caregivers’ role implementation at different stages of dementia. Clinical Interventions in Aging, 2015(10), 135-146. (SCI)

24.      Kuo, L.-M., Huang, H.-L., Hsu, W.-C., & Shyu, Y.-I. L.* (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, 310-320. (SCI)

25.      Liu, H.-Y., Wang, Y.-N., Huang, H.-L., Hsu, W.-C., Lin, Y.-E, Huang, T.-H., & Shyu, Y.-I. L.* (2014). Psychometric properties of the finding a balance scale for family caregivers of elders with dementia in Taiwan. Research in Nursing & Health, 37, 336-346. (SCI & SSCI)

26.      Wang, H.-H., Sheu, J.-T., Shyu, Y.-I. L., Chang, H.-Y., & Li, C.-L.* (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 & Geriatrics, 59(1), 169-174. (SCI)

27.      Liu, H.-Y., Tseng, M.-Y., Li, H.-J., Wu, C.-C., Cheng, H.-S., Yang, C.-T., Chou, S.-W., Chen, C.-Y., & Shyu, Y.-I. L.* (2014). Comprehensive care improves physical recovery of hip-fractured elderly Taiwanese patients with poor nutritional status. Journal of the American Medical Directors Association, 15, 416-422. (SCI)

28.      Yang, C.-T., Liu, H.-Y., & Shyu, Y.-I. L.* (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, 593-602. (SCI, SSCI)

29.      Huang, Y.-F., Liang, J., & Shyu, Y.-I. L.* (2014). Ageism perceived by the elderly in Taiwan following hip fracture. Archives of Gerontology & Geriatrics, 58(1), 30-36. (SCI)

【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號(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號(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號(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號(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

jinying@mail.cgu.edu.tw