In-Fun Li

Mackay Memorial Hospital

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Trends

Author Order

Document Type

Co-Authors

Yvonne Hsiung

Mackay Medical College

Li‐Yun Tsai

Central Taiwan University of Science and Technology

Ching-Ping Liu

Mackay Memorial Hospital

Tse-Yun Change

Mackay Junior College of Medicine, Nursing and Management

Chin-Ting Tu

National Taipei University of Nursing and Health Science

Tse-Yun Chang

Hui-Fen Hsing

Mackay Memorial Hospital

Ching‐Ping Liu

Fu Jen Catholic University

Sheng‐Shiung Huang

Dayeh University

Hsin-Lung Chan

Mackay Memorial Hospital

Cooperative Institutions

Mackay Memorial Hospital

Mackay Medical College

Dayeh University

National Yang Ming Chiao Tung University

National Taiwan University

National Taiwan University Hospital

Chang Gung University

Chi Mei Medical Center

Mackay Junior College of Medicine, Nursing and Management

Far Eastern Memorial Hospital

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Field

Prognostic association of demographic and clinical factors with the change rates of symptoms and depression among patients with hepatocellular carcinoma

Supportive Care in Cancer (2019)

Jyh-Jou Chen Sheng‐Shiung Huang In-Fun Li Kuan-Pin Lin Shiow‐Luan Tsay

Depression

Liver Cancer

Liver disease

10.1007/s00520-019-04776-3

Cite

Citations (8)

Application of quality audit tools to evaluate care quality received by terminal cancer patients admitted to a palliative care unit

Supportive Care in Cancer (2008)

Li‐Yun Tsai In-Fun Li Ching-Ping Liu Wenhao Su Tse-Yun Change

Pain medicine

10.1007/s00520-007-0365-1

Cite

Citations (11)

Practical effects of educating nurses on the Natural Death Act

Supportive Care in Cancer (2004)

Li‐Yun Tsai Mei‐Yu Lee Yuen-Liang Lai In-Fun Li Ching-Ping Liu

Educational program

Natural death

10.1007/s00520-004-0689-z

Cite

Citations (9)

[A program to increase the participation rate in DOTS (Direct Observed Treatment, Short course) of Tuberculosis patients in the community].

PubMed (2012)

Shu-Hsia Chuang Yu‐Chi Lin In-Fun Li

Tuberculosis (TB), a disease subject to mandatory reporting, is widely distributed in our country. The Direct Observed Treatment, Short-course (DOTS) is an effective protocol to increase TB treatment success.We developed a program in our hospital to increase discharged patient participation in DOTS, which helps ensure they receive 6 to 9 months of post-discharge medication therapy to maximize treatment outcomes.We identified four key problems related to low TB patient participation in DOTS. These included (1) patients did not understand the DOTS program; (2) staff did not know how to conduct the DOTS protocol; (3) staff had not received in-service DOTS education; and (4) the hospital had no DOTS patient education or teaching aids available. To improve TB patient participation in DOTS, we revised patient education material, provided continuing education to nursing staff, invited physicians and community co-workers to join in the outreach program, and made posters to remind discharged patients to sign up for the DOTS program.Patient participation in DOTS rose from 27.1% to 96.3% and nursing staff knowledge of DOTS rose from 86.3% to 100%.This program effectively increased TB patient motivation to join DOTS after hospital discharge and also improved successful recovery and treatment completion rates. Increasing post-discharge TB patient participation in the DOTS protocol is an effective strategy for achieving the national goal of reducing TB cases by 50% within ten years.

Short course

Directly Observed Therapy

Outreach

10.6224/jn.59.3.79

Cite

Citations (0)

Fatigue and Its Associated Factors in Hospice Cancer Patients in Taiwan

Cancer Nursing (2007)

Li‐Yun Tsai In-Fun Li Yeur‐Hur Lai Ching‐Ping Liu Tse-Yun Chang

Fatigue is one of the most distressful problems faced by terminally ill cancer patients, but few studies have explored fatigue experiences in this population. The purpose of this descriptive correlational study was to examine fatigue status and its related factors in terminally ill cancer patients in an institutionalized hospice in Northern Taiwan. Data were collected using the Fatigue subscale of the Profile of Mood States, modified Symptom Distress Scale, Hospital Anxiety and Depression Scale, Karnofsky's Performance Status Index and a background information form. We found that patients generally had moderate to severe levels of fatigue. Fatigue was associated with the overall symptom distress, depression, anxiety, and performance status. Furthermore, fatigue was significantly correlated with 8 individual distressful symptoms: nausea, vomiting, lack of appetite, sleep disturbance, dyspnea, dry mouth, restlessness, and problems of concentration. These results suggest that fatigue is still a problem faced by terminally ill cancer patients. To provide better care to this population, the above-mentioned fatigue-related factors should be simultaneously assessed and cared for. The authors recommend examining the causal relationship between these factors and fatigue, using symptom cluster concepts and skills to examine the possible shared mechanisms among fatigue and related symptoms and developing interventions to decrease fatigue in terminally ill cancer patients.

Depression

Cancer-related fatigue

Poor Appetite

Terminally ill

10.1097/00002820-200701000-00005

Cite

Citations (30)

Perceptions of Behavioral Awareness, Intention, and Readiness for Advance Care Planning: A Mixed-Method Study among Older Indigenous Patients with Late-Stage Cancers in Remote Areas of Eastern Taiwan

International Journal of Environmental Research and Public Health (2021)

In-Fun Li Sheng‐Miauh Huang Ching‐Fang Lee Yiheng Chen Yvonne Hsiung

The first Patient Right to Autonomy Act enacted in Asia in 2019 has enabled every Taiwanese citizen to plan for his/her end-of-life (EOL) in case of incompetency. Advance care planning (ACP) has been highly promoted for individuals with terminal, life-threatening illnesses, particularly in the mainstream society, and efforts have been made by the Taiwanese government to train health care providers in order to optimize patients' quality of dying. However, such advanced decisions and discussions regarding life-sustaining treatment and EOL care remain scarce among older ethnically minority patients. A multiple-case study employing a mixed-method (n = 9) was undertaken to explore indigenous patients' ACP perceptions. Both quantitative and qualitative information was obtained from indigenous patients, a minority group whose socio-economic and educational status are different from the general Taiwanese population. An initiative was made to describe ACP behavioral awareness, intention, and readiness of older terminal patients from four tribes with seven late-stage cancers in remote, mountainous areas of eastern Taiwan. Our findings showed that according to the Transtheoretical Model, terminal indigenous patients' ACP readiness was at a precontemplation stage. Their lack of fundamental ACP awareness, insufficient healthcare resources, life-sustaining value in a Christian faith context, and the prevalent health disparity in the remote communities have negatively affected indigenous patients' intention to participate in ACP. We provide suggestions to further promote ACP in this group and suggest that health information should be tailored at various readiness stages in order to overcome barriers and decrease ACP literacy discrepancies. This study calls attention to an understudied area of ACP behaviors, an overlooked need in EOL care for older cancer patients of unique cultural backgrounds, and the imperativeness to ensure cultural minority group's EOL care is consistent with patients' preferences.

10.3390/ijerph18168665

Cite

Citations (8)

Psychological distress, social support, self-management ability and utilization of social resources for female patients with cancer in Oncology Outpatient Settings in Taiwan

Supportive Care in Cancer (2019)

Chia‐Tai Hung Yen‐Ju Chen Jui‐Chun Chan Yuanyuan Fang In-Fun Li

Pain medicine

Psychological Distress

Self-Management

Psycho-oncology

10.1007/s00520-019-05143-y

Cite

Citations (15)

Exploring Behavioral Readiness and Program Strategies to Engage Older Community Residents in Advance Care Planning: A Pilot Mixed-Method Study in Taiwan

International Journal of Environmental Research and Public Health (2020)

Hsin-Lung Chan In-Fun Li Ling-Chun Tseng Yvonne Hsiung

Taiwan was the first Asian country to endorse patient autonomy, and advance care planning (ACP) has been highly promoted to improve quality of end-of-life (EOL). A mixed-methods pilot survey was conducted in northwestern Taiwan to investigate older community-dwelling residents' (N = 52) ACP behavioral engagement, socio-demographical correlates, and their preferred intervention strategies. An interview subset (25%, N = 13) was purposely chosen for in-depth feedback and rationales behind their ACP decision-making. Rich information was obtained about perceived facilitators and inhibitors to initiate ACP and preferred intervention strategies in ACP programs. Consistent with previous literature, carefully designed ACP programs that incorporated family decision-making and met older subjects' multiple needs would increase program acceptability and foster ACP engagement among older Taiwanese in the community setting.

Advance Care Planning

Community Engagement

10.3390/ijerph17124285

Cite

Citations (10)

Elderly Taiwanese's Intrinsic Risk Factors for Fall-related Injuries

International journal of gerontology (2016)

In-Fun Li Yvonne Hsiung Hui-Fen Hsing Mei-Yu Lee Te-Hsin Chang

As a vital issue in geriatric research, risk factors for falls were concluded to be multifactorial, and prevention has been mostly aimed at decreasing situational and environmental risks that cause and aggravate fall-related injuries, particularly within the institutions. While knowledge is limited about older patients' intrinsic determinants, the purpose of this study was to explore elderly Taiwanese's intrinsic risk factors associated with severe fall-related injuries. Between April 2011 and December 2013, medical records related to in-ward elderly patients' falls were retrieved from two teaching hospitals in the northern Taiwan area. A total of 244 elderly hospitalized patients' fall-related assessments were reviewed from the national hospital safety reporting system. Chi-square statistics and odds ratio calculations were performed to ascertain significant associations between risk factors and the severity of after-fall injuries. Major risk factors resulting in fall-related injuries were found to be intrinsic and not situational or environment-related. Vertigo and weakness of the legs were both significant physical and behavioral determinants, and elderly cancer patients staying in oncological wards were more likely to have severe injuries after incidents of falls, compared with those in medical and surgical wards. Female gender was not discovered as a significant factor to affect the severity of falls. Elderly Taiwanese inpatients with existing intrinsic conditions of cancer, vertigo, and lower leg weakness were at high risk of falling, resulting in severe injuries. Additional research including controlled trials is necessary to further identify treatable, causal intrinsic risk factors for this elderly group.

Falling (accident)

Situational ethics

10.1016/j.ijge.2015.10.006

Cite

Citations (21)

Exploring Advance Care Planning in Taiwanese Indigenous Cancer Survivors: Proposal for a Pilot Case-Control Study (Preprint)

In-Fun Li Yvonne Hsiung

BACKGROUND Research on Taiwanese indigenous cancer survivors’ end-of-life (EOL) planning is still in its infancy, despite recent government and societal efforts to promote quality EOL care. Previous national studies in Taiwan have characterized indigenous peoples as a socioeconomically disadvantaged minority group. Compared with their mainstream cohorts, these remote residents are vulnerable to multiple social welfare problems, receiving and accessing little in the way of health care in rural mountain areas. Although advance care planning (ACP) has been shown to help patients achieve better quality of dying, very little is known about indigenous intentions for such interventions. Relevant studies are scarce in Taiwan, and programs for cancer survivors have been based almost entirely on nonindigenous populations. Since there has been no research on Taiwanese indigenous people’s aims for ACP, there is a need to understand the impact of survivorship on ACP readiness among those who are currently living with, through, and beyond cancer. OBJECTIVE We aim to identify differences in ACP intent and readiness among indigenous peoples with and without cancer diagnoses. We will identify the impact of factors such as tribal cultural beliefs and quality of life along with cancer exposure on the outcome of ACP readiness differences. In particular, we will examine the effects of ACP knowledge from previous ACP participation, EOL care experiences, and personal registry status of Do-Not-Resuscitate (DNR) in the national database. A secondary objective is to describe indigenous people’s intent to participate in public education related to EOL planning. METHODS A descriptive case-control study (N=200) is proposed where controls are matched to cases’ attributes of age, gender, and cancer diagnosis. This matching analysis allows assessment of cancer as an exposure while taking into account age and gender as confounding variables. We are currently in the process of training personnel and extracting clinical and administrative information from the health care system of collaborating facilities. This carefully designed study provides a unique opportunity because for the first time in Taiwan, cancer survivorship and ACP readiness for EOL planning will be examined among difficult-to-reach indigenous peoples. RESULTS We plan to complete this study in approximately 3 years. CONCLUSIONS In this study, we expect to survey palliative care usage in the remote indigenous group, understand factors that influence ACP readiness, and later foster culturally appropriate ACP public participation and policies in order to facilitate collaboration between cancer health care providers in various Taiwanese subcultures.

Advance Care Planning

Disadvantaged

10.2196/preprints.5428

Cite

Citations (0)