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系統識別號 U0026-0601201703021400
論文名稱(中文) 運用動機性會談於腦中風病患連續性照護成效之探討
論文名稱(英文) The Effectiveness of Motivational interviewing in Continuity of Care among Stroke Patients
校院名稱 成功大學
系所名稱(中) 健康照護科學研究所
系所名稱(英) Institute of Allied Health Sciences
學年度 105
學期 1
出版年 105
研究生(中文) 陳曉梅
研究生(英文) Hsiao-Mei Chen 陳曉梅
學號 TA8001059
學位類別 博士
語文別 英文
論文頁數 160頁
口試委員 指導教授-陳靜敏
召集委員-李怡娟
口試委員-郭乃文
口試委員-趙淑員
口試委員-張宏哲
中文關鍵字 動機性會談  連續性照護  腦中風病患  健康內外控  憂鬱 
英文關鍵字 Motivational interviewing  Continuity of Care  Stroke Patients  health locus of control  Depression 
學科別分類
中文摘要 背景:動機式會談是強調以病患為中心的互動模式,於互動過程中重視個
案的需要、想法及感覺,鼓勵個案探討改變遭遇的阻礙並找出解決方
法,但臨床上缺乏運用動機性會談探討腦中風病患連續性照護成效之
研究。
目的:本研究是以初次罹患腦中風三個月內之病患為研究對象,探討運用6
週動機性會談對改善研究對象在接受連續照護服務感受、健康外控、
復健動機及憂鬱程度之成效。
方法:採類實驗性研究設計,收案地點為中部某區域醫院復健科病房診斷
為腦中風之病患,共收案65位。除常規照護外對照組32人接受每週1
次,共6週護理師個別陪伴,而實驗組33位則接受每週1次,為期6週
之動機性會談。兩組在介入前、後及3個月後皆進行病患連續照護服
務感受、健康內外控、復健動機及憂鬱程度的測量。
結果:實驗組病患經實施6次動機性會談,不論在立即後測及3個月後其病
患連續照護服務感受、健康外控、復健動機及憂鬱程度皆有顯著改
變;控制組經6次護理師陪伴,在6週及3個月後其病患連續照護服務
感受、復健動機及憂鬱程度亦有顯著的改變。然在控制前測結果值,
在控制組別與時間的交互作用下,實驗組個案動機性會談在6週介入
後,其連續照護服務感受及復健動機均達統計顯著改善。
結論: 研究結果肯定動機性會談對腦中風病患之病患連續照護服務與復健
動機有提升效益,未來可應用動機性會談之技巧於臨床實務中。
英文摘要 Background: Motivational interviewing (MI) focuses on patient-centered interaction. Through the interaction process, the client’s needs, thoughts, and feelings are valued, and the client is encouraged to discuss the obstacles encountered in order to change and search for solutions. However, there is a lack of relevant empirical studies on the effectiveness of continuity of care for stroke patients discussed by means of motivational interviews.
Objective: The purpose of this study is to explore the effectiveness of 6 weeks of motivational interviews on continuity of care perception, health locus of control, the effects of rehabilitation and depression levels among subjects in an experimental group of subjects within 3 months of their first stroke.
Methods: A quasi-experimental study design was ultilzed in this study. Sixty-five patients diagnosed with stroke and hospitalized in the rehabilitation ward of a regional hospital in Central Taiwan were recruited. On top of routine care, 32 subjects in the control group received individual company from the research nurse once a week for six weeks, while 33 subjects in the experimental group received weekly sessions of MI for six weeks. The patients were tested concerning continuity of care perception (PCCQ), perceived health locus of control (HLC), rehabilitation motivation and degree of depression, where results were collected in both groups before, six weeks after, and three months after the intervention.
Results: Immediate six weeks after as well as three months after the MI intervention, significant changes of the patient’s continuity of care perceptions, health external control, rehabilitation motivation and depression status were observed. After 6 visits from the research nurse, significant changes could be observed in the patient’s continuity of care perception, rehabilitation motivation and the degree of depression both six weeks and three months after the MI intervention. Using the pretest results in the control group as the baseline value, under the interaction of the control and time, statistically significant differences in the patient’s continuity of care perception and rehabilitation motivation were achieved in the experimental group after the six-week intervention.
Conclusions: The results confirmed that motivational interviewing can enhance PCCQ scores and rehabilitation motivation of stroke patients. Therefore, motivational interviewing skills can be applied in clinical practice in the future.
論文目次 Table of Contents
Candidate Qualification Assessment Certificate (Chinese)
Abstract (Chinese)........................................................................................................... ⅰ
Abstract (English)............................................................................................................ ⅱ
Acknowledgements.......................................................................................................... ⅲ
Table of Contents...........................................................................................................ⅳ
List of Tables.................................................................................................................... ⅶ
List of Figures.................................................................................................................. ⅷ
CHAPTER ONE INTRODUCTION.................................................................................1
1.1 Background............................................................................................................1
1.2 Purpose of this Study..............................................................................................5
1.3 Research Questions................................................................................................5
1.4 Research Hypotheses.............................................................................................6
1.5 Definitions of Key Terms in this Study.................................................................6
CHAPTER TWO LITERATURE REVIEW.....................................................................8
2.1 Cerebral Vascular Incident and Continuity of Care...............................................8
2.2 Motivational Interviewing and Stroke..................................................................19
CHAPTER THREE METHODOLOGY.........................................................................33
3. 1 Research Framework and Design........................................................................33
3.2 Sample and Sampling...........................................................................................35
3.3 Research Instrument.............................................................................................37
3.4 Data Collection Steps...........................................................................................41
3.5 Motivational Interview Program..........................................................................44
3.6 Motivational Interviewing Strategies…………………………………………...50
3.7 Data processing and Analysis…………………………………………………...57
3.8 Ethical considerations…………………………………………………………...59
CHAPTER FOUR RESULTS...........................................................................................60
4.1 Socio-demographic Characteristics……………………………………………..60
4.2 The Influence of MI Intervention on the Stroke Patients’ PCCQ Scores…..........64
4.3 The Influence of MI Intervention on the Stroke Patients’ HLC Scores …….......70
4.4 The Influence of MI Intervention on the Rehabilitation Motivation Scores…….73
4.5 The Influence of MI Intervention on the Stroke Patients’ CES-D Scores...……..76
CHAPTER FIVE DISCUSSION.......................................................................................89
5.1 Demographic Characteristics of the Subjects…………………………………....90
5.2 Effectiveness of MI Intervention on the Stroke Patients’ Perception of Continuity
of care…………………………………………………………………………....90
5.3 Effectiveness of MI Intervention on the Stroke Patients’ Health Locus of
Control…………………………………………………………………………..93
5.4 Effectiveness of MI Intervention on the Stroke Patients’ Rehabilitation Motivation………………………………………………………………………95
5.5 Effectiveness of MI Intervention on the Stroke Patients’ Depression…………..97
CHAPTER SIX CONCLUSIONS, RECOMMENDATIONS, AND LIMITATIONS OF THE STUDY…...............................................................................................................100
6.1 Conclusion…..………………………………………………………………….100
6.2 Recommendation……...………………………………………………………..101
6.3 Limitations……………………………………………………………………...102
REFERENCES................................................................................................................105
APPENDICES.................................................................................................................128
Appendix 1: Motivational Interview Assessment Form............................................128
Appendix 2: Motivational Interview Record Card ...................................................129
Appendix 3: Informed Consent for the Control Group .............................................132
Appendix 4: Informed Consent for the Experimental Group....................................136
Appendix 5: Questionnaire........................................................................................140
Appendix 6: Tracking Records..................................................................................147
Appendix 7: Motivational Interviewing Training Manual for Stroke Patients..........148
Appendix 8: Chinese Power of Attorney of Health of Locus of Control and Rehabilitation Motivation... ……………………………………........159
Appendix 9: Certificate of IRB Approval..................................................................160

List of Tables
Table 1. Comparison of motivational interviewing with traditional counseling...............24
Table 2 Motivational interviewing strategies....................................................................51
Table 3. The purpose of Data Analysis and Statistical Methods…………………….......59
Table 4. Comparison of homogeneity of the two groups in terms of the basic
information in the pretest..................................................................................62
Table 5. Comparison of homogeneity of the two groups in terms of the PCCQ, HLC, Motivation of Rehabilitation and CES-D scores in the pretest…...…………..65
Table 6. Differences in the effectiveness of in PCCQ, HLC, Motivational of Rehabilitation and CES-D scores among the stroke patients in both groups at different testing times ……………………………………………………………………..........80
Table 7. Comparison of differences in PCCQ, HLC, Rehabilitation Motivation and
CES-D between the two groups at different times using the GEE……………...82
Table 8. Changes and differences in the results of PCCQ, HLC, Rehabilitation Motivation
and CES-D scores among the subjects in both groups…………………………85

List of Figures
Figure 1. Conceptual framework.......................................................................................33
Figure 2. Research design.................................................................................................35
Figure 3. The flowchart of data collection........................................................................43
Figure 4. Changes in the mean scores of the 6 subscales of PCCQ and PCCQ in the two groups at different testing times ………………………………………………68
Figure 5. Changes in the mean scores of the subscale of HLC in the two groups at different testing time…………………………………………..........................72
Figure 6. Changes in the scores of Motivation of Rehabilitation in the two groups at different testing time……………………………………………………..........75
Figure 7. Changes in the CES-D in the two groups at different testing time....................78
參考文獻 Allen, K., Hazelett, S., Jarjoura, D., Hua, K., Wright, K., Weinhardt, J., & Kropp, D. (2009). A randomized trial testing the superiority of a post-discharge care management model for stroke survivors. Journal Stroke Cerebrovasc Disease, 18(6), 443-52.
Al Nawafa’h, D. N., & Hamdan-Mansour, A. M. (2015). Correlates of health locus
of control among patients diagnosed with Type-II diabetes mellitus. Journal of
Diabetes Mellitus, 5(03), 190-197.
Auerbach, S. M., Clore, J. N., Kiesler, D. J., Orr, T., Pegg, P. O., Quick, B. G., &
Wagner, C. (2002). Relation of diabetic patients' health-related control appraisals
and physician–patient interpersonal impacts to patients' metabolic control and
satisfaction with treatment. Journal of Behavioral Medicine, 25(1),17-31.
Auton, M. F., Patel, K., Carter, B., Hackett, M., Thornton, T., Lightbody, C. E., ... &
Watkins, C. L. (2016). Motivational interviewing post-Stroke an analysis of
stroke survivors’ concerns and adjustment. Qualitative Health Research, 26(2),
264-272.
Ahluwalia, J. S., Okuyemi, K., Nollen, N., Choi, W. S., Kaur, H., Pulvers, K., & Mayo, M. S. (2006). The effects of nicotine gum and counseling among African American light smokers: a 2× 2 factorial design. Addiction, 101(6), 883-891.
American Stroke Association. (2012, October). What is stroke? Retrieved from
http://www.strokeassociation.org/STROKEORG/AbouStroke/About-Stroke_UCM_308529_SubHomePage.jsp
Anstiss, T. (2009). Motivational interviewing in primary care. Journal of Clinical
psychology in medical settings, 16(1), 87-93.
Back, A. L., Arnold, R.M., Baile, W.F., Edwards, K. A., & Tulsky, J. A. (2010). When praise is worth considering in a difficult conversation. Lanc, 376, 866–867.
Balaam, M., Rennick Egglestone, S., Fitzpatrick, G., Rodden, T., Hughes, A. M.,
Wilkinson, A., ... & Mawson, S. (2011, May). Motivating mobility: designing for
lived motivation in stroke rehabilitation. In Proceedings of the SIGCHI
Conference on Human Factors in Computing Systems (pp. 3073-3082). ACM.
Bandura, A. (1977). Self-efficacy: the exercise of control. New York: W. H. Freeman
and Company.
Barker-Collo, S., Krishnamurthi, R., Witt, E., Feigin, V., Jones, A., McPherson, K., ...
& Rush, E. (2015). Improving adherence to secondary stroke prevention
strategies through motivational interviewing randomized controlled Trial.
Stroke, 46(12), 3451-3458.
Berger, B. A. (1999). Change is a multistep process. US Pharmacit, 24, 68-77.
Berger, B. A., & Villaume, W. A. (2016). A New Conceptualization and Approach to
Learning and Teaching Motivational Interviewing. Innovations in Pharmacy, 7(1), 3.
Beaulieu-Boire, L., Belzile-Lachapelle, S., Blanchette, A., Desmarais, P. O.,
Lamontagne-Montminy, L., Tremblay, C., ... & Tousignant, M. (2015). Balance
rehabilitation using Xbox Kinect among an elderly population: A pilot study.
Journal of Novel Physiotherapies, 5(2), 1-5. http://dx.oi.org/10.4172/2165-7025.
1000261
Billings-Gagliardi, S., & Mazor, K. M. (2005). Development and validation of the stroke action test. Stroke, 36(5), 1035-1039.
Boey, K. W. (1999). Cross-validation of a short form of the CES-D in Chinese
elderly. International Journal of Geriatric Psychiatry, 14(8), 608-617.
Bowling, A. (2005). Measuring health: a review of quality of life measurement scales
(3nd Ed.). Philadelphia: Open University Press.
Brennan, L., Walkley, J., Fraser, S. F., Greenway, K., & Wilks, R. (2008). Motivational interviewing and cognitive behavior therapy in the trement of adolescent overweight and obesity: Study design and methodology. Contemporary Clinical Trials, 29(3), 359-375.
Brown, M., & Bennett, C. (2010). Motivational interviewing and concordance with antiretroviral therapy. Nursing Stand, 25(13), 51-56; quiz 58.
Bragazzi, N. L. (2013). The gap in the current research on the link between health
locus of control and multiple sclerosis: lessons and insights from a systematic
review. Multiple Sclerosis International, 2013. http://dx.doi.org/10.1155/2013
/972471
Britt, E., & Blampied, N. M. (2015). Training dietitians in motivational interviewing:
a pilot study of the effects on dietitian and patient behaviour. Motivational
Interviewing: Training, Research, Implementation, Practice, 1(3), 7-12.
Byers, A. M., Lamanna, L., & Rosenberg, A. (2010). The effect of motivational
interviewing after ischemic stroke on patient knowledge and patient satisfaction
with care: a pilot study. Journal of Neuroscience Nursing, 42(6), 312-322.
Bryer, J. B., Starkstein, S. E., Votypka, V., Parikh, R. M., Price, T. R., & Robinson, R. G. (1992). Reduction of CSF monoamine metabolites in poststroke depression: a preliminary report. The Journal of Neuropsychiatry and Clinical Neurosciences, 4(4), 440-442.
Byers, A. M., Lamanna, L., & Rosenberg, A. (2010). The effect of motivational interviewing after ischemic stroke on patient knowledge and patient satisfaction with care: a pilot study. The Journal of Neuroscience Nursing, 42(6), 312-322.
Cassidy, E. M., O'Connor, R., & O'Keane, V. (2004). Prevalence of post-stroke
depression in an Irish sample and its relationship with disability and outcome
following inpatient rehabilitation. Disability & Rehabilitation, 26(2), 71-77.
Chang, C. C., Tsai, L.Y., & Yu, H. M. (2007). Caring of a brain stroke patient and his
caregiver. Chung Shan Medical Journal, 18(1), 99-111.
Chang, Y. J., Hu, G. C., Chiang, Y. P., Chuang, Y. C. & Kuo C. L. (2014). Association
between the amount of inpatient rehabilitation therapy and the risk of disability
and mortality in patients with ischemic stroke. Taiwan Journal of Physical
Medicine and Rehabilitation, 42(4), 191-198.
Chen, C. D., Hsiao, C. Y., Hsu, H. C., Tsai, M. H., & Wang, J. Y. (2007). The risk factor of adolescent depressive symptoms in a family medicine clinic. Taiwan Journal of Family Medicine, 17(3), 158-167。
Cheng, D., Qu, Z., Huang, J., Xiao, Y., Luo, H., & Wang, J. (2015). Motivational
interviewing for improving recovery after stroke. The Cochrane Library. Issue 6.
doi: 10.1002/14651858.CD011398.pub2.
Chen, H. M., Tu, Y. H., & Chen, C. M. (2016) Effect of continuity of care on quality of
life in older adults with chronic diseases a Meta-Analysis. Clinical Nursing Research,
1054773815625467. doi: 10.1177/1054773815625467
Chen, H. M., Tzeng, C. Y., Chen, C. M., Chi, P. C., & Yeh, F. C. (2013) Validation and reliability testing of the patient continuity of care questionnaire in elderly with chronic diseases in Taiwan. Journal of Nursing and Healthcare Research, 9(4), 261–270. doi: 10.6225/jnhr.09.4.261
Chen, L., Xiao, L. D., & De Bellis, A. (2016). First‐time stroke survivors and
caregivers’ perceptions of being engaged in rehabilitation. Journal of Advanced
Nursing, 72(1), 73-84.
Chen, W. J. (2015). Motivational interviews for suicide prevention. Newsletter for Suicide
Prevention Network, 10(2), 5-9.
Chin, J. M., Cheng, C. C., Yu, W. P., & Chen, S. C. (2016). Nursing care experience for
an adolescent with stroke. The Journal of Nursing, 27(2), 285-295. doi: 10.3966/
102673012016062702013
Chiu, S. Y., Tsao, L. L., & Tsai, T. Y. (2014). Related factors for depressive symptoms
among patients with stroke-a hospital-based study in Southern Taiwan. Chinese
Journal of Occupational Medicine, 21(2), 73-80.
Chung, C. H., Huang, L. Y., & Sun, U.J. (2016) Hospital-based accountable family
physicians system: the pilot study of community-based integrated care program.
Taipei City Medical Journal, 13(1), 72-79. doi: 10.6200/TCMJ.2016.13.1.07
Cobb-Clark, D. A., Kassenboehmer, S. C., & Schurer, S. (2014). Healthy habits: the
connection between diet, exercise, and locus of control. Journal of Economic
Behavior & Organization, 98, 1-28.
Cole, B., Clark, D. C., Seale, J. P., Shellenberger, S., Lyme, A., Johnson, J. A., &
Chhabria, A. (2012). Reinventing the reel: an innovative approach to resident
skill-building in motivational interviewing for brief intervention. Substance
Abuse, 33(3), 278-281.
Comoss, P. M. (1988). Nursing strategies to improve compliance with life-style
changes in a cardiac rehabilitation population. Journal of Cardiovascular
Nursing, 2(3), 23-36.
Cook, D., Sportsman, S., & Norwood, J. (1998, October 7). DSHS nursing standards of care and nursing standards of professional performance. Retrieved from http:// www.dshs.state.tx.us/Nursing_ Standards.pdf
Corsini, Raymond J. (1994). Ordinary resurrections: encyclopedia of psychology. New York: Wiley
Cross, M. J., March, L. M., Lapsley, H. M., Byrne, E., & Brooks, P. M. (2006).
Patient self-efficacy and health locus of control: relationships with health status
and arthritis-related expenditure. Rheumatology, 45(1), 92-96.
Das, K., Mondal, G. P., Dutta, A. K., Mukherjee, B., & Mukherjee, B. B. (2007). Awareness of warning symptoms and risk factors of stroke in the general population and in survivors stroke. Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia, 14(1), 12.
De Man-van Ginkel, J. M., Gooskens, F., Schuurmans, M. J., Lindeman, E., Hafsteinsdottir, T. B., & on Behalf of the Rehabilitation Guideline Stroke Working Group. (2010). A systematic review of therapeutic interventions for poststroke depression and the role of nurses. Journal of Clinical Nursing, 19(23-24), 3274-3290. doi: 10.1111/j.1365-2702.2010.03402.x
Duru, O. K., Ettner, S. L., Vassar, S. D., Chodosh, J., & Vickrey, B. G.(2009). Cost evaluation of a coordinated care management intervention for dementia.The American Journal of Managed care, 15(8), 521-528.
Eaton, W. W., Smith, C., Ybarra, M., Muntaner, C., & Tien, A. (2004). Center
for Epidemiologic Studies Depression Scale: review and Revision (CESD
and CESD-R).In M. Marush (Ed.), The use of psychological testing for
treatment planning and outcomes assessment, Vol. 3: Instruments for
adults (3rd ed.) (pp. 363-378).
Eames, S., Hoffmann, T., Worrall, L., & Read, S. (2015). Stroke patients’ and carers’
perception of barriers to accessing stroke information. Topics in stroke
rehabilitation. http://dx.doi.org/10.1310/tsr1702-69
Ekers, D., Murphy, R., Archer, J., Ebenezer, C., Kemp, D., & Gilbody, S. (2013).
Nurse-delivered collaborative care for depression and long-term physical
conditions: a systematic review and meta-analysis. Journal of affective
disorders, 149(1), 14-22.
Eng, X. W., Brauer, S. G., Kuys, S. S., Lord, M., & Hayward, K. S. (2014). Factors
affecting the ability of the stroke survivor to drive their own recovery outside of
therapy during inpatient stroke rehabilitation. Stroke Research and Treatment,
http://dx.doi.org/10.1155/2014/626538
English, C., Hillier, S., Kaur, G., & Hundertmark, L. (2014). People with stroke spend
more time in active task practice, but similar time in walking practice, when
physiotherapy rehabilitation is provided in circuit classes compared to individual
therapy sessions: an observational study. Journal of Physiotherapy, 60(1), 50-54.
Erol, S., & Erdogan, S. (2008). Application of a stage based motivational interviewing approach to adolescent smoking cessation: The transtheoretical model-based study. Patient Education and Counseling, 72(1), 42-48.
Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses
using G* Power 3.1: Tests for correlation and regression analyses. Behavior
research methods, 41(4), 1149-1160.
Frankel, D. S., Parker, S. E., Rosenfeld, L. E., & Gorelick, P. B. (2015). HRS/NSA 2014 Survey of atrial fibrillation and stroke: Gaps in knowledge and perspective, opportunities for improvement. Heart Rhythm, 12(8), e105-e113.
Gaber, S., & Abdel-Latif, S. H. (2012). Effect of education and health locus of control
on safe use of pesticides: a cross sectional random study. Journal of
Occupational Medicine and Toxicology, 7(3), 1-7.
Gillespie, D., Joice, S., Lawrence, M., Whittick, J. (2011). Interventions for post-stroke disturbances of mood and emotional behavior: recommendations from SIGN 118. Critical Review, 18(3), 167-176.
Gillham, S., & Endacott, R. (2010). Impact of enhanced secondary prevention on
health behaviour in patients following minor stroke and transient ischaemic
attack: a randomized controlled trial. Clinical rehabilitation, 24(9), 822-830.
Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Borden, W.
B., . . . Turner, M. B. (2013). Heart disease and stroke statistics--2013 update: a
report from the American Heart Association. Circulation, 127(1), e6-e245. doi:
10.1161/CIR.0b013e31828124ad
Gould, K. M. (2011). A randomized controlled trial of a discharge nursing intervention to promote self-regulation of care for early discharge interventional cardiology patients. Dimens Crit Carenurs, 30(2), 117-125.
Grasso, M. G., Pantano, P., Ricci, M., Intiso, D. F., Pace, A., Padovani, A., . . .
Lenzi, G. L. (1994). Mesial temporal cortex hypoperfusion is associated
with depression in subcortical stroke. Stroke, 25(5), 980-985.
Green, T., Haley, E., Eliasziw, M., & Hoyte, K. (2007). Education in stroke prevention: efficacy of an educational counselling intervention to increase knowledge in stroke survivors. Canadian Journal of Neuroscience Nursing, 29(2), 13-20.
Hadidi, N., Treat-Jacobson, D. J., & Lindquist, R. (2009). Poststroke depression
and functional outcome: A critical review of literature. Heart & Lung: The
Journal of Acute and Critical Care, 38(2), 151-162.
Hadjistavropoulos, H., Biem, H., Sharpe, D., Fognou, M. B., & Janzen, J. (2008). Patient perceptions of hospital discharge: reliability and validity of a Patient Continuity of Care Questionnaire.Quality in Health Care, 20(5),314-323.
Haggerty, J. L., Reid, R. J., Freeman, G. K., Starfield, B. H., Adair, C. E., & Mckendry, R.(2003). Continuity of care: a multidisciplinary review. British Medical Journal, 32, 1219–1221.
Hammel, J., Jones, R., Gossett, A., & Morgan, E. (2015). Examining barriers and
supports to community living and participation after a stroke from a participatory
action research approach. Topics in Stroke Rehabilitation. http://dx.doi.org/10.1310/
5X2G-V1Y1-TBK7-Q27E
Hamzah, A. Sugiyanto (2014) Strengthening of health locus of control could
increase the independence of post stroke patients in implementing the daily
activities at home. Journal Nursing Care, 3(2), 2167-1168.
Hoe, Z. Y., Wang, J. L., Lo, Y. K., Sun, S. Fen., Chang, C. H. Tsai, H. I. (2010). Efficacy
of WiiTM-based virtual reality assisted rehabilitation for chronic stroke patients.
Taiwan Journal of Physical Medicine and Rehabilitation, 38(1), 11-18。
Holland, D .E., & Harris, M. R.(2007). Discharge planning, transitional care, coordination of care and continuity of care: clarifying concepts and terms from the hospital perspective. Health Care Services Quarterly, 26(4),3-19.
Hondori, H. M., Khademi, M., Dodakian, L., Cramer, S. C., & Lopes, C. V. (2013). A
spatial augmented reality rehab system for post-stroke hand rehabilitation. In
Medicine Meets Virtual Reality. (pp. 279-285). doi:10.3233/978-1-61499-209-7 -279
How, M. J. (2015). Correlation between treatment motivation and activity of daily living
improvement in patients with stroke. (unpublished master 's thesis). School of
Occupational Therapy, College of Medicine, National Taiwan University, Taipei,
Taiwan.
Hsu, Y. N., Hung, Y. L., Kuo, H. W., & Chen, Y. C. (2009). Evaluation of the efficacy and hospital cost among stroke patients with case management model. Formosan Journal of Medicine, 13(4), 331-340.
Hu, M. H., Hsu, S. S., Li, C. C., Wang, Y. H., Jeng, J. S., & Yip, P. K. (2006). Correlation between duration of rehabilitation and functional outcome at discharge and at follow-up in stroke patients. Formosan Journal of Medicine, 10(2), 248-255
Huang, H. C. (2014). A virtual reality lower-back pain rehabilitation system: system development and effectiveness analysis .(unpublished master 's thesis). Department of Computer Science and Information Engineering, National Central University, Chungli, Taiwan.
Huang, H. M., Chen, Y. M., Su, C. Y., Shiau, M. Y., & Yuan, H. S. (2001). The effects of cognitive education on the Bio-Psycho-Social status of stroke patients. Taiwan Journal of Public Health. 28, 161-175.
Huang, R. M., & Lai, C. H. (2013). A nursing experience of caring for a patient with
recurred stroke. Leadership Nursing, 14(3), 68-80.
Hung Y. Y. (1978). Internal-external locus of control in physically handicapped
students. Bulletin of Educational Psychology, 11, 113 – 121.
Hsiao, R. Y., & Wang, R. M. (2012). A nursing experience on restoring body image of a stroke patient. The Journal of Nursing, 11(3), 87-98.
Huang, Y. F., Chou, F. H., & Lo, L. Y. (2009). Nursing a patient with feelings of powerlessness after a stroke. Tzu Chi Nursing Journal, 8(1), 113-120.
Horrocks, J. A., Hackett, M. L., Anderson, C. S. & House, A. O. (2004) . pharmaceutical interventions for emotionalism after stroke. Strock, 35, 2610-2611.
Hsien, H. H., Liou, W. C., Yang, Y. H. (2015). Post-acute care improves daily activity
functions of stroke patients: an effectiveness analysis. Taiwan Geriatrics & Gerontology, 10(3), 159-171.
Hsu, Y. F., Lin, W. C., Hu, C.I., Ko, M. J., Chang, C.Y., Wu, H. M. & Chou, W.
(2015). Recovery of oral intake function in elderly patients with first-ever
acute ischemic stroke. Taiwan Journal of Physical Medicine and Rehabilitation,
43(1), 33-40.
Hu, H. H., Sheng, W. Y., Chu, F. L., Lan, C. F., & Chiang, B. N. (1992). Incidence of stroke in Taiwan. Stroke, 23(9), 1237-1241.
Huang, A. M., Lin, Y. H., Chang, K.C., Huang, S., Chen, S. C., & Yang, S. L. (2015).
An Exploration of the discharge readiness of cerebrovascular disease patients
and related factors conducted at two-weeks post-discharge. Journal of
Nursing & Healthcare Research, 11(2), 148-160. doi: 10.6225/JNHR.11.2.148
Islam, M. A., Rahman, A., Aleem, M. A., & Islam, S. M. S. (2016). Prevalence and
associated factors of depression among post-stroke patients in Bangladesh. International Journal of Mental Health and Addiction, 14(2), 154-166.
Janowski, K., Kurpas, D., Kusz, J., Mroczek, B., & Jedynak, T. (2013). Health-related
behavior, profile of health locus of control and acceptance of Illness in patients
suffering from chronic somatic diseases. PloS one, 8(5), e63920.
Jones, F., & Riazi, A. (2011). Self-efficacy and self-management after stroke: a
systematic review. Disability and Rehabilitation, 33(10), 797-810.
Kapen, S., & Greiffenstein, M. (1989). Stroke and depression: the cholinergic REM sleep induction test. In: Horne J, ed. Sleep (pp. 238-240), New York, NY: Gustav Fischer.
Kaur, G., English, C., & Hillier, S. (2013). Physiotherapists systematically
overestimate the amount of time stroke survivors spend engaged in active
therapy rehabilitation: an observational study. Journal of physiotherapy, 59(1),
45-51.
Khon, F. (2004). Poststroke depression. Australian Family Physician,33(10), 831-834.
Kim, J., Thrift, A. G., Nelson, M. R., Bladin, C. F., & Cadilhac, D. A. (2015).
Personalized medicine and stroke prevention: where are we?. Vascular Health
and Risk Management, 11, 601. doi:10.2147/VHRM.S77571
Koh, W. L. E., Barr, C. J., & George, S. (2014). Factors influencing post-stroke
rehabilitation participation after discharge from hospital. International Journal of
Therapy and Rehabilitation, 21(6), 260-267.
Konkoly-Thege, B., Rafael, B., & Rohánszky, M. (2014). Psychometric properties of
the multidimensional health locus of control scale form C in a non-Western
culture. PLoS ONE, 9(9): e107108. doi:10.1371/journal.pone.0107108
Krishnamurthi, R., Witt, E., Barker‐Collo, S., McPherson, K., Davis‐Martin, K.,
Bennett, D., ... & Rathnasabapathy, Y. (2014). Reducing recurrent stroke:
methodology of the motivational interviewing in stroke (MIST) randomized
clinical trial. International Journal of Stroke, 9(1), 133-139.
Kronish, I. M., Diefenbach, M. A., Edmondson, D. E., Phillips, L. A., Fei, K., &
Horowitz, C. R. (2013). Key barriers to medication adherence in survivors of
strokes and transient ischemic attacks. Journal of General Internal Medicine, 28(5),
675-682.
Kuo, H. Y., Chueh, K . H., & Rong, M. W. (2011). The nursing experience with a patient
of recurrent stroke and depression disorder. Yung-Yang Nursing, 5(2), 88-96.
Kuo, L . M., Shyu, Y. I., Chiang, H. L., & Chen, P. L. (2005). The effect of discharge planning on quality of life of primary caregivers of elderly stroke patients. Journal of Evidence-Based Nursing. 1(1), 35-44.
Lal, S., & Korner-Bitensky, N. (2013). Motivational interviewing: a novel
intervention for translating rehabilitation research into practice. Disability and
rehabilitation, 35(11), 919-923.
Lam, L. C. W., Lee, J. S. W., Chung, J. C. C., Lau, A., Woo, J., & Kwok, T. C. Y. (2010). A randomized controlled trial to examine the effectiveness of case management model for community dwelling older persons with mild dementia in Hong Kon. Geriatr Psychiatry, 25, 395–402.
Leach, M. J., Gall, S. L., Dewey, H. M., Macdonell, R. A., & Thrift, A. G. (2011). Factors associated with quality of life in 7-year survivors of stroke. Journal of Neurology, Neurosurgery & Psychiatry, 82(12), 1365-1371.
Lee, K.L., Ou, Y. L., Chen, S. H., & Weng, L. J.(2009). The psychometric properties of a short form of the CES-D used in the Taiwan longitudinal study on aging. Formosa Journal of Mental Health, 22(4), 383-410。
Liang, L. N. (2009). Prevalence of depression and anti-depressant prescription among
hospitalized stroke patients and related factors. Department Health Care
Management, National Taipei University of Nursing and Health Sciences.
(unpublished master 's thesis). Taipei, Taiwan.
Liang, S. H., & Huang, T. T., (2004). The effect of a discharge plan on hospitalized elderly patients with hip fracture: knowledge and ability of self-care, and health care satisfaction. Chang Gung Nursing, 15(3), 237-247.
Liao, C. C., Li, T. C., Lin, R. S., & Sung, F. C. (2006). Urban and rural difference in
prevalence and incidence of stroke in 2000 in Taiwan. Taiwan Journal of Public
Health, 23(3), 223-230.
Lin, H. J., Tseng, H. J., Hung, S. H., Chen,M. L., & Huang, S. (2009). Improvement
of discharge planning for cerebrovascular accident patients. Chang Gung
Nursing, 20(1), 91-102.
Lin, S. C., Yang, S. C., Su, F. Y., Liu, S. J. (2005). Home nursing care of a long term
bed-ridden stroke patient. The Journal of Long-Term Care, 9(1), 88-98.
Li, S. C., Wang, K. Yun., Lin, J. C.(2003). Depression and related factors in elderly patients with occlusion stroke. The Journal of Nursing Research, 11(1), 9-18.
Lin, T. R., & Lin , C. C., (2010). Nursing experience using motivational interview
techniques in caring for an obese patient with type 2 diabetes. The Journal of
Nursing, 57(5), 102-108.
Litman, T. J. (1964) An analysis of the sociological factors affecting the rehabilitation of physically handicapped patients. Archives of Physical Medicine and Rehabilitation. 45, 9-16.
Lyu, J. G. (2015). Motion indexes and performance analysis of stroke rehabilitation
games. (unpublished master 's thesis). Department of Computer Science and
Information Engineering, National Central University, Chungli, Taiwan.
Maccoby, E., & Maccoby N. (1954) The interview: A tool of social science.
In: G. Lindzey (Ed.) Handbook of Social Psychology. Massachusetts: Addison- Wesley.
Mash, R. J., Rhode, H., Zwarenstein, M., Rollnick, S., Lombard, C., Steyn, K., &
Levitt, N. (2014). Effectiveness of a group diabetes education programme in
under‐served communities in South Africa: a pragmatic cluster randomized
controlled trial. Diabetic Medicine, 31(8), 987-993.
Marcus, B. H., Rossi, J. S., Selby, V. C., Niaura, R. S., & Abrams, D. B. (1992). The
stages and processes of exercise adoption and maintenance in a worksite sample. Health Psychology, 11(6), 386-395.
Melrose, S. (2010). How to uncover post-stroke depression. Nursing Made Incredibly
Easy, 8(4), 31-37.
Meltzer, H. Y., Lowy, M.T. (1987). Serotonin hypothesis of depression. In: Meltzer HY, ed. Psychopharmacology: the third generation of progress ( pp. 513–526). New York, NY: Raven Press.
Mikulík, R., Bunt, L., Hrdlička, D., Dušek, L., Václavík, D., & Krýza, J. (2008). Calling 911 in response to stroke a nationwide study assessing definitive individual behavior. Stroke, 39(6), 1844-1849.
Miller, W. R., Rollnick S. (2002). Motivational interviewing. 2nd ed. New York: Guilford.
Miller, W. R., & Rose, G. S. (2009). Toward a theory of motivational interviewing. American Psychologist, 64,527-537. doi:10.1037/a0016830
Miller, J. F. (2000). Patient power resource. In J. F. Miller (ed), Coping with chronic illness: Overcoming Powerlessness(PP. 3-19), Philadelphia : F. A. Davis.
Miller, P. S., Andersson, F. L., & Kalra, L. (2005). Are cost benefits of anticoagulation for stroke prevention in atrial fibrillation underestimated? Stroke, 36(2), 360-366.
Ministry of Health and Welfare. ( March 24, 2016) . Health Expenditure ( NHE), 2014 in Taiwan. Retrieved from http://www.mohw.gov.tw/cht/DOS/Statistic. aspx?f_list_no= 312&fod_ list_no=5944
Ministry of Health and Welfare. (August 5, 2016). Causes of Death in Taiwan, 2015. Retrieved from http://www.mohw.gov.tw/news/572256044
Melrose, S. (2010). How to uncover post-stroke depression. Nursing Made Incredibly
Easy, 8(4), 31-37.
Morgan, M. A., Coates, M. J., Dunbar, J. A., Reddy, P., Schlicht, K., & Fuller, J.
(2013). The TrueBlue model of collaborative care using practice nurses as case
managers for depression alongside diabetes or heart disease: a randomised
trial. BMJ open, 3(1), e002171.
Morris, T., & White, G. (2007). Motivational interviewing with clients with chronic
leg ulceration. British Journal of Community Nursing, 12, S26–S30.
Moshki, M., Ghofranipour, F., Hajizadeh, E., & Azadfallah, P. (2007). Validity and
reliability of the multidimensional health locus of control scale for college
students. BMC Public health, 7(1), 295.
Mutrie, N., & Woods, C. (2003). How can we get people to become more Active? A
Problem waiting to be solved, New York: Palgrave Macmillan.
Naess, H., Waje-Andreassen, U., Thomassen, L., Nyland, H., & Myhr, K.-M. (2006). Health-related quality of life among young adults with ischemic stroke on long-term follow-up. Stroke, 37(5), 1232-1236.
Naylor, M. D., Brooten, D., Campbell, R., Jacobsen, B. S., Mezey, M. D., Pauly, M. V., & Schwartz, J. S. (1999). Comprehensive discharge planning and home follow-up of hospitalized elders a randomized clinical trial. Journal American Medical Associatio, 128(7), 613-620.
Ogedegbe, G., Schoenthaler, A., Richardson, T., Lewis, L., Belue, R., Espinosa, E., ...
& Charlson, M. E. (2007). An RCT of the effect of motivational interviewing on
medication adherence in hypertensive African Americans: rationale and
design. Contemporary clinical trials, 28(2), 169-181.
Pan, J. H., Song, X. Y., Lee, S. Y., & Kwok, T. (2008). Longitudinal analysis of quality of life for stroke survivors using latent curve models. Stroke, 39(10), 2795-2802.
Paul, N., Das, S., Avij'it Hazra, M. D., Ghosal, M. K., & Ray, B. K. (2015).
Depression among stroke survivors: a community-based, prospective study.
American Journal of Geriatric Psychiatry, 21, 821.
Paul, S. L., Dewey, H. M., Sturm, J. W., Macdonell, R. A. L., & Thrift, A. G. (2006). Prevalence of depression and use of antidepressant medication at 5-years poststroke in the North East Melbourne Stroke Incidence Study. Stroke, 37, 2854–2855.
Perreira, K. M., Deeb-Sossa, N., Harris, K. M., & Bollen, K. (2005). What are
we measuring? an evaluation of the CES-D across race/ethnicity and
immigrant generation. Social Forces, 83(4), 1567-1601.
Pfeil, M., Gray, R., & Lindsay, B. (2009). Depression and stroke: A common
but often unrecognized combination. British Journal of Nursing, 18(6),
365-369.
Possidente, C. J., Bucci, K. K., & McClain, W. J. (2005). Motivational interviewing: a tool to improve medication adherence? American Journal of Health System Pharmacy, 62(12), 1311-1314.
Preen, D. B., Bailey, B. E., Wright, A., Kendall, P., Phillips, M., Hung, J., Hendriks, R., Mather, A., & Williams, E. (2005). Effects of a multidisciplinary, post-discharge continuance of care intervention on quality of life, discharge satisfaction, and hospital length of stay: a randomized controlled trial. International Jounal for Quality in Health Care, 17(1), 43-51.
Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy toward a more integrative model of change. Psychotherapy: Theory, Research and Practice, 19(3), 276-288.
Prochaska, J. O., Norcross, J. C., & DiClemente, C. C. (1994). Change for good. New
York: Avon book.
Prochaska, J. O., Redding, C. A., Evers, K.E. (2008). The transtheoretical model and stages of change. in: Glanz, K; Rimer, BK; Viswanath, K. (eds.), Health Behavior and Health Education ( 4th ed., pp.98- 118). San Francisco: Jossey-Bass.
Prochaska, J. O., & Volice, W. F. (1994). Stage of change and decisional dalance for
12 problem behaviors. Health Psychology, 13(1), 39-46.
Prochaska, J. O. , & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12(1), 38-48.
Qiu, Y., & Li, S. (2008). Stroke: Coping strategies and depression among chinese caregivers of survivors during hospitalisation. Journal of Clinical Nursing, 17 , 1563-73.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in
general population. Applied Psychological Measurement, 1, 385-401.
Rotter (1966) Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs: General and Applied, 80(1), 1-28.
Satink, T., Cup, E. H., de Swart, B. J., & Nijhuis-van der Sanden, M. W. (2015).
Self-management: challenges for allied healthcare professionals in stroke
rehabilitation–a focus group study. Disability and Rehabilitation, 37(19),
1745-1752.
Sangeeta, S., & Rana, S. S. (2015). Health locus of control as correlate of health
promoting behaviors. Indian Journal of Health and Wellbeing, 6(6), 580.
Schultz, D., & Schultz, S. (2016). Theories of personality. Cengage Learning.
Schöttke, H., & Giabbiconi, C. M. (2015). Post-stroke depression and post-stroke
anxiety: prevalence and predictors. International Psychogeriatrics, 27(11),
1805-1812.
Sibolt, G., Curtze, S., Melkas, S., Pohjasvaara, T., Kaste, M., Karhunen, P. J., ... & Erkinjuntti, T. (2013). Post-stroke depression and depression-executive dysfunction syndrome are associated with recurrence of ischaemic stroke. Cerebrovascular Diseases, 36(5-6), 336-343.
Shao, J. H., & Yeh, H. F. (2010). The Effectiveness of Self-management Programs for Elderly People with Heart Failure. Tzu Chi Nursing Journal, 9(1), 71-79.
Shida, J., Sugawara, K., Goto, J., & Sekito, Y. (2014). Relationship between self‐esteem and living conditions among stroke survivors at home. Japan Journal of Nursing Science, 11(4), 229-240.
Smith, D. C., Lanesskog, D., Cleeland, L., Motl, R., Weikert, M., & Dlugonski, D.
(2012). Motivational interviewing may improve exercise experience for people
with multiple sclerosis: A small randomized trial. Health & Social Work, 37(2),
99-109.
Sobell, L., & Sobell, M. (2008, May). Motivational Interviewing Strategies and Techniques: Rationales and Examples. Retrieved from http://www. nova.edu /gsc/forms/mi_rationale_techniques.pdf
Sridharan, S. E., Unnikrishnan, J. P., Sukumaran, S., Sylaja, P. N., Nayak, S. D., Sarma, P. S., & Radhakrishnan, K. (2009). Incidence, types, risk factors, and outcome of stroke in a developing country the trivandrum stroke registry. Stroke, 40(4), 1212-1218. doi: 10.1161/STROKEAHA.108.531293
Stuckey, H. L., Dellasega,C.,Graber, N. J., Mauger, D. T., Lendel,I., & Gabbay, R. A. (2009). Diabetes nurse case management and motivational interviewing for change (DYNAMIC): study design and baseline characteristics in the chronic care model for type 2 diabetes. Contemporary Clinical Trials, 30(4), 366-374.
Sturm, J. W., Donnan, G. A., Dewey, H. M., Macdonell, R. A., Gilligan, A. K., Srikanth, V., & Thrift, A. G. (2004). Quality of life after stroke the north east Melbourne stroke incidence study (NEMESIS). Stroke, 35(10), 2340-2345.
Taiwan Dementia Society (TDS) (2016.1.16). MMSE TDS. Recommendation Edition.
Retrieved from http://www.tds.org.tw/ap/download_view.aspx?bid=49&sn= f408bddb -303b- 4081-92b2-447a7629e377
Taiwan Stroke Society (2008). Taiwan Guidelines for the Management of Stroke 2008. Retrieved from http://www.stroke. org.tw/guideline/guideline_new.asp
Tang, Y. H., Hung, C. H., Chen, H. M., Lin, T. H., & Liu, Y. (2015). The effect of
health educationon Taiwanese hypertensive patients’ knowledge and
cognition of stroke. Worldviews on Evidence‐Based Nursing, 12(2), 116-125.
Thorogood, M., Connor, M., Lewando-Hundt, G., Tollman, S., & Ngoma, B. (2004). Secondary prevention of stroke--results from the Southern Africa Stroke Prevention Initiative (SASPI) study. Bulletin of the World Health Organization, 82(7), 503.
Thompson, D. R., Chair, S. Y., Chan, S. W., Astin, F., Davidson, P. M., & Ski, C. F. (2011). Motivational interviewing: a useful approach to improving cardiovascular health? Journal of Clinical Nursing, 20(9-10), 1236-1244. doi: 10.1111/j.1365-2702.2010.03558.x
Toso, V., Gandolfo, C., Paolucci, S., Provinciali, L., Torta, R., & Grassivaro, N. (2004). Post-stroke depression: research methodology of a large multicentre observational study (DESTRO). Neurological Sciences, 25(3), 138-144.
Tsai, H. J., Tseng, S. P., Wang, S. P., & Chang, Y. Y. (2016). Exploring the primary
adaptation process of first-ever stroke patients. The Journal of Nursing, 63(2),
103-112. doi: 10.6224/jn.63.2.103
Tse, M. M., Vong, S. K., & Tang, S. K. (2013). Motivational interviewing and
exercise programme for community‐dwelling older persons with chronic pain: a
randomised controlled study. Journal of Clinical Nursing, 22(13-14), 1843-1856.
Vickery, C. D., Sepehri, A., & Evans, C.C. (2008). Self-esteem in an acute stroke rehabilitation sample: a control group comparison. Clinical Rehabilitation, 22(2): 179–187.
Wange, M. C. (2004). The effect of discharge planning using case management model-the
example of diabetic mellitus, cerebrovascular accident, Hypertension in a district
Hospital (unpublished master 's thesis). Department of Health Service
Administration China Medical Unversity, Taichung, Taiwan.
Wagner, C. C., & McMahon, B. T. (2004). Motivational interviewing and
rehabilitation counseling practice. Rehabilitation Counseling Bulletin, 47(3),
152-161.
Watkins, C. L., Auton, M. F., Deans, C. F., Dickinson, H. A., Jack, C. I., Lightbody, C. E., . . . Leathley, M. J. (2007). Motivational interviewing early after acute stroke: a randomized, controlled trial. Stroke (00392499), 38(3), 1004-1009.
Watkins, C. L., Wathan, J. V., Leathley, M. J., Auton, M. F., Deans, C. F., Dickinson, H. A., . . . Lightbody, C. E.(2011). The 12-month effects of early motivational interviewing after acute stroke: a randomized controlled trial. Stroke, 42(7), 1956-1961
Wei, C. Y., & Chang, C. Y. (2010). The effectiveness of case management model on inpatients with congestive heart failure. Tzu Chi Nursing Journal, 9(4), 71-83.
Welschen, L. M., Oppen, P. V., Dekker, J. M., Bouter, L. M., Stalman, W. A., & Nijpels, G. (2007). The effectiveness of adding cognitive behavioural therapy aimed at changing lifestyle to managed diabetes care for patients with type 2 diabetes: Design of a randomized controlled trial. BMC Public Health, 7(74), 1-10.
West, D. L., DiLillo, V., Bursac, Z., Gore, S. A., & Greene, P. G. (2007). Motivational interviewing improves weight loss in women with type 2 diabetes. Diabetes Care, 30(5), 1081-1087.
Wallston, B. S., Wallston, K. A., Kaplan, G. D., & Maides, S. A. (1976). Development and validation of the health locus of control (HLC) scale. Journal of Consulting and Clinical Psychology, 44(4), 580
Wallston, K. A., Maides, S., & Wallston, B. S. (1976). Health-related information
seeking as a function of health-related locus of control and health value. Journal
of Research in Personality, 10(2), 215-222.
World Health Organization. (2015a, August).Deaths from stroke. Retrieved from
http://www.who.int/cardiovascular_diseases/en/cvd_atlas_16_death_from_stroke
.pdf?ua=1
World Health Organization. (2015b, August). The Atlas of Heart Disease and Stroke.
Retrieved from http://www.who.int/cardiovascular_diseases/resources/atlas/en/
Yang, N. C., & Yeh, S. H.(2012). An Experience Applying a Spiritual Care Model to a First-Time Stroke Patient. The Journal of Nursing, 59(3), 113-118.
Yeh, B. J. (2005). Comprehensive stroke care. Health World, Taipei, Taiwan.
Yeh, X. Z. (2008). The effeteness of case management model on inpatient with diabetes. Department of Nursing College of Medicine, TCU, Hualien, Taiwan.
Yoon, S. S., Heller, R. F., Levi, C., Wiggers, J., & Fitzgerald, P. E. (2001).
Knowledge of stroke risk factors, warning symptoms, and treatment
among an Australian urban population. Stroke, 32(8), 1926-1930.
Yu, H. F., Guo, N. W., Chen, H. Y., & Liang, C.P. (1993). Factors affecting stroke
patients' motivations for rehabilitation. The Kaohsiung Journal of Medical Sciences,
9(5), 305-316.
Zou, S. M. (2011). Alcoholism psychotherapy - Interventions combining motivational
interviewing and cognitivecognitive behavioural interventions: case report. Archives
of Clinical Psychology, 5(1), 54-54.
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