Shu Yu is a Professor and the Dean of School of Nursing, National Yang-Ming University in Taiwan. She has published many papers in scientific journals and international conferences.
Previous studies have demonstrated that obesity is associated with cardiovascular diseases (CVDs). Poor health status in childhood is a risk factor for adulthood. However there is less studies to examine children’s biochemical data that are also associated with CVDs. The main purpose of this study was to examine the relationships between anthropometric (BMI, triceps and subscapular skin-fold) and biochemical measurements (cholesterol and triglyceride). A cross-sectional research design was conducted with a samples of 786 (male 367, female 419) children studying from 5th to 9th grade in Taiwan. The main findings include (1) Obesity, overweight and underweight occupied 16.4%, 13.1%, and 6.0%, separately. The abnormal rates of cholesterol (≥170mg/dl) and triglyceride (≥150mg/dl) were 39.2% and 3.9%. (2)Gender comparison indicating males revealed significant higher value in BMI; females revealed higher value in triceps, subcapsular skinfold, cholesterol and triglyceride. Females revealed a significant higher abnormal rate of cholesterol than males (43.2% vs. 34.6%, χ2=6.61, p=0.016) but no significant difference in the abnormal rate of triglyceride between two genders (χ2=0.49, p=0.588). (3) For BMI and gender effect, obses males’ cholesterol and triglyceride were significant higher than other body type males. For females, these differences only exited in triglyceride. Our findings support that, except anthropometric measurements, biochemical examinations are important to identify children’s health. Triglyceride may be more sensitive than cholesterol. Health professionals should actively assess children’s anthropometric and blood measurements. Early health promotion and preventive health program should be provided to reduce the probability of CVDs in later adulthood.
Insil Jang has worked as a staff RN and Clinical Nurse Specialist of Cardiovascular Surgery part for 13years in Asian Medical Center. She has received a PhD and became an Assistant Professor at Department of Nursing in University of Ulsan. She has done specialty is Adult Health Nursing. Her research interests are cardiovascular patient care, clinical nurse specialists and nursing management. She has already published several papers.
Purpose: The purpose of this study was to identify the effect of an early discharge protocol after coronary artery bypass graft surgery in Korea. Methods: The sample for this study consisted of 29 patients in an early discharge protocol (EDP) group and 31 patients in a conventional discharge protocol (CDP) group. The EDP group, led by the APNs, was formed to conduct a randomized controlled trial. A power analysis was performed using the outcome variable of hospital LOS. Results: Statistical analysis revealed that the EDP had discharged patients after an average of 6.87days, which was 2.39 days shorter than with the CDP. The safety of the EDP was evaluated by examining wound infection and postoperative complication in outpatient clinic. And other indicators were any emergency room visits and readmission by reviewing medical records in outpatient clinic. Although there were differences in the indicators between the EDP and CDP groups, the differences were not statistically significant, indicating that patient safety was maintained equally in the two groups. Conclusion: The results of the study revealed that an EDP program can be successfully implemented to guide best practice, reduce LOS, and reduce costs while maintaining patient safety outcomes in patients undergoing CABG surgery in Korea.