1. Department of Nursing Chang Gung University of Science and Technology Chiayi Taiwan
2. Division of Gastroenterology and Hepatology Department of Internal Medicine Chang Gung Memorial Hospital Chiayi Taiwan
3. College of Medicine Chang Gung University Taoyuan Taiwan
4. School of Nursing Chang Gung University Taoyuan Taiwan
5. Department of Cardiology Chang Gung Memorial Hospital Chiayi Taiwan