Department of Nursing, Chang Gung Memorial Hospital, Chia-Yi, Taiwan. Department of Nursing, Chang Gung University of Science and Technology, Taiwan. Division of Colon/Rectal, Department of Surgical Medicine, Chang Gung Memorial Hospital, Chia-Yi, Taiwan. Division of Hematology/Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, Lin-Ko, Taiwan. Psychosocial & Community Health and Health Services, Schools of Nursing and Public Health, University of Washington, Seattle, USA. Division of Hematology/Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, Lin-Ko, Taiwan; Department of Nursing, College of Nursing, Chang Gung University of Science and Technology, School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address: swjane@gw.cgust.edu.tw.