頁籤選單縮合
題 名 | 以病人家屬角度探討緩和醫療初次評估=A Study of Initial Assessment of Palliative Care: The Viewpoints of Caregivers |
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作 者 | 姚建安; 邱泰源; 胡文郁; 莊榮彬; 程劭儀; 李龍騰; 陳慶餘; | 書刊名 | 中華民國家庭醫學雜誌 |
卷 期 | 7:4 1997.12[民86.12] |
頁 次 | 頁174-181 |
分類號 | 419.77 |
關鍵詞 | 病人家屬; 癌症末期病患; 緩和醫療照顧; Palliative care; Initial assessment; |
語 文 | 中文(Chinese) |
中文摘要 | 為了解癌症末期病患及其家屬接受緩和醫療照顧的意願及需求, 以提供適當的緩 和醫療照顧,進而提升癌末病人的生活品質。 本研究針對 1995 年 10 月至 1997 年 1 月 間 565 位前來照會的癌末病患及家屬, 收集其接受臺大醫院緩和醫療病房入院評估小組的 評估資料。分析病人的基本資料, 並由照顧者角度來探討病人及家屬的照護需求,與對緩和 醫療的認知及接受程度,並比較從不同照顧單位轉介而來病人的認知之差異性。 研究結果有:接受照會病人以 36-64 歲之年齡層居多,佔 273 人( 48.3 %), 64 歲以 上者次之( 44.2 %),男性( 54.5 %)略多於女性( 45.5 %)。照會的來源則以本院 其他病房最多,有 190 人( 33.6 %),在家中者居次( 26.0 %)。 原發癌症則以肺癌 最多,有 105 人( 18.6 %),肝癌次之( 18.4 %)。 病人確定了解並接受本病房宗旨 、特性及照顧方式者不到四分之一( 23.9 %),而將近三分之二的病患知道自己的疾患知 道自己的疾病診斷( 61.9 %)。至於申請住入本病房的目的,則以身體症狀需要處置居多 ( 93.5 %),情緒問題則居次( 24.6 %)。比較不同照顧單位所轉介而來的病人對病房 照顧原則的認知及接受,並沒有統計學上顯著之差異( p=0.65 )。而追�j所有經過會談的 病人,只有 299 人( 53.0 %)的病人能住入本院緩和醫療病房。 本研究顯示的意義如下:癌末病人及其家屬接受入院治療的需求仍以身體上症狀居多,但不 管從本院或他院轉介而來病患對緩和醫療的照顧原則的認知及接受度普遍低。如何提供給其 他專科的醫療人員、醫學院學生及社會大眾的正確教育及宣導,對緩和醫療的推動,為當務 之急。 |
英文摘要 | Hospice and palliative care have been well developed worldwide. With the understanding the needs of terminal cancer patients and their families, we should provide them with better palliative care and promote their life quality. A total of 565 patients who received initial assessment of palliative care from October in 1995 to January in 1997 were taken as subjects for this study. We analyzed the basic information of the subjects, investigated the needs of theirs and their families' for palliative care and their acceptance. Moreover, we also compared the differences of acceptance among the patients from different groups. The results revealed that the most patients (48.3%) referred to our facility were aged 36-64 years and the second large group (44.2%) were over 64 years. Male patients were more than female (54.5% vs. 45.5%). The most of patients (33.6%) were referred from the wards in our hospital and the second large group (26%) were from their homes. There were a little more lung cancer patients (18.6%) than liver cancer patients (18.4%) by their primary diseases. It was noted that there were almost two thirds of the patients (61.9%) knew the clinical diagnosis of their disease. There were 93.5% of the patients needed symptoms control and 24.6% needed psychological support in palliative care. There were no significant differences in acceptance of the palliative care among the patients from different groups. Only 53% of the patients who received initial assessment could be admitted to our palliative care ward. The most needs of terminal cancer patients and their families are symptom control, but awareness and acceptance for palliative care are still low in public. |
本系統中英文摘要資訊取自各篇刊載內容。