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頁籤選單縮合
題 名 | 肺癌新診斷病人非計劃性入院及預測相關因素之探討=Predictors of Unplanned Rehospitalizations among Patients with Newly Diagnosed Non-Small Cell Lung Cancer (NSCLC) |
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作 者 | 張麗蓉; 陳雅智; 謝宗成; 黃彥晴; | 書刊名 | 志為護理 |
卷 期 | 13:5 2014.10[民103.10] |
頁 次 | 頁76-87 |
分類號 | 419.77 |
關鍵詞 | 非計畫性重複入院; 癌症症狀; 非小細胞性肺癌; 危險因素; 臺灣; Cancer symptoms; Non-small cell lung cancer; NSCLC; Risk factors; Taiwan; Unplanned rehospitalization; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:探討肺癌新診斷病人非計劃性入院之預測因素。方法:採病歷回溯縱貫性及描述性研究,在某區域教學醫院以方便取樣回顧405位新診斷非小細胞肺癌病人住院病歷,並追蹤3年其臨床症狀及(非)計劃性入院情形。結果:三年內有1,920次(46.5%計劃性和53.5%非計劃性)肺癌相關性住院。非計劃性住院常因肺癌症狀惡化而發生,廣義混合效果模式分析發現13個症狀與病人特徵之顯著非計劃性癌症住院之危險因素(OR = 1.04~50.3, p < .02)。討論/結論:鄉鎮地區肺癌病人因癌症症狀相關因素導致非計劃性醫療使用頻繁,此結果提供癌症症狀處理之重要臨床證據。建議醫護人員在出院準備計畫中,考慮非計劃性入院危險因素,發展有效及持續性癌症症狀照護策略。 |
英文摘要 | Purpose: This study aimed to examine risk factors for predicting unplanned rehospitalizations related to lung cancer. Methods: Longitudinal, descriptive design was conducted with retrospective medical record review. A convenience sample of 405 newly diagnosed non-small cell lung cancer (NSCLC) patients was identified through a hospital cancer registry database in southern Taiwan. Each patient was followed for three years to examine clinical symptoms and outcomes (planned/unplanned admissions) after the index hospitalization. Results: There were 1920 lung-cancer associated hospitalizations (46.5% planned vs. 53.5% unplanned) during the study time period. The unplanned rehospitalizations were more likely to occur in patients with preexisting cancer symptoms versus not. The multivariate Generalized Mixed Effect model identified 13 symptoms and patient characteristics as significant predictors of unplanned re-hospitalizations in NSCLC (odds ratio = 1.04~50.32, p < .02). Conclusions: Our study demonstrated frequent unplanned acute care utilization related to worsening cancer symptoms among NSCLC patients in suburban areas. The findings emphasize the importance of symptom management in preparation for discharge. Using significant predictors of unplanned rehospitalizations is warranted in developing continuous, effective care strategies for discharged patients with newly diagnosed lung cancer. |
本系統中英文摘要資訊取自各篇刊載內容。