頁籤選單縮合
| 題 名 | Experiential Analysis of Withdrawal of Life-sustaining Care for Terminal Patients=末期病人撤除維生醫療之經驗分析 |
|---|---|
| 作 者 | 陳雅琳; 鄭鈺郿; 呂美卿; 陳美如; 林雅莉; 洪啓峯; | 書刊名 | 輔仁醫學期刊 |
| 卷 期 | 22:4 2024.12[民113.12] |
| 頁 次 | 頁1-11 |
| 分類號 | 419.825 |
| 關鍵詞 | 末期病人; 撤除維生醫療; 安寧緩和醫療條例; Terminally ill patients; Withdrawal of life-sustaining treatment; Palliative care regulations; |
| 語 文 | 英文(English) |
| DOI | 10.53106/181020932024122204001 |
| 中文摘要 | 研究目的:本研究旨在分析某區域醫院撤除維生醫療之分析。材料與方法: 本文為回溯性研究,收集北部某區域醫院 2016 年 3 月至 2023 年 12 月符合末期 會診安寧共同照護(簡稱安寧共照),撤除維生醫療之病人為對象,分析其過程 及結果。結果:共 208 位病人撤除維生醫療,男性 95 位,女性 113 位,平均年 齡為 83.2±12.1 歲,病人疾病以腎衰竭最多達 68 位,本研究中由家屬簽署不施行 心肺復甦術暨維生醫療同意書達 187 位,撤除項目以氣管內管最多有 54 位,撤 除維生醫療後病人平均死亡時間為 4.95 ± 7.8 日,撤除後結案原因以死亡佔最多 數 171 位(82.2%);撤除後未死亡人數共計 37 位,其中以轉居家安寧 13 位(6.3%) 最多最終收案後平均死亡時間為 6.7 ± 8.6 日,本院區未設置腫瘤及安寧病房, 撤除維生醫療診斷以非癌居多佔 83.2%故撤除地點也已病房佔多數,非安寧病房 之醫護人員除一般性照顧外,如何以病人為中心的提供靈性方面及臨終照顧等即 時性服務,安寧療護如何在非特定場所及有限資源下,讓病人及家屬也能獲得身、 心、靈的照護,結果可做為在職教育及非安寧病房病人照護之參考。 |
| 英文摘要 | Objective: This study aimed to analyze the process and outcomes of withdrawing life-sustaining treatment (LST) in a regional hospital. Methods and Methods: This retrospective study collected data from patients who met the criteria for palliative shared care and underwent withdrawal of LST at a regional hospital in northern Taiwan between March 2016 and December 2023. The processes and outcomes were analyzed. Results: A total of 208 patients withdrew LST, including 95 males and 113 females, with a mean age of 83.2 ± 12.1 years. The most common underlying disease was renal failure (68 patients). In 187 cases, family members signed the consent form for withholding cardiopulmonary resuscitation and LST. The most frequently withdrawn intervention was endotracheal intubation (54 patients). The average time from LST withdrawal to death was 4.95 ± 7.8 days. The majority of patients (171, 82.2%) died after LST withdrawal, while 37 patients survived, with 13 (6.3%) discharged for home palliative care. The average time from LST withdrawal to death for those discharged was 6.7 ± 8.6 days. The hospital or this study does not have dedicated oncology or palliative care units, most LST withdrawals occurred in general wards, predominantly for non-cancer diagnoses (83.2%). While general nursing care was provided, the delivery of patient-centered spiritual and end-of-life care services in non-palliative settings with limited resources remains a challenge. The findings can inform in-service education and care for terminally ill patients in non-palliative wards. |
本系統中英文摘要資訊取自各篇刊載內容。