頁籤選單縮合
題 名 | 非緩和醫療病房住院醫師對緩和醫療態度之調查=The Attitude towards Palliative Care in Non-hospice Resident Physicians |
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作 者 | 林幸玟; 林世瑜; 胡文郁; 邱泰源; 李龍騰; 陳慶餘; | 書刊名 | 中華民國家庭醫學雜誌 |
卷 期 | 8:4 1998.12[民87.12] |
頁 次 | 頁203-209 |
分類號 | 419.77 |
關鍵詞 | 緩和醫療; 全人照顧; Palliative care; Attitude; Total care; |
語 文 | 中文(Chinese) |
中文摘要 | 目前臺灣地區癌末病患的照顧大多由非緩和醫療病房的醫師執行。因此了解非緩和醫療病房的醫師對癌末病患的照顧及緩和醫療的態度相當重要。本研究的目的即是探討非緩和醫療病房的醫師對(1)癌末病患醫療需求(2)照顧癌末病患所遭遇的困難,及(3)緩和醫療提供服務內容的態度。本研究方法以方便取樣選擇曾照會過臺大醫院緩和醫療病房的各科部所有住院醫師進行問卷調查,問卷內容主要參考世界衛生組織對緩和醫療的定義設定選項。研究結果顯示受訪醫師贊同癌末病人最需要的幫助依序為:疼痛控制(96.1%),其他身體症狀控制(96.1%),心理問題的處理(93.1%),家庭社會問題的處理(86.3%),靈性照顧(69.6%)。另外受訪醫師在照顧癌末病人最常碰到處理上的困難依序為:身體症狀(82.4%),疼痛(81.4%),心理問題(73.5%),家庭社會問題(61.8%),靈性照顧(33.3%)。醫師認為目前臺灣緩和醫療機構可提供的幫助依序為:疼痛控制(95.1%),其他身體症狀控制(84.3%),心理問題的處理(77.5%),家庭社會問題的處理(66.7%),靈性照顧(55.9%)。比較醫師不同專業背景時可發現:內外科系醫師對心理問題的處理、家庭社會問題的處理及靈性照顧在困難度上結果有顯著差異( p < .05),其他選項則不同背景的醫師所選的結果並無顯著差異。結論:大多數非緩和醫療病房醫師認為症狀控制困難,另外對緩和醫療全人照顧的理念則尚未建立,尤其是嚴重影響病患生活品質的靈性照顧更是被忽略,未來在推廣緩和醫療癌末照顧時,「全人照顧」的觀念應再被強調。 |
英文摘要 | In Taiwan, most terminally-ill patients are cared by physicians without clinical training in palliative care. This study is to determine the physicians' attitudes toward the dimension of palliative care for terminally-ill cancer patients. A survey by questionnaires on 98 resident physicians who were not assigned to work on the palliative wards was performed in a medical center. It was noted that 96.1% of the physicians considered the control of pain and other symptoms as the most needed help for these patients, followed by 93.1%, psychological care; 86.3%, family and social care; and 69.6% considered spiritual care as the most needed. The most common difficulties faced in dealing with such patients were noted as follows: 82.4% of the physicians thought the control of other symptoms, 81.4%, control of pain; 73.5%, psychological care; 61.8%, family and social care; and 33.3% thought spiritual care as the most difficulty. By the physicians' viewpoints, the available institutions for palliative care in Taiwan could provide services as follows:95.1% thought the control of pain, 84.3%, control of other symptoms; 77.5%, psychological care; 66.7%, family and social care; and 55.9% thought they could provide spiritual care. In summary, it was noted that most of the surveyed physicians cared more the physical symptoms rather than the social, emotional and spiritual problems. We may suggest that a model of a comprehensive care for the terminally-ill cancer patients should be emphasized in medical education. |
本系統中英文摘要資訊取自各篇刊載內容。