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E90075
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癌末病患生活品質與調整品質後存活時間之研究
The Study of Quality of Life and Quality Adjusted Survival in Patients with Advanced Cancer
1.胡文郁
1.Wen-yu Hu
1.國立臺灣大學醫學院護理學系暨研究所
1.School and Graduate Institute of Nursing, National Taiwan University
001,002,003,004
1.國立臺灣大學醫學院護理學系暨研究所
1.School and Graduate Institute of Nursing, National Taiwan University
002
1.行政院國家科學委員會
1.National Science Council
A.14 計畫執行期間(起):2001-08-01
A.14 計畫執行期間(訖):2002-07-31
A.16 收到日期:2002-11-24
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癌末病人: 1)醫師確認癌症病人對治癒性治療均已反應,停止癌症治癒性醫療者 2)年齡大於18歲以上成年患者 3)意識清楚、可溝通、且願意接受訪談者 4)病人可於收案過程隨時終止參與

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001,004
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C.2 聯絡日期:2002-11-25
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1.國立臺灣大學醫學院護理學系暨研究所
1.School and Graduate Institute of Nursing, National Taiwan University
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C.7 資料公開日期:2007-08-01
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1.生活品質
2.生活品質調整後存活時間
3.安寧緩和醫療
4.調整品質存活後人年
5.癌症末期
1.Hospice and Palliative Care
2.Life Quality
3.Quality Adjusted Life Years
4.Quality Adjusted Survivals
5.Terminal Cancer
本研究目的是探討成年癌末病人之生活品質及調整品質存活後時間(QAS)指標之研究,採用已經心理計量驗證之具信效度之結構型癌末病人McGill 生活品質量表(MQOL),於台北市某醫學中心腫瘤與緩和醫療病房進行立意取樣,選樣標準均為腫瘤醫師確認癌症病人對治癒性治療均已無反應,停止癌症治癒 性醫療,且意識清楚而願意接受訪談的患者,並以面對面訪談以及病人自填方式收集資料。以SPSS以及S-plus套裝軟體將所收集到的資料進行建檔及統計 分析。 主要研究結果為:(1) 身體症狀的發生率以及對生活品質困擾程較高的前三位分別為疲倦、疼痛及口乾。 (2) 癌末病患生活品質量表之自覺滿意度為中等(5.9分),滿分10分。心理社會方面得分較身體症狀與靈性存在方面得分高。 (3)接受安寧緩和醫療患者其身體症狀及體力較未接受安寧緩和醫療之癌末患者為差,身體症狀層面之生活品質得分較低;但對未來感到害怕對生活品質的困擾度 較低。(4)ECOG-PSR在3 分以上者,其身體症狀及體力差對生活品質的困擾度較高,身體症狀層面之生活品質得分較低。(5) 預估一般正常人的QAS值為未接受安寧緩和醫療癌末患者之QAS值的48倍;預估一般正常人的QAS值為ECOG-PSR為2分以下癌末患者的56.8 倍。

The purposes of this study were to investigate the quality of life and quality adjusted survival (QAS) of terminal cancer patients. Purposive sampling was used for the terminal cancer patients in oncology and palliative care units in a university hospital. The instrument used in the study was McGill Quality of Life Questionnaire (MQOL) which had a good psychometric test. Spss and S-plus software were used to analyze the data. Main results in the study included: The prevalence of symptoms and the severity of disturbance were raked as fatique, pain, and dry mouth. Self-rating to the satisfaction of the quality of life was 5.9 (range 0-10). The score of psychosocial domain was higher than the scores of physical and spiritual domains. The symptoms and physical conditions of the patients in palliative care unit were worse than those in oncology unit. However the impact of afraid of the future to the quality of life was lower in palliative care unit. Predicted QAS in Taiwan normal patients was 48 times to the patients in oncology unit and 56.8 times to the patients whose ECOG-PSR was lower than grade 2. In conclusion, the symptoms and its impact to the quality of life of the patients in palliative care unit were more remarkable than those in oncology unit. Late referral to palliative care unit was still noted in these patients.

D.16 完成檢誤日期:2007-01-05
D.17 預定釋出日期:2007-08-01
D.18 初次釋出日期:2007-08-01
D.19_1 最新版釋出日期:2007-08-01
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10.6141/TW-SRDA-E90075-1
http://efenci.srda.sinica.edu.tw/webview/index.jsp?object=http://efenci.srda.sinica.edu.tw:80/obj/fStudy/E90075
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