某醫學中心影響肺癌病人死亡風險的相關因素探討

目的：衛生福利部公布2017年國人十大死因，肺癌死亡率位居榜首。本文探討某醫學中心肺癌病人的治療方式與死亡風險之相關因素，供臨床醫護人員照護參考。方法：本研究為肺癌病歷回溯式橫斷研究設計，以SPSS/Windows 22.0軟體作資料統整與分析，基本資料以平均值、標準差、百分比統計。治療方式及手術方式以Chi square分析、連續資料以t-test，並以Cox proportional hazard regression及Kaplan-Meier分析影響因素與存活率。結果：肺癌病人以男性、年長者、抽菸者、腫瘤較大、癌症晚期的死亡風險較高。治療以未手術、未化學治療、未放射治療的死亡風險較高。死亡風險受到性別、年齡、抽菸史、癌症分期、治療方式、共病的影響。肺癌病人的存活率，女性高於男性、癌症早期高於癌症晚期、有手術治療高於無手術治療者。結論：本研究結果證實，肺癌病人需要早期發現、治療、手術切除，以降低死亡風險。建議衛生單位應竭力宣導民眾正確的就醫觀念，制定健保政策時，亦應提供更好的保險給付範圍及預防篩檢項目，以促進民眾健康。

關鍵字

肺癌；死亡風險；相關因素

並列摘要

Objectives: The Ministry of Health and Welfare announced the top ten causes of death in 2017 in Taiwan. The mortality rate of lung cancer has ranked first since 2007. This study was to investigate the relationship of the risk of death in patients with lung cancer. Methods: SPSS software was used for statistical analysis, and an independent samples t-test was used for continuous data. Data of different groups of treatment and surgery were compared using a chi-square test. Relevant factors were analyzed using Cox proportional hazard regression. Results: Patients with lung cancer are at higher risk of death are men, older people, smokers, those with larger tumors, last stage of cancer, and non-surgical resection. Patients with lung cancer are treated with a higher risk of death with no surgery, no chemotherapy, and no radiation therapy. Factors such as patient age, gender, body mass index, smoking habits, cancer staging, treatment options, and comorbidities affected risk of death. Conclusions: The results of this study confirm that patients with lung cancer need early detection, early treatment, and early surgical resection to reduce the risk of death. It is suggested that health units should make every effort to publicize the people's correct concept of medical treatment. When formulating health insurance policies, they should also provide better insurance coverage and preventive screening programs to promote public health. The results of this study can provide reference for making preventive health care, clinical care, and future health care decisions.

並列關鍵字

lung cancer ； risk of death ； related factors

參考文獻

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某醫學中心影響肺癌病人死亡風險的相關因素探討

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