以需求為基礎的癌症病人照護、評估及臨床應用

Need-Based Cancer Care: Assessment and Clinical Implementation

胡嬋娟(Chan-Chuan Hu) ； 游鎧璘(Kai-Lin You) ； 蔡麗雲(Li-Yun Tsai) ； 陳敏如(Min-Ru Chen) ； 蕭孟蘋(Meng-Ping Hsiao) ； 張馨元(Sin-Yuan Jhang) ； 賴裕和(Yeur-Hur Lai)

《腫瘤護理雜誌》 19卷增訂刊II (2019/11) Pp. 5-17

https://doi.org/10.6880/TJON.201911/SP_19.01

摘要

癌症為威脅國人健康之主要問題，但也由於醫療和科技的進步，癌症病人的存活期因而改善，然而因為癌症本身或治療所產生之身體症狀和心理社會困擾，病人可能因此面臨急性或中長期的問題，照護上的需求亦可能增加，若其需求未得滿足，可能影響病人後續的生活品質，甚或存活；因此，評估與處理病人的需求為重要之臨床照護議題，醫護人員需具備相關能力。本文主要探討癌症病人的照護需求，以及相關之因素，簡介國內外常見之需求評估工具，提供醫護人員臨床評估及研究之用，結合癌症個別性之照護需求的評估，進一步給予實證之照護措施，以提升癌症病人的照護品質。

關鍵字

癌症 ； 照護需求 ； 需求評估

並列摘要

Cancer is one of the most life-threatening diseases around the world. Fortunately, advanced cancer screening and cancer treatments have led to longer cancer survival. Patients with longer survival time might face more challenges and distress across the cancer process from acute and or/ chronic maintaining treatments, long-term survival to terminal stages. Moreover, these diseases and/or treatments related to side effects, psychological distress, and functional declining might increase potential care problems and care needs. To enhance patients' care quality, assessment of and dealing with unmet care needs are important. This paper aims to explore cancer patients' care needs, their related factors and assessment tools. It will help health care professionals better understand for providing better need-based cancer care.

並列關鍵字

cancer care ； care needs ； needs assessment

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