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摘要


癌症是一種慢性疾病,經常只能加以控制而不能痊癒,尤其進入癌症末期,隨著身體狀況的日漸惡化,日常生活的行為能力逐漸受限,再加上死亡的威脅愈加迫近,常對癌末病患產生衝擊,而造成心理上的負面情緒。本文即以台北榮民總醫院安寧照護團隊曾照顧過的一位胰臟癌末期病患於接受安寧病房症狀控制出院後自殺的例子,來探討癌症末期病患自殺相關問題。我們試著討論導致癌末病患自殺的重要因素,以期能儘早辨識出有自殺傾向的病患,提前介入並加強治療,特別是在精神心理社會層面的支持,希望協助病患好好度過生命的每一天。

並列摘要


Cancer is a long-term illness that is often incurable, especially in its terminal stage. As the condition of the patient worsens, the deprived of personal function along with the threat of an imminent death will pose as a hindrance in life. Consequently, their probability of developing anxiety/depression disorders is higher than general population, which could even result in ending one’s life prematurely. This article is based on our research done on a past suicide case of a patient who had advanced pancreatic cancer. We discovered that the tendency to feel helplessness, hopelessness, uselessness, and the fear of losing their autonomy, independence and of being a burden on others are often the key factors in suicidal cases. For a hospice care team to successfully avoid such situations, we should try to identify a cancer patient at risk of committing suicide, increase medical treatment, and especially, the psychosocial support. By carefully monitoring our patients, we could thus better improve life for the cancer patients.

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