安寧病房病患復健成效探討

The Effects of Rehabilitation for the Hospice Patients

蘇王麟(Wang-Ling Su) ； 李立榕(Li-Rong Lee) ； 廖怡晴(Yi-Ching Liao) ； 蘇文浩(Wen-Hao Su)

《安寧療護雜誌》 9卷2期 (2004/05) Pp. 133-140

https://doi.org/10.6537/TJHPC.2004.9(2).3

摘要

本研究搜集從九十二年五月一日至九十三年四月三十日止，馬偕醫院安寧病房住院病患被照會復健科者共三十六人次，其中有五人次拒絕接受復健，三人次家屬拒絕簽同意書，十二人次在做了一次復健後，無法再接受後續復健（十一人因為疼痛或疲倦，一人因兩天後即出院），扣除上述病患，其餘十六人次（其中三人重覆住院兩次，故共十三人），接受整個七至十天的復健療程。十三人中，十位女性，三位男性，平均年齡53.8歲，全都是有轉移的癌症病患。完成復健療程後，病患在日常生活功能及疼痛指數兩方面有統計上明顯進步，在關節活動度及肌力方通很少有進展。問卷調查中發現，病患大都有強烈動機，想接受復健，希望藉此讓自己可以有能力做一些想做的日常生活工作，縱使是在人生的最後階段。
因此，我們認為，復健治療對安寧病患是一項有正面意義且必要的醫療服務，可藉以提供增進臨終階段生活品質的機會，以滿足多數安寧病患的期待。如何推廣復健治療予安寧病患及改善復健治療的效率，是未來我們要努力的目標。

關鍵字

安寧療護 ； 復健 ； 日常生活功能 ； 疼痛控制

並列摘要

Since May 1, 2003 to April 30, 2004, we have enrolled 36 patients in the Hospice ward of Mackay Memorial Hospital. Among these 36 patients, 5 rejected to receive rehabilitation, 3 patients’ family refused to sign informed consent, and other 12 did not receive further rehabilitation after did the program once (11 because of asthenia and pain, and 1 was discharged 2 days later.) The remained 16 patients (3 patients were enrolled to this study twice received individualized inpatient rehabilitation program about 3 to 5 session within 7 to 10 days. Among these 13 patients, 10 were female and 3 were male. The mean age was 53.8 years old. They are all diagnosed of cancer with matastatsis. After completing the rehabilitation program, the patients were found to have statistically significant improvement in activity of daily living (ADL) and pain. However, there was little improvement in range of motion of major joints and muscle power of four limbs. In the questionnaire, most patients expressed strong motivation to receive rehabilitation and hope to do ADL by themselves even in their terminal stage of life.
Thus, we considered that rehabilitation can have a positive effect on hospice patients and is a necessary medical service for them. How to improve the efficiency of hospice rehabilitation program and explanation of benefit from it to hospice patients is our future work.

並列關鍵字

hospice care ； rehabilitation ； daily activity function ； pain control