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引文資料
題名:
Holistic Outcome Measurement for Terminally Ill Cancer Patients in Medical Centers in Taiwan
書刊名:
The Journal of Nursing Research
作者:
楊克平
/
尹祚芊
/
李麗傳
/
徐南麗
/
黃瑞美
作者(外文):
Yang, Ke-ping
/
Yin, Teresa J. C.
/
Lee, Li-chuan
/
Hsu, Nanly
/
Huang, Jui-mei
出版日期:
2001
卷期:
9:3
頁次:
頁43-56
主題關鍵詞:
整體性病患結果
;
照護型態
;
癌末病患
;
Holistic patient outcomes
;
Care patterns
;
Terminally ill cancer patients
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:0
共同引用:
29
點閱:42
本橫斷式研究之目的在評量台灣地區醫學中心之癌末病患結果,並測試不同照護型態是否對病患結果有不同的影響。整體性病患結果以病患之生活品質、對照護之滿意度及費用等變項評量之。本研究採立意取樣,針對4所醫學中心,共計224位研究對象參與,含123位癌末病患及101 位護理人員。各醫學中心之照護型態可分類為四組:安寧病房、安寧小組會診、安寧居家及傳統式一般照護等。研究結果顯示安寧病房住院患者之生活品質、滿意度均高於傳統式一般照護,其平均住院日及費用亦均低於傳統照護。然而居家安寧照護組卻有最好的心裡層面生活品質。此外,安寧病房護理人員之工作滿意度亦最高。 本研究非但提供臨終患者照護品質之評價工具,尚對各種照護型態在病患結果上之影響提供實證性資料,以確保病患死亡過程中之最佳利益。以目前我國健康照護多樣化之服務模式而言,瞭解並選擇最有效的照護型態實有燃眉之急。
以文找文
The purpose of this cross-sectional study was to examine holistic patient outcomes for terminally ill cancer patients, as well as to examine whether different care patterns affect patient outcomes differently. Holistic patient outcomes were measured by the patients' quality of life, satisfaction with care, and cost of care. A purposive sampling of 224 subjects including 123 patients and 101 nurses was drawn from four medical centers in Taiwan. Among these settings, various care patterns were adopted and categorized into 4 groups: hospice inpatients, hospice team consultation, home hospice care services, and a conventional acute care group. Results showed that hospice inpatients had a higher quality of life, a higher level of satisfaction with the care and a lower average inpatient cost, whereas conventional care tended to have the highest length of hospital stay. Home hospice care patients had better psychological well-being than those with other care patterns. In addition, nurses' work satisfaction with the inpatients care unit tended to be significantly higher than with the other groups. The study findings not only provide an instrument for evaluating the quality of care, but also contribute to identifying patterns of care that will influence the dying process, which can only be beneficial for patients. Given the wide variety of healthcare services available now, understanding and selecting the most effective care patterns to enhance patient outcomes is of utmost importance in Taiwan.
以文找文
期刊論文
1.
Yang, K. P.、Simms, L. M.、Yin, J. C.(1999)。Factors influencing nursing-sensitive outcomes in Taiwanese nursing homes。Online Journal of Issues in Nursing,1999(Aug.),1-23。
2.
Sousa, K. H.(1999)。Description of a Health-Related Quality of Life Conceptual Model。Outcome Management for Nursing Practice,3(2),78-82。
3.
楊克平(19920300)。臺灣地區護理人員短缺問題之現況調查--臺灣地區護理人員短缺之正面探討階段之一。護理雜誌,39(1),47-53。
延伸查詢
4.
Hinton, J.(1979)。Comparison of places and policies for terminal care。Lancet,1,29-32。
5.
楊克平、尹祚芊(19990200)。臺灣地區長期照護病患之身心社會功能與其影響因素之探討。護理研究,7(1),65-76。
延伸查詢
6.
楊克平、尹祚芊(19990400)。癌末病患健康相關生活品質內涵之確認。護理研究,7(2),129-144。
延伸查詢
7.
Harris, M. D.(1991)。Clinical and financial outcomes in patient care in a home health care agency。Journal of Nursing Quality Assurance,5(2),41-49。
8.
Amado, A.、Cronk, B.、Milio, R.(1979)。Cost of Terminal Care: Home Hospice vs. Hospital。Nursing Outlook,27,522-526。
9.
Andershed, B.、Ternestedt, B. M.(1997)。Patterns of Care for Patients With Cancer Before and After the Establishment of a Hospice Ward。Scandinavian Journal of Caring Sciences,11,42-50。
10.
Cameron, J.、Parkes, C.(1983)。Terminal Care: Evaluation of Effects on Surviving Family of Care Before and After Bereavement。Postgraduate Medical Journal,59,73-78。
11.
Dawson, N. J.(1991)。Need Satisfaction in Terminal Care Setting。Social Science & Medicine,32(1),83-87。
12.
Ferrell, B. R.(1998)。How can We Improve Care at the End of Life?。Nursing Management,29(9),41-43。
13.
Greer, D.、Mor, V.、Morris, J.、Sherwood, S.、Kidder, D.、Birnbaum, H.(1986)。An Alternative Terminal Care: Results of the National Hospice Study。Journal of Chronic Diseases,39,9-26。
14.
Mast, M. E.(1995)。Definition and Measurement of Quality of Life in Oncology Nursing Research: Review and Theoretical Implications。Oncology Nursing Forum,22(6),957-964。
15.
Law, Rollanda(1997)。The Quality of District Nursing Care for Dying Patients。Nursing Standard,12(7),41-44。
16.
Kane, R. L.、Bernstein, L.、Wales, J.、Leibowitz, A.、Kaplan, S.(1982)。A Randomised Controlled Trial of Hospice Care。LANCA,1(8382),890-894。
17.
Knapp, J. Z.(1999)。The Scientific Basis for Visible Particle Inspection。PDA Journal of Pharmaceutical Science and Technology,53(6),291-302。
18.
McMillan, S. C.、Mahon, M.(1994)。A Study of Quality of Life of Hospice Patients on Admission and at Week 3。Cancer Nursing,17(1),52-60。
19.
Nissen, R. L. J.、Swenson, M. J.、Farrell, J. B.、Sperduto, P. W.、Sladek, M. L.、Lally, R. M.、Schroeder, L. M.(2000)。Effects of Advanced Nursing Care on Quality of Life and Cost Outcomes of Women Diagnosed with Breast Cancer。Oncology Nursing Forum,27(6),923-932。
20.
O'Henley, A.、Curzio, J.、Hunt, J.(1997)。Palliative Care Services and Settings: Comparing Care。International Journal of Palliative Nursing,3(3),161-167。
21.
Parkes, C. M.(1985)。Terminal Care: Home, Hospital, or Hospice?。The Lancet,155-157。
22.
Parkes, C.(1979)。Terminal Care: Evaluation of Inpatient Service at St. Christopher's Hospice. Part I. Views of Surviving Spouses on Effects of Service on the Patient。Postgraduate Medicine Journal,55,517-522。
23.
Parkes, C.、Parkes, J.(1984)。'Hospice' Versus 'Hospital' Care: Reevaluation After 10 Years as Seen by Surviving Spouses。Postgraduate Medical Journal,60,120-124。
24.
Seale, Clive(1991)。A Comparison of Hospice and Conventional Care。Social Science & Medicine,32(2),147-152。
25.
Smeenk, W. J. M.、Witte, L. P.、Haastregt, J. C. M.、Schipper, R. M.、Biezemans, H. P. H.、Crebolder, H. F. J.(1998)。Transmural Care of Terminal Cancer Patients: Effects on Quality of Life of Direct Caregivers。Nursing Research,47(3),129-136。
26.
Wills, C. E.、Moore, C. F.(1994)。A Controversy in Scaling of Subjective States: Magnitude Estimation Versus Category Rating Methods。Nursing Research in Nursing & Health,17,231-1227。
圖書
1.
楊克平(1999)。Quality of Life for Terminally Ill Patients。安寧與緩和療護學:概念與實務。臺北。
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