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題名:臺灣的末期病人有機會壽終正寢嗎?--在宅往生課題之探討
書刊名:安寧療護
作者:翁瑞萱徐愫萱洪香蓮劉旭華李佩璇洪毓謙賴俊夫 引用關係劉嘉仁黃勝堅施至遠
作者(外文):Ueng, Ruey-shiuanHsu, Su-hsuanHung, Shiang-lienLiu, Hsu-huaLee, Pei-hsuanHung, Yu-chienLai, Chun-fuLiu, Chia-jenHuang, Sheng-jeanShih, Chih-yuan
出版日期:2013
卷期:18:3
頁次:頁320-329
主題關鍵詞:生命末期照護在宅往生安寧療護社區醫療End-of-life careGo home to diePalliative careCommunity medicine
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(12) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:10
  • 共同引用共同引用:21
  • 點閱點閱:30
讓末期病人在希望的地點死亡,為生命末期照護重要的品質指標。世界衛生組織也建議在規畫生命末期照護時,應考量病人本身喜好的末期照護與死亡地點。根據之前研究顯示,大多數的癌症末期病人希望在家中死亡,但很多人無法完成這個心願。善終為華人文化中的「五福」(長壽、富貴、康寧、好德、善終)之一,而在家中死亡即被視為達成善終的重要因子。根據我國死亡登記資料,目前約五成的民眾在家中死亡。然而,實際在家中死亡的比例應較此數據為低,因為許多病人常常是在瀕死階段或已死亡才辦理出院返家。面對我國目前社區安寧照護體系過度集中於大型醫院,建立社區安寧照護體系已刻不容緩,才有機會讓更多的病人在自己喜好的地點死亡。
Enabling people to die in their preferred place is important to deliver high quality end-of-life care. The World Health Organization also recommended that planning for care at the end of life should be responsive to patient's choice for place of care and death. Previous studies about the preferences for place of death in western countries have shown that the majority of terminal cancer patients wish to die at home, but many do not accomplish this cherished desire. In the traditional Chinese belief, Good death is commonly recognized as one of the Five Blessings (longevity, wealth, health, love of virtue, a good death). Moreover, death at home is also believed to be a major ingredient of a good death. According to the death registration, approximately 49% of people in Taiwan die at home currently. However, the actual home death rate would be much lower because some of the terminally ill patients discharged from hospital and returned to home at the last hour of life or even death. Current palliative care system in Taiwan is facing the challenge of over-centralization. Therefore, establishing community-based palliative care system should be encouraged to allow more people die in their preferred place.
期刊論文
1.Yao, C. A.、Hu, W. Y.、Lai, Y. F.(2007)。Does dying at home influence the good death of terminal cancer patients。Journal Pain Symptom Manage,34,497-504。  new window
2.Cohen, J.、Houttekier, D.、Onwuteaka-Philipsen, B.、Miccinesi, G.、Addington-Hall, J.、Kaasa, S.、Bilsen, J.、Deliens, L.(2010)。Which patients with cancer die at home? A study of six european countries using death certificate data。Journal Of Clinical Oncology,28(13),2267-2273。  new window
3.Beng, A. K. L.、Fong, C. W.、Shum, E.、Goh, C. R.、Goh, K. T.、Chew, S. K.(2009)。Where the elderly die: The influence of socio-demographic factors and cause of death on people dying at home。Annals Academy Of Medicine Singapore,38(8),676-83。  new window
4.Fukui, S.、Yoshiuchi, K.、Fujita, J.、Sawai, M.、Watanabe, M.(2011)。Japanese people's preference for place of end-of-life care and death: a population-based nationwide sur。Journal of Pain Symptom Management,42(6),882-92。  new window
5.Gomes, B.、Higginson, I. J.、Calanzani, N.、Cohen, J.、Deliens, L.、Daveson, B. A.、Bechinger-English, D.、Harding, R.(2012)。Preferences for place of death if faced with advanced cancer: a population survey in England, Flanders, Germany, Italy, the Netherlands, Portugal and Spain。Annals of Oncology,23(8),2006-2015。  new window
6.Jeurkar, N.、Farrington, S.、Craig, T. R.、Slattery, J.、Harrold, J. K.、Oldanie, B.、Teno, J. M.、Casarett, D. J.(2012)。Which hospice patients with cancer are able to die in the setting of their choice? results of a retrospective cohort Study。Journal of Clinical Oncology,30(22),2783-2787。  new window
7.Kmietowicz, z.(2013)。More people in England are dying at home。BMJ,347,6634。  new window
8.吳風鈴、陳慶餘、謝博生(20110100)。社區善終照護準備計劃。臺灣醫學,15(1),22-31。  延伸查詢new window
9.余尚儒(2011)。社區長照安寧整合連續性照護--實現「老有所終、末有所安」。台灣老年學論壇,45,1-7。  延伸查詢new window
10.詹其峰、邱泰源、陳慶餘(2013)。台灣三全健康照模式。台灣醫學,56(2),51-56。  延伸查詢new window
11.Howell, D.、Marshall, D.、Brazil, K.、Taniguchi, A.、Howard, M.、Foster, G.、Thabane, L.(2011)。A shared care model pilot for palliative home care in a rural area: impact on symptoms, distress, and place of death。Journal of Pain Symptom Management,42,60-75。  new window
12.Lusardi, P.、Jodka, P.、Stambovsky, M.、Stadnicki, B.、Babb, B.、Plouffe, D.、Doubleday, N.、Montonye, M.(2011)。The going home initiative: Getting critical care patients home with hospice。Critical Care Nurse,31(5),46-57。  new window
13.Fukui, S.、Fujita, J.、Tsujimura, M.、Sumikawa, Y.、Hayashi, Y.(2011)。Predictors of home death of home palliative cancer care patients: A cross-sectional nationwide survey。International Journal of Nursing Studies,48(11),1393-1400。  new window
14.Burns, E.、Nair, S.(2014)。New horizons in care home medicine。Age and Ageing,43,2-7。  new window
15.彭仁奎、洪壽宏(20110100)。社區末期醫療體系的建立:以雲林為例。臺灣醫學,15(1),48-55。  延伸查詢new window
16.Weissman, D. E.、Meier, D. E.(2011)。Identifying patients in need of a palliative care assessment in the hospital setting。Journal of Palliative Medicine,14(1),17-23。  new window
17.Rosenberg, M.、Rosenberg, L.(2013)。Integrated model of palliative care in the emergency department。Journal of Emergency Medicine,14(6),633-36。  new window
18.Yun, Y. H.、Lim, M. K.、Choi, K. S.、Rhee, Y. S.(2006)。Predictors associated with the place of death in a country with increasing hospital deaths。Palliative Medicine,20(4),455-461。  new window
19.Tang, S. T.(2003)。When death is imminent: Where terminally ill patients with cancer prefer to die and why。Cancer Nursing,26(3),245-251。  new window
20.Tang, S. T.、Huang, E. W.、Liu, T. W.、Rau, K. M.、Hung, Y. N.、Wu, S. C.(2010)。Propensity for home death among Taiwanese cancer decedents in 2001-2006。Journal of Pain and Symptom Management,40(4),566-574。  new window
研究報告
1.行政院衛生署(2010)。生命統計。台北市:行政院衛生署。  延伸查詢new window
圖書
1.林綺雲、曾煥棠、林慧珍、陳錫琦、李佩怡、方蕙玲(2000)。生死學。臺北:洪葉文化事業有限公司。  延伸查詢new window
2.黃煌雄、沈美真、劉興善(20120000)。全民健保總體檢。臺北:五南。new window  延伸查詢new window
其他
1.監察院(20110118)。「我國全民健保保險總體檢」調查報告,http://www. tma.tw/nhi2/2014/05/13。  延伸查詢new window
 
 
 
 
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