本研究目的在瞭解癌症病患和家屬對安寧照顧服務的需求及其影響因素。研究係 採用問卷調查法，在中部某醫學中心，以立意取樣法收集住院癌症病患 78 人，及主要參與 照顧的癌症病患家屬 85 人。 以描述性統計分析，結果發現（一）病患和家屬都認為心理方面的需要最重要。（二）生理 方面的疼痛和身體不適症狀的處是所有需俅中得分最高的。（三）病患與家屬對末期病患需 求的看法，除在告知診斷，協助家屬隱瞞病情，及病患亡故後協助遺體的護理等三項有顯著 差異外，其餘無顯著差異。（四）末期病患需求認知的影響因素中病患的看法會因年齡、子 女數和教育程度不同而有顯著差異，家屬的看法則無差異。（五）病患願意接受安寧病房照 顧者佔 85.9%，願意接受安寧小組照顧者佔 97.4%。（六）家屬願讓病患接受安寧病房照顧 者佔 83.5%，願意接受安寧小組照顧者佔 98.8%。（七）不願意接受安寧病房照顧的原因， 主要是擔心會與家人分離。

　　　　　The objective of this research is to investigate the conition and relat ed influential factors of the cancer patients and their families to the terminal care request.In a medical center in central Taiwan, the purposive sampling method and questionnaire were used to collect the information from 78 hospitalized cancer patients and their 85 families who participated in caring for them. The qualitative results of statistic analysis for this study are shown as follows: 1.The psychological consolation to the patients is considerd most important for both the patients and their families. 2.The care of physical pains and other physical problems of the patients has the highest statistical rating among all the requests. 3.There are no distinct differences in the viewpoints of the patients and their families regarding the request of dying cancer patients except in notifying the diagnostic results, helping patient's families to hide the diagnostic results, and helping patient's families to take care of patient's remains. 4.In the influential factors with regard to the cognition of the request of the dying cancer patients, the patient's viewpoints show distinct discrepancies regarding the differences of age, the number of children, and education; however, their family's viewpoints are the same. 5.85.9% patients would like to accept the care in the terminal care ward, and 97.4% patients would like to have the care of the terminal care team. 6. 83.5% Patient's families want the patients to have the care in the teminal care ward, and 98.8% families want the patients to have the care of the terminal care team. 7.the main reason that the patients don't like to have the care in the terminal care ward, is being afraid to be separated from their families.