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研究生:羅曉琪
研究生(外文):LAW, HIU-KI
論文名稱:臺灣癌症病人家屬善終觀念之研究
論文名稱(外文):Exploration of Perceptions of Good Death in Cancer Patients’ Families in Taiwan
指導教授:李佩怡李佩怡引用關係方俊凱方俊凱引用關係
指導教授(外文):LI, PEI-YIFANG, CHUN-KAI
口試委員:李玉嬋李閏華熊誼芳
口試委員(外文):LI, YU-CHANLEE, JUN-HUAHSIUNG, YVONNE
口試日期:2018-06-11
學位類別:碩士
校院名稱:國立臺北護理健康大學
系所名稱:生死與健康心理諮商研究所
學門:社會及行為科學學門
學類:心理學類
論文種類:學術論文
論文出版年:2018
畢業學年度:106
語文別:中文
論文頁數:130
中文關鍵詞:預後告知善終觀念臺灣癌症病人家屬臨終照護
外文關鍵詞:cancer patients’ relatives in Taiwanend-of-life careperceptions of good deathprognostic disclosure
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本研究為「臺灣癌症病人家屬善終觀念之研究」,針對臺灣癌症病人的家屬探討其善終觀念。研究對象為100名癌症病人的家屬,採用立意取樣問卷調查法的方式進行研究。研究工具以短版善終概念問卷和癌症照護看法問卷組合成,回收後以SPSS 20.0軟體進行描述性分析、獨立樣本T檢定、單因子變異數分析、卡方檢定和皮爾森積差相關等統計方法進行資料分析,發現如下:
 (一)癌症病人的家屬最高分的五項善終屬性為「免於疼痛和身體不適」、「在睡夢中死亡」、「自然的死亡」、「不是家人的負擔」、「信任醫師」,最低分五項為「沒有意識到自己正在走向死亡」、「將決定留給醫療專家」、「不將自己身體虛弱暴露讓家人知道」、「對抗疾病直到最後一刻」、「猝死」。
  (二)癌症病人的家屬選擇臨終和死亡地點為家裡和住院安寧病房的人數相約,對於預後告知的方式,偏好「「醫師要開始討論及告知詳細狀況」的人士占大多數。
(三)癌症病人的家屬的年齡於臨終地點、死亡地點、預後告知(6 個月)、預後告知(1-2 個月)的選擇有所差異。
(四)不同性別、年齡、婚姻狀況、癌症治療經驗、喪親經驗和教育程度的癌症病人的家屬在不同的善終屬性上有顯著的差異。
本研究為臺灣癌症病人家屬少有的善終觀念研究,為以後相關的研究立下良好的基石。研究最後根據研究結果與發現提出一些相關的實務建議和未來研究建議,提供醫療和相關人員參考。
The purpose of this study is to explore the perceptions of good death in cancer patients’ families in Taiwan. The study was conducted by quantitative questionnaire method with 100 participants approached by purposive sampling. Good Death Inventory (Short Version) and end-of-life preferences choices were used as the measurement tools. Data collected was statiscally analyzed via SPSS 20.0 statistics software, including the methods of descriptive analysis, student’s t-test, one way ANOVA, chi-squared test and pearson product-moment correlation. Findings are as follows:
1.The 5 domains of good death concept with highest points are ‘being free from physical distress’, ‘ dying as one sleeps’,‘dying a natural death’, ‘not being a burden to others’, ‘trusting physician’. The 5 domains of good death concept with lowest points are ‘dying without awareness that one is dying’, ‘omakase (leaving the decision to a medical expert)’, ‘not exposing one’s physical and mental weakness to family’, ‘receiving enough treatment’, ‘pokkuri (sudden death)’.
2.Similar numbers of participants chose ‘Home’ and ‘PCU’ as their preferred place of end-of-life care and death. Most of the participants chose ‘Physicians to initiate a discussion and inform me in detail’ as their preference for prognostic disclosure .
3.Signigicant differences was found in the choice of preferred place of end-of-life care and death and prognostic disclosure preference with families of different age groups.
4.Sex, age, martial status, cancer treatment and bereavement experience and education level have found siginicant differences on good death domains.
This study was one of the few studies about perception of good death in cancer patients’ families, it served as an introduction to future studies. Lastly, according to the findings and results, clincal and future research suggestions were proposed for medical staff and related others for reference.
目  次
頁數
中文摘要 I
英文摘要 II
目次 III
表次 V
圖次 VII
第一章 緒論
第一節 研究背景 1
第二節 研究動機 3
第三節 研究目的與問題 6
第四節 名詞之操作性定義 7
第二章 文獻探討
第一節 善終的內涵 8
第二節 善終概念問卷 13
第三節 安寧療護所構成的善終觀念 16
第四節 亞洲國家/地區的善終研究 21
第三章 研究方法
第一節 研究架構與假設 26
第二節 研究步驟 28
第三節 研究工具 28
第四節 研究對象 32
第五節 資料處理與統計分析 33
第六節 研究倫理 33
第七節 研究執行上所遇到的困難 34
第四章 研究結果
第一節 研究對象特質之描述性分析 35
第二節 想到死亡頻率問題及善終問卷之描述性分析 38
第三節 不同背景變項家屬想到死亡頻率、臨終與死亡地點選項以及預後告知選項之差異性分析 44
第四節 不同背景變項家屬在善終概念問卷回應之差異性分析 49
第五節 不同背景變項家屬在癌症照護看法之差異性分析 74
第六節 問卷間的差異性及相關性分析 86
第五章 研究討論與結論
第一節 癌症病人的家屬的善終觀念 101
第二節 不同背景變項於善終概念的差異性 107
1 第三節 善終概念間的關係 108
第四節 研究限制與建議 112
第五節 研究結論 113
參考文獻
中文參考文獻 115
外文參考文獻 117
附錄
附錄一 人體研究倫理審查委員會同意臨床試驗證明書 124
附錄二 家屬問卷 125


一、中文文獻
林子涵(2017)。末期病人的善終觀點(未出版之碩士論文)。國立臺北護理健康大學,臺北市。
[Lin, T. H. (2017). The terminally ill’s perspectives on good death. (Unpublished master thesis). The National Taipei University of Nursing and Health Science, Taipei.]
林美伶、葉莉莉、陳清惠(2009)。影響病人參與醫療決策之論述。護理雜誌,56(3),83-87。
[Lin, M. L., Yeh, L., & Chen, C. H. (2009). Patient involvement in medical decision making. The Journal of Nursing, 56(3), 83-87.]
財團法人中華民國(臺灣)安寧照顧基金會(2017年11月14日)。現有合約醫院。取自http://www.hospice.org.tw/2009/chinese/hospital.php
陳亭儒、胡文郁(2011)。善終之概念分析。長庚護理,22(1),45-52。
[Chen, T. R., & Hu, W. Y. (2011). Concept analysis of good dying. Chang Gung Nursing, 22(1), 45-52.]
陳亭儒、胡文郁、程邵儀、邱泰源(2013)。善終評量之反思。安寧療護,18(1),76-88。doi:10.6537/TJHPC.2013.18(1).7
[Chen, T. R., Hu, W. Y., Cheng, S. Y., & Chiu, T. Y. (2013). Reflection on measurement of good death. Taiwan Journal of Hospice Palliative Care, 18(1), 76-88. doi:10.6537/TJHPC.2013.18(1).7]
陳錫琦、陳淑香(2007)。生命教育課程建構—以善終為取向。醫護科技學刊,9(2),154-168。doi:10.6563/TJHS.2007.9(2).7
[Chen, S. C., & Chen, S. H. (2007). A life education curriculum from a ‘good death’prespective. The Journal of Health Science, 9(2), 154-168. doi:10.6563/TJHS.2007.9(2).7]
張珠玲、胡庭禎(2008)。護理系學生對「善終」觀念的分析。弘光學報,52,113-221。doi:10.6615/HAR.200804.52.11
[Chang, C. L.,& Hu, T. C. (2008). The analysis of the conception of ‘serene death’for part-time nursing students.Hungkuang Academic Review,52,113-121. doi:10.6615/HAR.200804.52.11]
張麗卿(2016)。病人自主權利法-善終的抉擇。東海大學法學研究,50,1-47。
Zhang, L. Q. (2016). Patient autonomy act- choice of good death. Tunghai University Law Study, 50, 1-47.]
曾韻如、邱泰源、胡文郁、程邵儀、姚建安、陳慶餘(2005)。老年癌末病人善終之評估。安寧療護雜誌,10(1),13-23。doi:10.6537/TJHPC.2005.10(1).2
[Tseng, Y. J., Chiu, T. Y., Hu, W. Y., Cheng, S. Y., Yao, C. A., & Chen, C. Y. (2005). Good death assessment of geriatric patients with termnal cancers. Taiwan Journal of Hospice Palliative Care, 10(1), 13-23. doi:10.6537/TJHPC.2005.10(1).2]
曾麗華(2013)。失親家屬的哀傷與接受安寧緩和療護病人善終之探討(未出版之碩士論文)。輔英科技大學,高雄市。
[Tseng, L. H. (2013). The bereaved family member’s grief and the hospice palliative care patients’ good death from familie’s perspective. (Unpublished master thesis). Fooyin Univerisity, Kaohsiung.]
趙可式(1997)。臺灣癌症期末病患對善終意義的體認。安寧療護雜誌,5,51-61。
[Chao, C. S. (1997). The meaning of good dying for terminally ill cancer patients in Taiwan. The Journal of Nursing, 5, 51-61.]
熊誼芳、賴允亮、蘇韋如(2014)。邁向安寧緩和醫療的新一頁。生命教育研究,6(2),99-118。
[Hsiung, Y., Lai, Y. L., & Su, W. J. (2014). The next era of palliative care in Taiwan: A look at where we have been and where we may go. Journal of Life Education, 6(2), 99-118.]
羅耀明(2011)。克服善終障礙-我國高齡者之善終教育現況與因應策略。安寧療護雜誌,16(3),361-370。doi:10.6537/TJHPC.2011.16(3).7
[Lo, Y. M. (2011). Conquering the good death barriers-the current good death education for the elderly and coping strategies in Taiwan. Taiwan Journal of Hospice Palliative Care, 16(3), 361-370.]
蘇完女、林秀珍(2011)。從意義建構觀點談喪親者的哀傷調適歷程。諮商與輔導,294,46-51。
[Su, W. N., & Lin, X. Z. (2011). The grieving adjustment process of the bereaved from the view of meaning reconstruction. Counseling & Guidance, 294, 46-51. ]
謝麗鳳、林佳靜、賴裕和、鄒宗山(1998)。癌症家屬對止痛劑的擔心與病人疼痛控制的相關性。護理研究,6(4),327-337。
[Hsieh, L. F., Lin, C. C., Lai, Y. H., & Tsou, T. S. (1998). The relationship of the caregiver’s concerns about using analgesics to the patient’s cancer pain management. The Journal of Nursing, 6(4), 327-337.]

二、外文文獻
Akechi, T., Miyashita, M., Morita, T., Okuyama, T., Skamoto, M., Sagawa. R., & Uchitomi, Y. (2012). Good death in elderly adults with cancer in Japan cased on perspectives of the general population. Journal of American Geriatrics Society, 60, 271-276. doi:10.1111/j.1532-5415.2012.03895.x
Ando, M., Somchi, S., Miyashita, M., & Jamjan, L. (2016). The perception for good death of community dwelling Japenese and Thailand respondents. Asian/Pacific Island Nursing Journal, 1(3), 91-96. doi:10.9741/23736658.1042
Chan, W. C. H., & Epstein, I. (2012). Researching ‘good death’ in a Hong Kong palliative care program: A clinical data-mining study. OMEGA, 64(3), 203-222. doi: 10.2190/OM.64.3.b
Cheng, S. Y., Hu, W. Y., Chen, C. Y., & Chiu, T. Y. (2012). Factors afffecting the improvement of quality of dying of terminally ill patients with cancer through palliative care: A ten-year experience. Journal of Palliative Medicine, 15(8), 854-862. doi:10.1089/jpm.2012.0033
Chiu, T. Y., Hu, W. Y., Chuang, R. B., & Chen, C. Y. (2002). Nutrition and hydration for terminal cancer patients in Taiwan. Support Care Cancer, 10, 630-636. doi:10.1007/s00520-002-0397-5
Chiu, T. Y., Hu, W. Y.,Lue, B. H., Yao, C A., Chen, C. Y., & Wakai, S. (2004). Dyspnea and its correlates in Taiwanese patients with terminal cancer. Journal of Pain and Sympton Management, 28(2), 123-132. doi:10.1016/j.jpainsymman.2003.11.009
Chochinov, H. M. (2006). Dying, dignity, and new horizons in palliative end-of-life care. CA Cancer J Clin, 56, 84-103.
Choi, J. E., Miyashita, M., Hirai, K., Sato, K., Morita, T., Tsuneto, S., & Shima, Y. (2010). Preference of place for end-of-life cancer care and death among bereaved Japanese families who experienced home hospice care and death of a loved one. Support Care Caner, 18, 1445-1453. doi:10.1007/s00520-009-0767-3
Choi, K. S., Chae, Y. M., Lee, C. G., Lee , S. W., Heo, D. S., . . . Yun, Y. H. (2005). Factors influencing preference for place of terminal care and of death among cancer patients and their families in Korea. Support Care Cancer, 13, 565-572. doi:10.1007/s00520-005-0809-4
Chung, T. K., French, P., & Chan, S. (1999). Patient-related barriers to cancer pain management in a palliative care setting in Hong Kong. Cancer Nursing, 22(3), 196-203.
Depaola, S. J., Griffin, M., Young, J. R., & Neimeyer, R. A. (2010). Death anxiety and attitudes toward the elderly among older adults: The role of gender and ethnicity. Death Studies, 27(4), 335-354. doi:10.1080/07481180302904
Emanuel, E. J., & Emanuel, L. L. (1998). The promise of a good death. The Lancet, 351, 21-29.
Fried, T. R., van Doorn, C., O’Leary, J. R., Tinetti, M. E., & Drickamer, M. A. (1995). Older person’s preferences for site of termianl care. Annual International Medicine, 131, 109-112.
Glass, A. P., Chen, L. K., Hwang, E., Ono, Y., & Nahapetyan, L. (2010). A cross-cultural comparison of hospice development in Japan, South Korea, and Taiwan. Journal of Cross Cultural Gerontology, 25, 1-19. doi:10.1007/s10823-009-9108-8
Goldsteen, M., Houtepen, R., Proot, I. M., Abu-Saad, H. H., Spreeuwenbery, C., & Widdershoven, G. (2005). What is a good death? Terminally ill patients dealing with normative expectations around death and dying. Patient Education and Counseling, 64, 378-386. doi:10.1016/j.pec.2006.04.008
Good, M. D., Gadmer, N. M., Ruopp, P., Lakoma, M. L., Sullivan, A. M., Redinbaugh, E., . . . Block, S. D. (2004). Narratives nuances on good and bad deaths: Internist’s tales from high-technology work places. Social Science & Medicine, 58, 939-953. doi:10.1016/j.socscimed.2003.10.043
Gott, M., Seymour, J., Bellamy, G., Clark, D., & Ahmedzai, S. (2004). Older people’s views about home as a place of care at the end of life. Palliative Medicine, 18, 460-467. doi:10.1191/0269216304pm889oa
Granda-Cameron, C., & Houldin, A. (2012). Concept analysis of good death in terminally ill patients. American Journal of Hospice & Palliative Medicine, 29(8), 632-639. doi: 10.1177/1049909111434976
Hattori, K., McCubbi, M. A., & Ishida, D. N. (2006). Concept analysis of good death in the Japanese community. Journal of Nursing Scholarship, 38(2), 165-170.
Hagerty, R. G., Butow, P. N., Ellis, P. A., Lobb, E. A., Pendlebury, S. Leighl, N., . . . Tattersall, M. H. N. (2004). Cancer patient preferences for communication of prognosis in the metastic setting. Journal of Clinical Oncology, 22(9), 1721-1730. doi:10.1200/JCO.2004.04.095
Hart, B., Sainsbury, P., & Short, S. (1998). Whose dying? A sociological critique of the ‘good death’. Mortality, 3(1), 65-77. doi:10.1080/713685884
Higginson, I., Wade, A., & McCarthy, M. (1990). Palliative care: Views of patients and their families. BMJ, 301, 277-281.
Hirai, K., Miyashita, M., Morita, T., Sanjo, M., & Uchitomi, Y. (2006). Good death in Japanese cancer care: A qualitative study. Journal of Pain and Symptom Management, 31(2), 140-147. doi:10.1016/j.jpainsymman.2005.06.012
Ho, A. H. Y., Leung, P. P. Y., Tse, D. M. W., Pang, S. M. C., Chochinov, H. M., Neimeyer, R. A., & Chan, C. L. W. (2013). Dignity amidst liminality: Healing within suffering among Chinese Terminal cancer patients. Death Studies, 37(10), 963-970. doi:10.1080/07481187.2012.703078
Hsu, M. T., & Kahn, D. L. (2003). Adaptation as meaning construction: a cultural analysis of spousal death in Taiwanese women. OMEGA, 47(2), 169-186.
Huang, H., Liu, H., Zeng, T., & Pu, X. (2015). Preference of Chinese general public and healthcare providers for a good death. Nursing Ethics, 22(2), 217-227. doi:10.1177/0969733014524760
Kastbom, L., Milberg, A., & Karlsson, M. (2016). A good death from the perspective of palliative cancer patients. Support Care Cancer, 25, 933-939. doi: 10.1007/s00520-016-3483-9
Kehl, K. A. (2006). Moving toward peace: An analysis of the concept of a good death. American.Journal of Hospice & Palliative Medicine, 23(4), 277-286.
Kristjanson, L. J., McPhee, I., Pickstock, S., Wilson, D., Oldman, L., & Martin, K. (2001). Palliative care nurses’ perceptions of good and bad deaths and care expectations: a qualitative analysis. International Journal of Palliative Nursing, 7(3), 129-139.
Lamont, E. B., & Christakis, N. A. (2001). Prognostic disclosure to patients with cancer near the end of life. Annual of Internal Medicine, 134(12), 1096-1105.
Lee, G. L., Woo, I. M. H., & Goh, C. (2011). Understanding the concept of a ‘good death’ among bereaved family caregivers of cancer patients in Singapore. Palliative and Supportive Care, 11, 37-46. doi:10.1017/S1478951511000691
Leichtentritt, R. D., & Rettig, K. D. (2000). The good death: Reaching an inductive understanding. Omega, 41(3), 221-248.
Leung K. K., Liu, W. J., Cheng, S. Y., Chiu, T. Y., & Chen, C. Y. (2009). What do laypersons condifer as a good death. Support Care Cancer, 17, 691-699. doi: 10.1007/s00520-008-0530-1
Lin, C. C. (2000). Barriers to the analgesics management of cancer pain: A comparison of attitudes of Taiwanese patients and their family caregivers. International Association for the Study of Pain, 88, 7-14.
Leung, K. K., Tsai, J. S., Cheng, S. Y., Liu, W. J., Chiu, T. Y., Wu, C. H., & Chen, C. Y. (2010). Can a good death and quality of life be achieved for patients with terminal cancer in a palliative care unit? Journal of Palliative Medicine, 13(12), 1433-1438. doi:10.1089/jpm.2010.0240
Lin, C. C., & Ward, E. W. (1995). Patient-related barriers to cancer pain management in Taiwan. Cancer Nursing, 18(1), 16-22.
Lloyd, L., White, K., & Sutton, E. (2011). Researching the end-of-life in old age:Cultural, ethical and methodological issues. Ageing & Society, 31, 386-407. doi:10.1017/S0144686X10000966
Lo, Y. T., Chen, R. Y., Wang, C. N., & Chen, Y. S. (2011). Discrepant effect of age on hospice utilization by cancer patients in Taiwan: Hospital versus home care services. Palliative Medicine, 25(6), 766-767. doi: 10.1177/0269216311421836
Long, S. O. (2001). Negotiating the ‘good death’: Japanese ambivalence about new ways to die. Ethnology, 40(4), 271-289.
Luijkx, K. G., & Schols, J. M. G. A. (2011). Perceptions of terminally ill patients and family members regarding home and hospice as places of care at the end of life. European Journal of Cancer Care, 20, 577-584. doi:10.1111/j.1365-2354.2010.01228.x
Mak, J. M. H., & Clinton, M. (1999). Promoting a good death: An agenda for outcome research - a review of the literature. Nursing Ethics, 6(2), 97-106.
Malhotra, C., Chan, A., Do, Y. K., Malhotra, R., & Goh, C. (2012). Good end-of-life care: Perspectives of middle-aged and older Singaporeans. Journal of Pain and Symptom Management, 44(2), 252-263. doi:10.1016/j.jpainsymman.2011.09.007
Masson, J. D. (2002). Non-professional perceptions of ‘good death’: a study of the views of hospice care patients and relatives of deceased hospice care patients. Mortality, 7(2), 191-209. doi:10.1080/13576270220136294
McLanhlan, J. R. (1999). A good death. Tahoma West, 3(1), 59-64.
Min, D., & Cho, E. (2017). Concept analysis of good death in the Korean community. Journal of Korean Gerontology Nursing, 19(1), 28-38. doi:10.17079/jkgn.2017.19.1.28
McNamara, B. (2004). Good enough death: autonomy and choice in Australian palliative care. Social Science & Medicine, 58, 929-938. doi:10.1016/j.socscimed.2003.10.042
McNamara, B., Waddell, C., & Colvi,M. (1995). Threats to the good death: the cultural context of stress and coping among hospice nurses. Sociology of Health & Illness, 17(2), 222-244.
Miyashita, M., Kawakami, S., Kato, D., Yamashita, H., Igaki, H., Nakano, K., . . . Nakagawa, K. (2015). The importance of good death components among cancer patients, the general population, oncologists, and oncology nurses in Japan: Patients prefer “fight against cancer”. Support Care Cancer, 23, 103-110. doi: 10.1007/s00520-014-2323-z
Miyashita, M., Morita, T., Sato. K., Hirai, K., Shima, Y., & Uchitomi, Y. (2008). Good death inventory: A measure for evaluating good death from the bereaved family member’s perspective. Journal of Pain and Symptom Management, 35(5), 486-498. doi:10.1016/j.jpainsymman.2007.07.009
Miyashita, M., Sanjo, M., Morita, T., Hirai, K., & Uchitomi, Y. (2007). Good death in cancer care: A nationwide quantitative study. Annals of Oncology, 18, 1090-1097. doi:10.1093/annonc/mdm068
Morita, T., Miyashita, M., Shibagaki. M., Hirai, K., Ashiya, T., Ishihara, T., . . . Uchitomi, Y. (2006). Knowledge and beliefs about end-of-life care and the effects of specialized palliative care: A population-based survey in Japan. Journal of Pain and Symptom Management, 31(4), 306-315. doi:10.1016/j.jpainsymman.2005.09.004
Morita, T., Oyama, Y., Suh, S. Y., Koh, S. J., Kim, H. S., Chiu, T. Y., . . .Tsuneto, S. (2015). Palliative care physicians’ attitudes toward patient autonomy and a good death in east Asian countries. Journal of Pain and Symptom Management, 20(2), 190-199. doi:10.1016/j.jpainsymman.2015.02.020
National Cancer Institute. (December, 2017). What is cancer? Retrieved from https://www.cancer.gov/about-cancer/understanding/what-is-cancer
Payne, S. A., Evans, A. L., & Hiller, R. (1996). Perceptions of a ‘good’ death: A comparative study of the views of hospice staff and patients. Palliative Medicine, 10, 307-312.
Prigerson, H. G., Cherlin, E., Chen, J. H., Kasl, S. V., Hurzeler, R., & Bradley, E. H.(2003). The stressful caregiving adult reactions to experiences of dying (SCARED) scale: A measre for assessing caregiver exposure to distress in terminal care. American Journal of Geriatric Psychiatry, 11(3), 309-319.
Samerchua, W., Nantachaipan, P., & Sittisonbut, S. (2016). Good death as perceived by cancer survivor. International Journal of Evidence-Based Healthcare, 14, S27.
Shin, D. W., Choi, J. E., Miyashita, M., Choi, J. Y., Kand, J., Baik, Y. J., . . . Lee, H. S. (1011). Measuring comprehensive outcomes in palliative care: validation of the Korean version of the good death inventory.Journal of Pain and Symptom Management, 42(4), 632-642.doi:10.1016/j.jpainsymman.2010.12.012
Sanjo, M., Miyashita, M., Morita, T., Hirai, K., Kawa, M., Akechi, T., & Uchitomi, Y. (2007). Preferences regarding end-of-life cancer care and associations with good-death concepts: A populations-based survey in Japan. Annals of Oncology, 18, 1539-1547. doi:10.1093/annonc/mdm199
Shinjo, T., Morita, T., Hirai, K., Miyashita, M., Shimizu, M., Tsuneto, S., & Shima, Y. Why people accept opioids: Role of general attitudes toward drugs, experience as a bereaved toward drugs, experience as a bereaved family, information from medical professionals, and personal beliefs regarding a good death. Journal of Pain and Symptom Management, 49(1), 49-54. doi:10.1016/j.jpainsymman.2014.04.015
Singer, P. A., Martin, D. K., & Kelner, M. (1999). Quality end-of-life care: Patients’ perspectives. Journal of American Medical Association, 281(2), 163-168.
Steinhauser, K. E., Christakis, N. A., Clipp, E. C., McNeilly, M., Grambow, S., Parker, J., & Tulsky, J. A. (2001). Preparing for the end of life: Preferences of patients, families, physicians, and other care providers. Journal of Pain and Symptom Management, 22(3), 727-737.
Steinhauser, K. E., Christakis, N. A., Clipp, E. C., McNeilly, M., McIntyre, L., & Tulsky, J. A. (2000). Factors considered important at the end of life by patients, family, physicians, and other careproviders. Journal of American Medical Association, 284(19), 2476-22482.
Steinhauser, K. E., Clipp, E. C., McNeilly, M., Christakis, N. A., McIntyre, L. M., & Tulsky J. A. (2000). In search of a good death: observations of patients, families and providers. Annals of Internal Medicine, 132(10), 825-832. doi: 10.7326/0003-4819-132-10-200005160-00011
Stewart, A. L., Teno, J., Patrick, D. L., Lynn, J. (1999). The concept of quality of life of dying persons in the context of health care. Journal of Pain Symptom Management, 17, 93-108.
Tang, S. T. (2000). Meanings of dying at home for Chinese patients in Taiwan with terminal cancer. Cancer Nursing, 23(5), 367-370.
Tang, S. T. (2003). When death is imminent: where terminally ill patients with cancer prefer to die and why. Cancer Nursing, 26, 245-251.
Tang, S. T., Liu, T. W., Chow, J. M., Chiu, C. F., Hsieh, R. K., Chen, C. H., . . .Feng, W. L. (2014). Associations between accurate prognostic understanding and end-of-life care preferences and its correlates among Taiwanese terminally ill cancer patients surveyed in 2011-2012. Psycho-Oncology, 23, 780-787. doi:10.1002/pon.3482
Vig, E. K., & Pearlman, R. A. (2004). Good and bad dying from the perspective of terminally ill men. Arch Intern Med., 164, 977-981.
Ward, S. E., Goldberg, N., Miller-McCauley, V., Mueller, C., Nolan, A., Pawlik-Plank, D., . . . Weissman, D. E. (1993). Patient-related barriers to management of cancer pain. Pain, 52, 319-324.
Yao, C., Hu, W., Lai, Y., Cheng, S., Chen, C.,& Chiu, T. (2007). Does dying at home influence the good death of terminal cancer patients. Journal of Pan and Symptom Management, 34(5), 479-504. doi:10.1016/j.jpainsymman.2007.01.004
Yun, Y. H., Kwon, Y. C., Lee, M. Y., Lee, W. J. , Jung, K. H., Do, Y. R., . . . Park, S. Y. (2010). Experiences and attitudes of patients with terminal cancer and their family caregivers toward the disclosure of terminal illness. Journal of Clinical Oncology, 28(11), 1950-1957. doi:10.1200/JCO.2009.22.9658
Yun, Y. H., Lee, C. G., Kim, S. Y., Lee, S. W., Heo, D. S., Kim, J. S., . . . You, C. H. (2004). The attitudes of cancer patients and their families toward the disclosure of terminal illness. Journal of Clinical Oncology, 22(2), 307-314. doi:10.1200/JCO.2004.07.053
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