背景：大腸直腸癌是最常見一種癌症，隨治療日益複雜化及醫療照護模式改變，對長期照護服務的需求日益增加。本研究旨在調查大腸直腸癌患者的長期照護需求，並根據Andersen健康服務行為模式分析影響之傾向、使能和需求因素。方法：於2024年1月4日至6月8日在台灣新北市一區域醫院進行橫斷面調查。共收案90名病人，採經效度檢核的基本資料和長期照護需求問卷收集資料，以SPSS 29.0軟體進行資料分析。結果：患者平均63.63歲，58.9%為男性，92.2%能完全獨立完成日常生活活動。最明確的長照需求是「家庭照顧者支持照護」，而「機構服務」的需求和使用意願相對最高。影響長照需求的傾向因素包括年齡、職業和居住狀況；使能因素含經濟狀況、主要照顧者和長期照護訊息資訊來源數量；需求因素則有無使用輔具、失能程度、特殊照護（僅/不僅接受人工血管護理者）及有無使用長期照護考慮因素及其數量。結論：本研究顯示區域醫院的大腸直腸癌患者對長照服務有中等的清楚與自覺需求程度，但使用意願存在落差。其中，家庭照顧支持和機構服務的需求與意願較為突出，這些受 Andersen模式之傾向、使能與需求等多重因素影響。本研究結果可為未來長照政策制定與資源優化提供依據，以縮小患者認知與實際利用間之差距。

Background: Colorectal cancer is among the most prevalent malignancies, and increasing complexity in treatment and care delivery has heightened demand for long-term care (LTC) services. This study aimed to investigate LTC needs among colorectal cancer patients and analyze the influencing predisposing, enabling, and need-related factors based on Andersen’s Behavioral Model of Health Services Use. Materials and methods: A cross-sectional survey was conducted from January 4 to June 8, 2024, at a regional hospital in New Taipei City, Taiwan. A total of 90 patients were enrolled, and data were collected using validated demographic and LTC needs questionnaires. Statistical analyses were performed using SPSS 29.0. Results: The average age of patients was 63.63, with 58.9% male and 92.2% fully independent in daily living functions. The most clearly recognized LTC need was “family caregiver support,” while institutional care had the highest perceived need and willingness to use. Key predictors included age, employment status, living arrangement, economic condition, primary caregiver status, number of LTC information sources, use of as-sistive devices, disability level, specific care (e.g., port-A catheter care), and the number of LTC considerations. Conclusion: Patients exhibited moderate clarity and perceived need for LTC services but showed low willingness to use them. Family caregiver support and institutional care were notably preferred and influenced by multiple Andersen Model factors. These findings offer valuable implications for fu-ture LTC policy development and resource optimization, helping to bridge the gap between care awareness and actual utilization.