肺癌病人照護需求及其相關因素之探討

A Preliminary Study on Lung Cancer Patient Care Needs and Related Factors

本研究旨在探討肺癌病人在罹病過程中之照護需求及症狀困擾與其相關因素。為描述相關性研究採立意取樣橫斷式問卷調查法，以確診肺癌之住院病人，共收案206名，工具包括個案資料、照護需求量表及症狀困擾量表，研究結果：肺癌病人照護需求較高的前三項為需要痛、想吐、失眠等症狀被較好的控制(92.2%)；需要醫護人員給予更多整體性的訊息(88.8%)及需要更多與未來狀況有關的訊息(87.9%)。年齡越大其照護相關需求及關係需求越高，月收入與資訊需求、照護相關需求及物質需求達顯著差異，住院照顧者與關係需求達顯著差異；而外表改變、失眠、無法集中精神及焦躁不安等症狀困擾者，亦會有較多的照護需求。病人照護資訊來源以希望從醫護人員口頭說明獲得照護資訊居多152人佔73.8%；其次電話諮詢有105人佔51%。建議醫療院所之癌症個管師可利用跨團隊的優勢加強此部分之服務，彌補臨床護理人員提供護理指導之不足。

The purpose of this study was to understand lung cancer patients care needs and symptom distress. A descriptive correlational method was used to investigate related factors. Data were collected from 206 patients. Structured questionnaires collected data include participant demographics, need evaluation questionnaire and symptom distress questionnaire. Results: Top three care needs as control pain, vomiting and insomnia(92.2%), medical team members provided overall information(88.8%), medical team members provided more information related future treatment(87.9%). Patients who were older had more needs related to assistance/care and relational needs. Patients income showed significant differences in informative needs, needs related to assistance/care and material needs. Caregiver showed significant differences in relational needs. More patients’ hope can get nursing education and consultation from nurses. Case managers can develop lung cancer patients’ educational program.