老年癌症病人治療決策－－原則性考量、挑戰與評估策略

Treatment Decision-Making in Elderly Cancer Patients: Principles, Challenges, and Evaluation Strategies

老年癌症病人的治療決策至關重要，因為隨著年齡增長，病人的身體功能減弱，並伴隨多重共病問題，這使他們對癌症治療的耐受性下降，毒性反應增加。因此，在考量治療效果、生活品質和生存時間等多重因素下，老年癌症病人的治療需考慮個別化的因素，並運用相關的老年人評估工具，以協助減少治療相關的風險。然而，護理人員對老年病人治療決策的理解和評估內容仍然鮮少被提及。因此，本文將針對老年癌症病人治療決策的原則性考量、挑戰與評估策略進行說明， 期望通過本文幫助未來臨床上的醫護人員在面對老年癌症病人的治療決策時，充分發揮護理人員在決策過程中的角色與功能，理解針對老年病人應有的考量與挑戰，並執行相關的評估內容，以提供治療決策過程中的重要依據，從而對治療決策產生正面影響。

The treatment decision-making process used by elderly cancer patients is crucial because, with advancing age, patients experience a decline in physical function and often face multiple comorbidities, reducing their tolerance to cancer treatments and increasing toxic reactions. Therefore, in considering multiple factors such as treatment effectiveness, quality of life, and survival time, the treatment of elderly cancer patients must take into account individualized factors and utilize relevant assessment tools to help minimize treatment-related risks. However, understanding and assessing treatment decisions by nursing staff regarding elderly patients are issues that have rarely been discussed. Thus, in this paper, the principled considerations, challenges, and evaluation strategies related to treatment decision-making in elderly cancer patients are discussed. It is hoped that this paper will assist future clinical healthcare professionals to fully utilize the roles and functions of nurses in the treatment decision-making process when caring for elderly cancer patients. The objectives are to enhance understanding of the considerations and challenges specific to this demographic and to implement relevant assessment content in order to better guide treatment decision-making processes and positively impact the decisions made.