https://scholars.lib.ntu.edu.tw/handle/123456789/203396
標題: | Dyspnea and Its Correlated Factors in Taiwanese Patients with Terminal Cancer. 台灣癌末病人呼吸困難及相關因素之研究 |
作者: | CHIU, TAI-YUAN HU, WEN-YU LUE, BEE- HORNG YAO, CHIEN-AN CHEN, CHING-YU SUSUMU WAKAI 邱泰源 胡文郁 呂碧鴻 姚建安 陳慶餘 |
關鍵字: | spnea;terminal cancer;severity;correlated factors | 公開日期: | 2004 | 卷: | v.28 | 期: | n.2 | 起(迄)頁: | 123-132 | 來源出版物: | JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | 摘要: | This study prospectively assessed. dyspnea and related bio- pyscho-social -spiritual factors - including severity, cause, psychological distress, and fear of death-that were possibly related to dyspnea in 125 terminal cancer patients at admission and two days before their death. At admission , 74 patients had dyspnea, which improved but later worsened. Causes included cachexia, anemia, pleural effusion, and lymphangitis. Quality of life, anxiety, depression, and fear of death improved after admission,- anxiety was correlated with dyspnea before death (r = 0.211, P<0.05, univariate analysis). Lung injection (odds ratio = 2.29, 95% confidence interval = 0.68-3.90, multiple regression), airway obstruction (2.27, 1.41 -3.13), acidemia (1.82, 0.72-2.98), and pericardial effusion (1.38, 0.44-2 .32) were independent correlates of dyspnea severity at admission (42.8% of explained variance). Before death, airway obstruction, esophageal cancer, pericardial effusion, lung infection, and mediastinal mass were independent cop-relates Of severity ( 42.7% of explained, variance). Comprehensive care, including improved psychospiritual status, can. help in controlling dyspnea and. enhancing patients' quality of life . |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/99531 |
顯示於: | 醫學系 |
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2004_Dyspnea+and+its+correlates+in+taiwanese+patients+with+terminal+cancer.pdf | 121.62 kB | Adobe PDF | 檢視/開啟 |
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