家庭醫學科CHIU, TAI-YUANTAI-YUANCHIUHU, WEN-YUWEN-YUHULUE, BEE- HORNGBEE- HORNGLUEYAO, CHIEN-ANCHIEN-ANYAOCHEN, CHING-YUCHING-YUCHENSUSUMU WAKAI邱泰源胡文郁呂碧鴻姚建安陳慶餘2009-01-192018-07-132009-01-192018-07-132004http://ntur.lib.ntu.edu.tw//handle/246246/99531This 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 .en-USspneaterminal cancerseveritycorrelated factors[SDGs]SDG3http://ntur.lib.ntu.edu.tw/bitstream/246246/99531/1/2004_Dyspnea+and+its+correlates+in+taiwanese+patients+with+terminal+cancer.pdf