研究結論

第五章 研究討論與結論

第五節 研究結論

本研究以淡水馬偕紀念醫院

100

名癌症第三或第四期別病人之家屬作為研究 多項，探討其善終觀念。善終觀念包括善終概念以及臨終照護兩部分，研究更以 不同的分析方法瞭解不同背景變項的家屬對其善終觀念之差異性，以及觀念間之 相關和差異。本研究為「韓、日、臺三國對善終感受之比較」研究案中臺灣癌症 病人的家屬的部分，問卷以韓國主辦方參考

Miyashita

等人

(2007)

、

Morita

等人

(2006)

和

Sanjo

等人

(2007)

的日本善終研究中所使用的短版善終概念問卷

(Good

Death Inventory)

和臨終照護問卷為測量工具。

本研究為臺灣少有以癌症病人的家屬作為研究對象的善終觀念研究，研究結 果初步分析出癌症病人的家屬認為重要的善終概念，以及對於臨終照顧的選擇和 看法。研究結果發現，癌症病人的家屬在眾多善種屬性中，免於身體的疼痛、不 造成家人的負擔、自然的死亡、保持愉快的心情和對於醫師的信任為最重要，但 他們較希望能自己決定自己的醫療抉擇、不希望有無效和無謂的治療和不希望猝

出直接的對比，但研究中家屬們的臨終地點和死亡地點偏好、預後告知的偏好方 式和善終概念的重要性比較，可作為未來研究的基礎，往後可朝更多不同的方向 進一步研究。

研究結果可供生死相關教育者和醫療相關人士有初步參考，建議未來可朝此 方向繼續進行研究，更深入瞭解此族群的善終觀念和其重要性。經翻譯的短版善 終概念問卷獲良好的信度，未來可繼續使用此問卷為臨床測量工具，讓醫療相關 人員更瞭解病人、家屬或其他相關人士的善終概念，配合著臨終照顧的選項，以 在與病人和家庭討論時協助做出更適合的醫療決定和滿足個別不同的需求。

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附錄一

附錄二 家屬問卷

韓、日、臺三國對善終觀念之比較 家屬

您好：

韓國目前對安寧療護進行關於死亡的意義和辨識癌症患者對於善終的看法，進行 相關的研究和調查。這項調查將瞭解韓國、臺灣和日本三國的臨床醫師、患者和 家屬對善終看法之差異。最後，這調查將確保對臨終關懷服務中的所有患者及家 屬提供良好的安寧療護及臨終關懷。

19

歲以上的成年人方能參與調查。這一項調查是瞭解您的意見且對您沒有傷害，

您可以正確而坦誠地回答。

您的個人資訊不會被公開，而收集的資料僅供本研究使用。

參與者姓名：

日期：

______,______,2017

計畫主持人：方俊凱（馬偕紀念醫院

/

安寧療護教育示範中心

/

主任）

聯絡方式：

02-28094661*3138

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