需求是什麼?• Need (需求): “If there is a need for something, that thing would improve a situation or something cannot happen without it.” (English Dictionary, p.1103)• Want (想要): “If you want something, you feel a desire or a need for it.” (English Dictionary, p.1879)• Demand (要求): “If you demand something such as information or action, you ask for it in a very forceful way” (English Dictionary, p.1879)
癌症病人的需求層面• Psychological• Health system and information• Physical and daily living• Patient care and support• Sexuality (Bonevskl, et.al., 2000)• Interpersonal/communication needs for head and neck cancer patients (Chen , et.al., 2011)
不同癌症診斷，病人之需求差異Breast cancer: upper-body morbidity (arm and breast symptoms, impairments, and lymphedema) (Hayes et al., 2012; McNeely et al., 2012; Schmitz, Stout, Andrews, Binkley, & Smith, 2012; Stubblefield, McNeely, Alfano, & Mayer, 2012)Head and neck cancer: personal identity, re-establishing social networks and intimate relationships and explored the person as an individual and their perceived changes to self-esteem and image (OBrien, et al., 2012)Oral cancer: Swallowing and swallowing-related impairments present (Tippett & Webster , 2012)Colorectal cancer: sexual and urinary function (kasparek, 2012) and anal sphincter rehabilitation (Laforest, et. al, 2012)Prostate cancer: Areas of greatest need are related to psychological distress, sexuality-related issues and management of enduring lower urinary tract symptoms (Ream, 2008).
從物理治療師角度: 癌症病人的需求照護• Psychological• Health system and information• Physical and daily living• Patient care and support• Sexuality (Bonevskl, et.al., 2000)• Interpersonal/communication needs (Chen , et.al., 2011)
Take home message• 癌症的過程是動態持續改變的過程，不同階段需 要醫療人員協助渡過因治療而來的副作用以及遺 留之後遺症• 不同癌症會有不同的需求，不同的期間也會有不 同需求• 常出現的需求層面包括:Health system and information、 Psychological 、 Physical and daily living 、Patient care and support 、 Patient care and support 、 Sexuality 、 Interpersonal/communication• ??? 針對不同癌症病人，物理治療師還可以提供 什麼服務以提升照護品質?
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