4. If you were the cancer patient ,
what will you encounter any
problems?
Lung cancer
Breast cancer
Prostate cancer
Head and neck cancer
Colorectal cancer
6. 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)
7. 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)
20. 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 (O'Brien, 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).
22. 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)
23. 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?