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護理系學生安寧緩和醫療課程教育介入成效之研究, 德豐 葉, 玟伶 陳, 佳雯 王, 美幸 張, 惠美 黃, 育嘉 張

Journal of Medical Education

目的：本研究主要是探討護理系學生對於安寧緩和醫療知識的認知程度，以及相關教育的介入對安寧緩和醫療知識之認知程度的差異情形。方法：本研究採自填之結構式問卷，並採用事前事後比較之研究分析，針對中部某一科技大學之護理系學生進行安寧緩和醫療知識之問卷調查。最後有效問卷為205份。結果：經由學習「緩和醫療護理」之課程後，後測平均值均有明顯的提高，表示教育的介入是有幫助的。個人特質中僅學制（四技/二技）部份有顯著差異，其餘變項與安寧緩和醫療知識皆無相關，經共變數分析結果，在經過教育介入後，不同學制學生的知識差異顯著縮小。但後測部份安寧緩和醫療教育知識仍顯不足的有四個方面，分別為「安寧緩和醫療對病人的幫助」、「安寧緩和醫療的法律問題」、「住進安寧病房的時機」以及「嗎啡的使用」。結論：課程設計中應多加強安寧緩和醫療相關法律、健保給付的宣導以及嗎啡正確的使用觀念，同時考慮不同學制的教育需求。

Diagnostic Classifications And Resource Utilization Of Decedents Served By The Department Of Veterans Affairs, Sonia A. Duffy, Laurel Copeland, Faith Hopp, Robert J. Zalenski

Social Work Faculty Publications

Background: Given the volume and cost of inpatient care during the last year of life, there is a critical need to identify patterns of dying as a means of planning end-of-life care services, especially for the growing number of older persons who receive services from the Veterans Health Administration (VHA).

Methods: A retrospective computerized record review was conducted of 20,933 VHA patients who died as inpatients between October 1, 2001 and September 30, 2002. Diagnoses were aggregated into one of five classification patterns of death and analyzed in terms of health care resource utilization (mean number of inpatient days and …

Quality Of Life For Patients And Caregivers: Palliative Care Funding Opportunities, Edward Joseph Schaub

Master's Theses

Development of the field of palliative care, which was nourished through extensive private foundation funding over more than a decade, has to some extent been stalled because of sharply reduced private funding, a lack of understanding by the general population, and the inaction of major institutions.

This study investigated the current state of palliative care funding efforts in the San Francisco Bay Area (the "Bay Area") and across the U.S. The individuals that participated in the research component of this study included palliative care experts and palliative care funders. Through two separate surveys and two interview groups their perceptions and …

Symptom Burden At End Of Life In Patients With Terminal And Life-Threatening Illness In Intensive Care Units, Peggy G. Kalowes Phd, Msn, Rn, Cns

Dissertations

The purpose of this study was to examine the symptom burden and severity of symptom distress reported by ICU patients at high-risk for death and to compare patient-rated symptoms and distress for concordance with symptoms reported by a family member. A prospective, correlational design with two data-points was used to study a convenience sample of 80 patients and 53 family members. The Condensed Memorial Symptom Assessment Scale (CMSAS) was used to gain patient/proxy report of symptoms on the first and third day after admission to the ICU. The majority of patients were symptomatic (98%), reporting an average of 10.23 symptoms. …