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1
題名:癌症患者放射治療後迴診追蹤中斷的原因及分析     (12點)
INTERRUPTION OF POST-RADIOTHERAPY FOLLOW-UP IN CANCER PATIENTS
著者:林奎利(Kuei-Li Lin) ;郭珍妮(Jenny Que) ;林立青(Li-Ching Lin) ;林逢嘉(Forn-Chia Lin) ;蘇玫綺(Mei-Chi Su)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:放射治療 ; 癌病登記 ; 追蹤中斷 ; Radiotherapy ; Cancer registry ; Follow-up interrupation
刊名:放射治療與腫瘤學
頁碼:151-156
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

且且:隨著癌症治療方式的改善與整合,由芷患者存活率大為提升;然而7除完整治療之外,定期迴診追蹤也是癌症照護的重要一環,本研究藉由分析放射治療後癌症患者迴診中斷的原因,試圖解決及改善. t為E力患者接受更完整的R駕董。 姐姐盟主法:奇美醫院放射屆留科自從20 0 1 年1 0 月27日到2 0 02 年1 0 月1 9日止,針對1 9 9位放射治療後迴診中斷的患者進行中斷原因分析。資料來源乃依據病歷記說及電話會談連繫追蹤資料為準。 益惡: 199 位迴診中斷患者中, 有39 位( 19 .6 % ) 因病情變化, 包括死亡14 .1%及惡化5.5% ;68 位(34 .2% ) 轉至f研司( 院) 就醫, 包含至他科就診26 .1%及車都搭台療8 .1%; 41 位(20 .6% )因外在環境因素,包含家庭因素4 %、經濟因素1 %及工作太忙1 5 . 6 % ; 7 位( 3 . 5 % ) 對醫療不滿;因對疾病錯誤認知者有2 5位( 1 2 . 6 % ) .包舍不知病情1 % 、自覺無效1 . 5 %及自覺健康良好,不用迴診1 0 . 1 % ;其他1 9位( 9 .5% ) 。 益益:除因病情惡化或死亡,轉至他科(院)就醫是放射治療後患者迴診中斷的最大原因佔34詢,放射腫瘤科醫師應加強與他科醫師合作,合力照顧患者。部份患者因環境因素造成迴診中斷,故除7 醫療外, 應提供患者社會經濟等支援及協助,協助患者排除困難。另有患者因未對疾病有正確認知,所以應力巴金患者教育,俾使用E接受完藍皇蹤。
Purpose : The survival of cancer patients improved after the combination of multi-modality treatment and advance in the facility of radiotherapy. Besides, completion of treatment is essential for cancer patients, and regular follow-up is also an important part of cancer cares. The purposes of this study are, first, to explore the causes of interruption of regular follow-up and, second, to assess the role of onphone medical education as the first-line tool for follow-up course. Materials and Methods : During the period from 2001/10/27 to 2002/10/19, there are 199 patients who did not come back on the day we had dated for follow-up course. The survey from hospital records, telephone were used to analyze the causes why these patients escaped from the regular follow-up course. Results : A total of 199 patients were eligible for analysis. Among these patients, 39 patients (19.6%) could not return back due to disease progression and 68 patients (34.2%) were transferred to other hospital / department for further management. Forty-one patients (20.6%) escaped from follow-up due to familial or economic problems. Twenty-five patients (12.6%) had psychologically ignorance of the disease. Seven patients were unsatisfied with our medical service. Nineteen patients were with unknown reasons. Conclusion : In addition to disease progression, transferring and follow-up by other hospital or department are the major reasons causing follow up interruption. The radiation oncologist should cooperate with doctors of other hospital or department to follow up cancer patients. Other causes of follow-up interruption include economic or family problems, social workers maybe can offer some kind of support for these patients. The on-phone medical education is a useful tool in the follow-up of post treatment patients, but its role should be further evaluated.


    

本卷期目次
放射治療與腫瘤學
癌症患者放射治療後迴診追蹤中斷的原因及分析/ 林奎利郭珍妮林立青林逢嘉蘇玫綺
Treatment Results of Langerhans Cell Histiocytosis: A Long Term Follow-Up/ Chun-Shu LinJing-Min HwangYee-Min JenYi-Jen PengLi-Ping ChangHsing-Lung ChaoDai-Wei LiuHon-Yi LinWeng-Yoon Shum
預防動靜脈瘻管阻塞之狹長型電子射束劑量分析/ 柯卉玲許淑惠蕭安成李俊信林芳仁季匡華
Granulocytic Sarcoma of the Uterine Cervix: A Case Report and Review of the Literature / Ming-Yii HuangShi-Long LianChih-Jen HuangSheng-Fung LinKun-Bow TsaiCheng-Hui Yang
Metaplastic Carcinoma of the Breast: One Case Report and Literature Review/ Daniel WinardiShi-Long LianChih-Jen HuangKun-Bow TsaiJui-Sheng HsuMing-Feng Hou
Bile Duct Cancer, Its Survival and Local-Control after Radiotherapy/ Fu-Ti ChangNgan-Ming TsangYou-Kang ChangWai-Man Leung
頭頸部放射治療的活體劑量驗證/ 王慧娟羅素花董傳中吳嘉明王重榮
An Evaluation of the Contents and Quality of Radiation Oncology Homepages in Taiwan/ Yu-Jie HuangChong-Jong WangChang-Yu WangChing-Hui HsiehShiao-Hen Chang
BILE DUCT CANCER, ITS SURVIVAL AND LOCAL-CONTROL AFTER RADIOTHERAPY/ Fu-Ti ChangNgan-Ming TsangYou-Kang ChangWai-Man Leung
AN EVALUATION OF THE CONTENTS AND QUALITY OF RADIATION ONCOLOGY HOMEPAGES IN TAIWAN/ Yu-Jie HuangChong-Jong WangChang-Yu WangChing-Hui HsiehShiao-Hen Chang
癌症患者放射治療後迴診追蹤中斷的原因及分析/ 林奎利郭珍妮林立青林逢嘉蘇玫綺
預防動靜脈?管阻塞之狹長型電子射束劑量分析/ 柯卉玲許淑惠蕭安成李俊信林芳仁季匡華
頭頸部放射治療的活體劑量驗證/ 王慧娟羅素花董傳中吳嘉明王重榮陳惠君
TREATMENT RESULTS OF LANGERHANS CELL HISTIOCYTOSIS: A LONG TERM FOLLOW-UP/ Chun-Shu LinJing-Min HwangYee-Min JenYi-Jen PengLi-Ping ChangHsing-Lung ChaoDai-Wei LiuHon-Yi LinWeng-Yoon Shum
GRANULOCYTIC SARCOMA OF THE UTERINE CERVIX: A CASE REPORT AND REVIEW OF THE LITERATURE/ Ming-Yii HuangShi-Long LianChih-Jen HuangSheng-Fung LinKun-Bow TsaiCheng-Hui Yang
METAPLASTIC CARCINOMA OF THE BREAST: ONE CASE REPORT AND LITERATURE REVIEW/ Daniel WinardiShi-Long LianChih-Jen HuangKun-Bow TsaiJui-Sheng HsuMing-Feng Hou
 
   
 
   

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