School of Nursing, College of Nursing, Taipei Medical University, No. 250, Wu-Xing Street, Taipei, Taiwan.
Department of Nursing, Faculty of Health Science, University of Muhammadiyah Malang, Malang, East Java, Indonesia.
BMC Palliat Care. 2021 Jan 23;20(1):21. doi: 10.1186/s12904-021-00708-3.
Globally, different age groups in the elderly population have experienced major shifts over time. Human life expectancy doubled from the 19th to the twentieth century and has increased to 80 years in the twenty-first century. These conditions imply economic challenges and the increasing prevalence of certain health conditions. Old age is associated with increased care needs in various aspects of daily life. This study assessed the health care needs of elderly patients with lung, liver, and colorectal cancer in Taiwan and analyzed the factors underlying their needs.
This cross-sectional descriptive survey assessed 234 elderly patients with diagnosis of lung, liver, and colorectal cancer in Taiwan. We investigated their health care needs and daily living functions by using the Supportive Care Needs Survey and Karnofsky Performance Status, respectively.
Patients required the most assistance in physical functioning and daily living. Patients aged ≥85 years required more care than those aged 65-74 years in terms of information access and sexuality needs. Patients with poor functional status required more care than those capable of undertaking normal activities. Patients diagnosed as having liver cancer required more care than those with lung or colorectal cancer. Patients with advanced cancer required more physical and daily care than those with early-stage cancer.
Patients' health care needs differed with age, primary cancer site, and functional status. Patients aged ≥85 years and those with poor function, primary liver cancer, and advanced cancer had higher care needs.
在全球范围内，老年人群中的不同年龄组在不同时期经历了重大转变。人类的预期寿命从 19 世纪到 20 世纪翻了一番，到 21 世纪已增至 80 岁。这些情况意味着经济方面的挑战和某些健康状况的患病率不断增加。老年与日常生活各个方面对护理需求的增加有关。本研究评估了台湾老年肺癌、肝癌和结直肠癌患者的医疗保健需求，并分析了其需求的相关因素。
本横断面描述性研究评估了台湾 234 名诊断为肺癌、肝癌和结直肠癌的老年患者。我们分别使用支持性护理需求调查和 Karnofsky 表现状态评估了他们的医疗保健需求和日常生活功能。
患者在身体功能和日常生活方面最需要帮助。85 岁及以上的患者在信息获取和性需求方面比 65-74 岁的患者需要更多的护理。功能状态较差的患者比能够进行正常活动的患者需要更多的护理。诊断为肝癌的患者比患有肺癌或结直肠癌的患者需要更多的护理。晚期癌症患者比早期癌症患者需要更多的身体和日常护理。
患者的医疗保健需求因年龄、原发癌部位和功能状态而异。85 岁及以上的患者以及功能状态较差、原发性肝癌和晚期癌症的患者需要更高的护理。
