{"id":1747,"date":"2023-12-22T13:35:01","date_gmt":"2023-12-22T05:35:01","guid":{"rendered":"http:\/\/localhost\/jcecc\/?page_id=1747"},"modified":"2024-07-13T16:38:17","modified_gmt":"2024-07-13T08:38:17","slug":"%e7%a4%be%e5%8d%80%e5%ae%89%e5%af%a7%e7%85%a7%e9%a1%a7%e8%a8%88%e5%8a%83","status":"publish","type":"page","link":"https:\/\/foss.hku.hk\/jcecc\/effectiveness-and-impact\/%e7%ac%ac%e4%b8%80%e9%9a%8e%e6%ae%b5%e8%a8%88%e5%8a%83%e6%88%90%e6%9e%9c-2016-2018\/%e7%a4%be%e5%8d%80%e5%ae%89%e5%af%a7%e7%85%a7%e9%a1%a7%e8%a8%88%e5%8a%83\/","title":{"rendered":"\u793e\u5340\u5b89\u5be7\u7167\u9867\u8a08\u5283"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row bwd_tbc4vd_show_weekday=&#8221;&#8221; el_class=&#8221;boxshadow mt-5 mb-5&#8243;][vc_column]<div id=\"ultimate-heading-51236a056155462bd\" class=\"uvc-heading ult-adjust-bottom-margin ultimate-heading-51236a056155462bd uvc-302 tit fs36 text-center green\" data-hspacer=\"no_spacer\"  data-halign=\"center\" style=\"text-align:center\"><div class=\"uvc-heading-spacer no_spacer\" style=\"top\"><\/div><div class=\"uvc-main-heading ult-responsive\"  data-ultimate-target='.uvc-heading.ultimate-heading-51236a056155462bd h2'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}' ><h2 style=\"font-weight:normal;\"><i>\u793e\u5340\u5b89\u5be7\u7167\u9867\u8a08\u5283<\/i><\/h2><\/div><\/div>[vc_single_image image=&#8221;1748&#8243; img_size=&#8221;full&#8221;][\/vc_column][\/vc_row][vc_row bwd_tbc4vd_show_weekday=&#8221;&#8221; el_class=&#8221;boxshadow mt-5 mb-5&#8243;][vc_column]<div id=\"ultimate-heading-18376a0561554631b\" class=\"uvc-heading ult-adjust-bottom-margin ultimate-heading-18376a0561554631b uvc-477 txt fs18\" data-hspacer=\"no_spacer\"  data-halign=\"left\" style=\"text-align:left\"><div class=\"uvc-heading-spacer no_spacer\" style=\"top\"><\/div><div class=\"uvc-main-heading ult-responsive\"  data-ultimate-target='.uvc-heading.ultimate-heading-18376a0561554631b h3'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}' ><h3 style=\"font-weight:normal;\">\u8a08\u5283\u53d7\u773e<\/h3><\/div><\/div>[vc_column_text el_class=&#8221;txt fs18&#8243;]<\/p>\n<p>\u300c\u8cfd\u99ac\u6703\u5b89\u5be7\u980c\u300d\u8a08\u5283\u7684\u56db\u500b\u5408\u4f5c\u5925\u4f34\u6a5f\u69cb\u57283\u5e74\u5167\u5408\u5171\u670d\u52d9\u4e862,392\u5728\u793e\u5340\u751f\u6d3b\u7684\u665a\u671f\u75c5\u60a3\u8005\u53ca\u5176\u7167\u9867\u8005\u3002 \u7576\u4e2d\uff0c777\u540d\u665a\u671f\u75c5\u60a3\u8005\u53ca\u5176\u7167\u9867\u8005\u57282016 \u53ca2018\u5e74\u671f\u9593\u63a5\u53d7\u4e86\u5c45\u5bb6\u5b89\u5be7\u7167\u9867\u670d\u52d9\u3002 \u53c3\u52a0\u8005\u7576\u4e2d\u670950.7%\u70ba\u764c\u75c7\u60a3\u8005\uff0c 18.5% \u70ba\u814e\u75c5\u60a3\u8005\uff0c 13% \u70ba\u6162\u6027\u963b\u585e\u6027\u80ba\u75c5\u60a3\u8005\u53ca\u9918\u4e0b\u70ba\u60a3\u6709\u4e0d\u540c\u75be\u75c5\u7684\u975e\u764c\u75c7\u60a3\u8005\u3002<\/p>\n<p>[\/vc_column_text]<div id=\"ultimate-heading-80956a05615546364\" class=\"uvc-heading ult-adjust-bottom-margin ultimate-heading-80956a05615546364 uvc-4573 txt fs18\" data-hspacer=\"no_spacer\"  data-halign=\"left\" style=\"text-align:left\"><div class=\"uvc-heading-spacer no_spacer\" style=\"top\"><\/div><div class=\"uvc-main-heading ult-responsive\"  data-ultimate-target='.uvc-heading.ultimate-heading-80956a05615546364 h3'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}' ><h3 style=\"font-weight:normal;\">\u7814\u7a76\u65b9\u6cd5<\/h3><\/div><\/div>[vc_column_text el_class=&#8221;txt fs18&#8243;]<\/p>\n<p>\u70ba\u66f4\u6709\u6548\u5730\u8a55\u4f30\u793e\u5340\u5b89\u5be7\u7167\u9867\u8a08\u5283\u7684\u6210\u6548\uff0c\u56db\u500b\u5408\u4f5c\u5925\u4f34\u7684\u793e\u5340\u5b89\u5be7\u7167\u9867\u670d\u52d9\u96d6\u7136\u5efa\u57fa\u65bc\u4e0d\u540c\u7684\u670d\u52d9\u6a21\u5f0f\uff0c\u4f46\u5171\u540c\u63a1\u7528\u7d71\u4e00\u7684\u8a55\u4f30\u6846\u67b6\u3002 \u670d\u52d9\u5718\u968a\u5728\u958b\u59cb\u670d\u52d9\u524d\u5f8c\u7686\u5c0d\u60a3\u8005\u53ca\u5176\u7167\u9867\u8005\u9032\u884c\u81e8\u5e8a\u8a55\u4f30\u3002\u81e8\u5e8a\u8a55\u4f30\u5de5\u5177\u7576\u4e2d\uff0c\u5718\u968a\u4e3b\u8981\u63a1\u7528\u4e86\u300c\u7d13\u7de9\u7167\u9867\u7d9c\u5408\u7d50\u679c\u91cf\u8868\u300d(Integrated palliative care outcome scale (IPOS))\u53bb\u8a55\u4f30\u60a3\u8005\u5728\u63a5\u53d7\u670d\u52d9\u524d\uff0c\u63a5\u53d7\u670d\u52d9\u4e00\u500b\u6708\u53ca\u4e09\u500b\u6708\u5f8c\u7684\u8eab\u9ad4\u5fb5\u72c0\uff0c\u6291\u9b31\u60c5\u7dd2\uff0c\u7126\u616e\u60c5\u7dd2\u53ca\u751f\u6d3b\u5be6\u969b\u9700\u8981\u3002 \u540c\u6a23\u5730\uff0c\u7167\u9867\u8005\u4ea6\u6703\u63a5\u53d7\u4e00\u7cfb\u5217\u7684\u8a55\u4f30\uff0c \u5305\u62ec\u5728\u670d\u52d9\u524d\u53ca\u63a5\u53d7\u670d\u52d9\u4e09\u500b\u6708\u5f8c\uff0c\u4ee5\u300c\u7167\u9867\u8005\u58d3\u529b\u6307\u6a19\u300d(Caregiver Strain Index (CSI))\u91cf\u5ea6\u7167\u9867\u8005\u7684\u7167\u9867\u58d3\u529b\uff0c\u4e26\u5728\u60a3\u8005\u904e\u4e16\u5f8c\u5169\u500b\u6708\u4ee5\u300c\u8907\u96dc\u6027\u54c0\u50b7\u554f\u5377\u300d(Inventory of Complicated Grief (ICG))\u53bb\u91cf\u5ea6\u7167\u9867\u8005\u7684\u54c0\u50b7\u7a0b\u5ea6\u3002 \u6b64\u5916\uff0c \u9999\u6e2f\u5927\u5b78\u7814\u7a76\u5718\u968a\u4ea6\u6703\u8207\u60a3\u8005\u53ca\u5176\u7167\u9867\u8005\u9032\u884c\u670d\u52d9\u6eff\u610f\u5ea6\u8abf\u67e5\u3002<\/p>\n<p>\u81f3\u65bc\u8a55\u4f30\u8a08\u5283\u7684<strong>\u5f71\u97ff<\/strong>\uff0c\u9999\u6e2f\u5927\u5b78\u5411\u91ab\u9662\u7ba1\u7406\u5c40\u7684\u4e2d\u592e\u6578\u64da\u5eab\u53d6\u5f97\u65bc2015\u5e74\u6b7b\u65bc\u764c\u75c7\uff0c \u6162\u6027\u963b\u585e\u6027\u80ba\u75c5\uff0c \u5fc3\u81df\u8870\u7aed\uff0c \u672b\u671f\u814e\u75c5\uff0c \u904b\u52d5\u795e\u7d93\u5143\u75be\u75c5\uff0c\u53ca\u67cf\u91d1\u905c\u75c7\u7684\u60a3\u8005\u96e2\u4e16\u524d\u516d\u500b\u6708\u7684\u91ab\u7642\u670d\u52d9\u4f7f\u7528\u6578\u64da\uff0c\u7d93\u904e\u6578\u64da\u6316\u6398(Clinical data mining)\u8655\u7406\u5f8c\uff0c\u518d\u8207\u672c\u8a08\u5283\u53c3\u52a0\u8005\u96e2\u4e16\u524d\u516d\u500b\u6708\u7684\u6578\u64da\u4f5c\u6bd4\u5c0d\uff0c \u5f9e\u800c\u8a55\u4f30\u672c\u8a08\u5283\u5c0d\u60a3\u8005\u7684\u91ab\u7642\u670d\u52d9\u4f7f\u7528\u7684\u5f71\u97ff\u3002<\/p>\n<p>\u9664\u4e86\u4ee5\u4e0a\u8a55\u4f30\uff0c\u9999\u6e2f\u5927\u5b78\u65bc2018\u5e74\u4e09\u81f3\u56db\u6708\u671f\u9593\uff0c\u5411\u4e00\u4e9b\u300c\u793e\u5340\u5354\u4f5c\u55ae\u4f4d\u300d\u9032\u884c\u4e86\u554f\u5377\u8abf\u67e5\u3002 \u9019\u4e9b\u300c\u793e\u5340\u5354\u4f5c\u55ae\u4f4d\u300d\u5305\u62ec\u66fe\u8f49\u4ecb\u60a3\u8005\u4e88\u672c\u8a08\u5283\u7684\u793e\u5340\u6216\u9662\u820d\u5b89\u5be7\u7167\u9867\u8a08\u5283\u7684\u670d\u52d9\u6a5f\u69cb\ufe51\u91ab\u9662\ufe51\u5b89\u8001\u9662\u820d\u53ca\u793e\u5340\u8001\u4eba\u8a55\u4f30\u5c0f\u7d44\u3002 \u8abf\u67e5\u65e8\u5728\u63a2\u8a0e\u9019\u4e9b\u5354\u4f5c\u55ae\u4f4d\u5c0d\u300c\u8cfd\u99ac\u6703\u5b89\u5be7\u980c\u300d\u793e\u5340\u53ca\u9662\u820d\u5b89\u5be7\u7167\u9867\u8a08\u5283\u7684\u6eff\u610f\u5ea6\uff0c\u4ee5\u53ca\u4ed6\u5011\u5c0d\u8a08\u5283\u6210\u6548\u53ca\u8ca2\u737b\u7684\u770b\u6cd5\u3002\u9999\u6e2f\u5927\u5b78\u5408\u5171\u5bc4\u51fa\u4e86224\u4efd\u554f\u5377\u4e26\u6536\u56de158\u5206\u554f\u5377\uff0c \u554f\u5377\u7684\u53c3\u8207\u5ea6\u70ba70.54%\u3002<\/p>\n<p>[\/vc_column_text]<div id=\"ultimate-heading-11996a056155463a9\" class=\"uvc-heading ult-adjust-bottom-margin ultimate-heading-11996a056155463a9 uvc-9530 txt fs18\" data-hspacer=\"no_spacer\"  data-halign=\"left\" style=\"text-align:left\"><div class=\"uvc-heading-spacer no_spacer\" style=\"top\"><\/div><div class=\"uvc-main-heading ult-responsive\"  data-ultimate-target='.uvc-heading.ultimate-heading-11996a056155463a9 h3'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}' ><h3 style=\"font-weight:normal;\">\u6210\u679c<\/h3><\/div><\/div>[vc_column_text el_class=&#8221;txt fs18&#8243;]<\/p>\n<p>\u60a3\u8005\u751f\u6d3b\u8cea\u7d20\u7684\u660e\u986f\u6539\u5584<\/p>\n<ul>\n<li>\u63a5\u53d7\u670d\u52d9\u4e09\u500b\u6708\u5f8c\uff0c \u63a5\u53d7\u8a55\u4f30\u7684\u60a3\u8005(n=283)\u8868\u793a\u8eab\u9ad4\u5fb5\u72c0\u6e1b\u5c11\u4e8618%\uff0c\u6291\u9b31\u60c5\u7dd2\u4ee5\u53ca\u7126\u616e\u60c5\u7dd2\u5206\u5225\u6e1b\u5c11\u4e8647%\u53ca31%\u3002\u800c\u751f\u6d3b\u5be6\u969b\u56f0\u96e3\u5247\u5927\u5e45\u6e1b\u5c11\u4e8655%\u3002\u9019\u4e9b\u8b8a\u5316\u90fd\u9054\u81f3\u7d71\u8a08\u5b78\u4e0a\u7684\u610f\u7fa9\u6c34\u5e73(<em>p<\/em>&lt;.001)\u3002<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_single_image image=&#8221;1751&#8243; img_size=&#8221;full&#8221;][vc_column_text el_class=&#8221;txt fs18&#8243;]<\/p>\n<p>\u7167\u9867\u8005\u7684\u7167\u9867\u58d3\u529b\u53ca\u8ca0\u9762\u60c5\u7dd2\u5f97\u5230\u6709\u6548\u7684\u6539\u5584<\/p>\n<ul>\n<li>\u63a5\u53d7\u670d\u52d9\u5f8c\u4e09\u500b\u6708\uff0c \u7167\u9867\u8005(n=164) \u8868\u793a\u7167\u9867\u58d3\u529b\u53ca\u7126\u616e\u60c5\u7dd2\u5206\u5225\u4e0b\u964d\u4e8627%\u53ca19%\u3002 \u4ee5\u4e0a\u6240\u63d0\u53ca\u7684\u8f49\u8b8a\u90fd\u9054\u81f3\u7d71\u8a08\u5b78\u4e0a\u7684\u610f\u7fa9\u6c34\u5e73(<em>p<\/em>&lt;.001)\u3002\u800c\u5728\u60a3\u8005\u96e2\u4e16\u5169\u500b\u6708\u5f8c\u63a5\u53d7\u54c0\u50b7\u8a55\u4f30\u7684\u55aa\u89aa\u5bb6\u5c6c\u4e2d(n=166)\uff0c\u8fd190%\u5c6c\u65bc\u4f4e\u7a0b\u5ea6\u7684\u8907\u96dc\u6027\u54c0\u50b7\u3002<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_single_image image=&#8221;1754&#8243; img_size=&#8221;full&#8221;][vc_column_text el_class=&#8221;txt fs18&#8243;]<\/p>\n<p>\u6e1b\u5c11\u4e0d\u5fc5\u8981\u7684\u91ab\u7642\u670d\u52d9\u4f7f\u7528<\/p>\n<ul>\n<li>\u5718\u968a\u5f9e221\u540d\u53c3\u52a0\u672c\u8a08\u5283\u7684\u60a3\u8005\u6536\u96c6\u5230\u4ed6\u5011\u96e2\u4e16\u524d6\u500b\u6708\u7684\u51fa\u5165\u9662\u6578\u64da\uff0c\u4e26\u6bd4\u5c0d2015\u5e74\u65bc\u516c\u7acb\u91ab\u9662\u96e2\u4e16\u7684\u665a\u671f\u75c5\u60a3\u8005\u7684\u6578\u64da\u3002 \u7d50\u679c\u767c\u73fe\uff0c\u672c\u8a08\u5283\u7684\u53c3\u52a0\u8005\u4f7f\u7528\u8f03\u5c11\u7684\u91ab\u9662\u670d\u52d9\u3002\u5305\u62ec\u5c11\u4e864.87\u5929\u7684\u4f4f\u9662\u65e5\u6578\uff0c0.32\u6b21\u7684\u6025\u75c7\u5ba4\u6c42\u8a3a\uff0c\u4ee5\u53ca0.08\u5929\u7684\u6df1\u5207\u6cbb\u7642\u75c5\u5e8a\u3002\u9019\u7d50\u679c\u53cd\u6620\u4e86\u793e\u5340\u5b89\u5be7\u7167\u9867\u8a08\u5283\u80fd\u6e1b\u4f4e\u665a\u671f\u75c5\u60a3\u8005\u4e0d\u5fc5\u8981\u7684\u4f4f\u9662\uff0c\u53ca\u589e\u52a0\u7559\u5bb6\u4f11\u990a\u7684\u6a5f\u6703\u3002<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_single_image image=&#8221;1757&#8243; img_size=&#8221;full&#8221;][vc_column_text el_class=&#8221;txt fs18&#8243;]<\/p>\n<ul>\n<li>\u628a\u4e0a\u8ff0\u7d50\u679c\u5916\u63a8\u81f3\u5168\u90e8777\u540d\u63a5\u53d7\u793e\u5340\u5b89\u5be7\u7167\u9867\u8a08\u5283\u7684\u60a3\u8005\uff0c 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