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????????. ?????:??????????????????????????????? . ?????:????????????????????????????????. ??36?????????????. ???????????,???????????????????,????????????,??????????????????????????????????????????????????????????. ?????????? . Kubler-Ross(1969)??????????????????:???????????!

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1. ?????????????? ??? ????????????

2. ????? ??????1000?????? 2007?????????790?? ???????????,?????????????????????

3. ???????? ?????: ?? ?? ?????? ??? ?? ???? ??? ??? ??? ??? ?????: ?? ?????? ?? ?? ???? ?? ???? ??? ???? ???

4. ??36????????????? ???????????,???????????????????,????????????,????…? ???????????????????…? ???????????????????????????????

5. ?????????? Kubler-Ross(1969)???????????????? ??:???????????!?????????????????????????,????????? ??:?????????????,?????????????????????????????????,??????????????,????????????????

6. ?????????? ??:??????????,??????????????????….? ??:???????????????????!? ??:?????????,????????????!?

7. ???? ??????? ?????????,???????????????????????????????????????? ????? ?????????????? ????????????? ?????,???????,???????? ??????,?????,??????,?????????? ?????????????????????,???????????????

8. ???? ????????????? 80%??????????????????????,????????? 46%??????????? 40%????????????? ????????

9. ???????? ????????????,??????????????? ???????????????????????? ??????????????????????? ??????????????????????????????

10. ??????? 1.??????: ??????????,????? ???????????????,???????????,????????????!????????????????????? 2.??????:???????????????? ?????(1998)

11. ??????? 3.??????: ???????,???????????,?????????????? 4.??????????: ???????????? ????????????,??????????? ?????(1998)

12. ??????? 5.???????????: ?????????????????,?????????????,???????????????,????????,??????????? 6.?????????: ????????,???????!? ?????????????????,??????????? ?????(1998)

13. ??????? 7?????????:?????????????????????,??????????? 8???????:????????,????????????,??????????????,?????????????????

14. ????????????? ???(Sales)?1992 ?????????????????????????????: ???? ???? ?????? ?????? ?????? ????

15. 1????? ???????????????????????? ?????????,????????? ?????????????????? ????????,?????????????

16. ???????????? 80 % ????????????? ?????? ??????? ????? ????? ??????????

17. 2????? ????????????????????????????,?????????? ?????????????????,??????????????,????????

18. ????? ?????????????????????400????????????????????? ??4????????????????,???????????????? ????????????????,????????????

19. 3??????? ?????????????,???????? ???????? ??????? ????? ?????

20. 4??????? ??????????,?????????? ????????????,???????????????

21. 5??????? ???????????,?????????????????? ??????????

22. 6????? ???????,?????????????????? ????????????? ????????????,??????????,??????????????????????????????????

23. ??????? ??????????????? ???????? ????????????????? ??????????????? ????????????????????

24. ?????????? ???????5000?????,?????????,??????????????????????????? ???1000???,????????????????????????

25. ??????? ????,???????,???????????????????? ???????????????????,?????? ???????????????,??????????????????,????????????,???????????????

26. ??????? ???????(High-Tech)?????,????????????? ???????(High-Touch)???????????,????????????????…?? ????????????????????? ??????????????????????????

27. ?????? ?????????,??????????????????????????,?????????? ??????????????? ??????????? ??????????????,?????????????????????????

28. ??????????? ???????????????? ???????????????? ????????? ??????????,???????????,??????????? ??????????? ?????????? ????????????????????????? ?????????,???????????????????????

29. ?????? ?????????????????? ???????????,????????????????? ???????,??????????????,???????? ???????????????????????,?????????????,????? ????????????,??????????????

30. ????? ??????????,??????????????,??????(PTG)??????????(???????????????????????30%) ?????????????????????????

31. ??????? ???????????????????????????? ????????????????,???????????????!??,??????????,????????,?????????

32. ?????????? ??????????,96????????32???????????,??????????33.3%1 ??????????????13.2 %2 1. ????,????????????????????????Formosan J Med 2002;6:535-45 2. Zung WWK, Magruder-Habib K, Velez R, Alling W:The comorbidity of anxiety and depression in general medical patients:A longitudinal study. J Clin Psychiatry 1990;51(Suppl 6):77-80.

33. ?????????? 1. ????,????????????????????????Formosan J Med 2002;6:535-45

34. ?????????? ????????????????60%??, ????????,????????39.3%????(???, 1985) ??1/4????????,??????????????????? 25%???????????????,??????????????77% ?????????????????,??????,????????????(??????,2008) ???????????-135???????????????????1985;1:98-110.

35. ????????

36. ?????????-?? ????????????: 1. ?????????????????? 2. ????????????????????????? 3. ??? 4. ??????? 5. ????????? Endicoot J. Management of depression in patients with cancer. Cancer 1984;53:2243-8

37. ??????????????? ??-???4.4%, ???20% ??-???8.9%, ???37.8% ???????????????????,?????????????? ?????????????? ??????????????,???????? ????,????????????????????Formosan J Med 1999;3:373-82.

38. ??????????????? ??????????????? ???????????????? ?????????????????, ?????????????????? ????,????????????????????Formosan J Med 1999;3:373-82.

39. ????????? ???????????????: 32% ???? 30% ????????? 12% ?????

40. ?????????-?? ???????74%????? ????25%~77%?????? ??????????????????????? ????????????

41. ???? ????????????,??????????????????? ??????? ???????? ???? ??????

42. ??????? - ?? ??? - ??????? ??? - ??????? ??? - ??????? ??? - ???????

43. ???????? ??????… ???????????!

44. ????!

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