背景:多數癌症病人喜好於家中死亡，但極少研究針對亞洲癌症病人探討家中死亡喜好，尤其於台灣。
目的:探討影響台灣癌症病人死亡地點喜好之因素。
方法:採橫斷性研究，以方便取樣選取全台灣24 家醫院，共2,188 位癌症末期病人。以複邏輯迴歸分析喜好於家中死亡的影響因素。
結果:超過半數癌症末期病人希望能在家中過逝（n = 1,114; 54.7%），以下癌症病人有較高調整勝算比喜好於家中過世：⑴家屬知道病人死亡地點的喜好（p < .001）、⑵知道疾病的預後（p = .032）、⑶有較嚴重功能性依賴（p < .001）、⑷與肺癌診斷相較，肝或胰臟癌（p= .028）與頭頸癌（p = .012）及⑸教育程度為小學（p < .001）者。
結　論／實務應用:多數台灣癌症病人喜好在家中死亡，為了達到病人的心願，醫護人員應告知疾病預
後，促進病人及家屬生命終期照護討論，使家屬能了解病人對死亡地點的喜好、緩解其身體症狀及提供安寧居家照護，尤其是診斷肺癌、嚴重身體功能依賴的病人，促使最終可如願於喜好之死亡地點逝去。

Background: Studies worldwide have shown that most patients with cancer prefer to die at home. Few studies have directly explored the determinants of preference for home death in patients with cancer living in Asia, and none has been conducted in Taiwan.
Objectives: This study was designed to identify determinants of home-death preference among terminally ill patients with cancer in Taiwan.
Methods: A convenience sample of 2,188 terminally ill patients with cancer from 24 hospitals nationwide was surveyed. This study used multivariate logistic regression analysis to identify the determinants of preference for home death in the realms of patient demographics and disease characteristics, awareness of prognosis, and family support.
Results: Slightly more than half of the participants expressed the preference to die at home (n = 1,114, 54.7%). The adjusted odds of preferring to die at home were greater for participants described by one or more of the following: (1) family members knew the participant’s preference for place of death (p G .001), (2) participant knew his or her prognosis (p = .032), (3) participant had greater functional dependency (p G .001), (4) participant was diagnosed with either liver/pancreatic (p = .028) or
head/neck (p = .012) cancer, and (5) participant had less than a junior high school education (p G .001).
Conclusions/Implications for Practice: This study supports the argument thatmost terminally ill patients with cancer in Taiwan prefer to die at home. To achieve patient preferences for home death, healthcare professionals should provide prognostic information and initiate end-of-life care discussions among patients and their family to facilitate family understanding of their ill relative’s place-ofdeath preference. Developing clinical interventions to alleviate physical symptoms and providing hospice homecare services for terminally ill patients with cancer, especially those with lung cancer and greater functional dependency,may facilitate a preference for and actualization of home death.