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研究生:劉慧玲
研究生(外文):Hui-ling Liou
論文名稱:人生相簿對接受安寧緩和療護癌末病人的憂鬱與生命意義影響之初探
論文名稱(外文):The Effects of a Life Album on Depression and Meaning of Life in Cancer Patients Receiving Hospice and Palliative Care
指導教授:謝秀芳謝秀芳引用關係
指導教授(外文):Hsiu-fang Hsieh
學位類別:碩士
校院名稱:輔英科技大學
系所名稱:護理系碩士班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2008
畢業學年度:96
語文別:中文
論文頁數:154
中文關鍵詞:人生相簿生命回顧癌末病人憂鬱生命意義安寧緩和療護
外文關鍵詞:life albumlife reviewadvanced cancer patientdepressionmeaning of lifehospice and palliative care
相關次數:
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憂鬱是癌末病人臨終時常見的心理困擾之一,可能對身、心、社會及靈性產生不良影響,或造成病情與各種症狀之加劇惡化,導致癌末病人無法安適與善終。「人生相簿」是指協助病人選擇及收集能描述其個人一生歷程或經驗的相片所製成之相簿,運用生命回顧為媒介,引導病人分享相片內容與過去值得回憶之事件,以達到自我統整與肯定人生。藉由人生相簿以減輕憂鬱,並提升生命意義感。本研究旨在探討「人生相簿」介入措施,對接受安寧緩和療護的癌末病人的憂鬱與生命意義之影響。研究目的為:1. 探討人生相簿對安寧緩和療護癌末病人憂鬱程度之影響;2. 探討人生相簿對安寧緩和醫護癌末病人生命意義之影響。本研究採類實驗性研究設計,研究地點位於屏東某區域教學醫院。研究對象以立意取樣法,取樣安寧病房、安寧共同照護及安寧居家癌末病人,依其意願分為實驗組(n=11)及對照組(n=8)。實驗組由研究者協助病人與家屬收集具有紀念性及有意義之相片,整理成為病人的人生相簿,並以相片進行生命回顧;對照組則接受常規性照護。兩組研究對象於介入措施前後以貝氏憂鬱量表、生命意義量表、及自擬人生相簿訪談內容為訪談指引進行資料收集。
研究資料以SPSS 12.0 for windows 套裝軟體進行資料分析,結果顯示在接受介入措施後,研究對象的憂鬱與生命意義均有顯著差異(F=6.037,p=.026、F=15.948,p=.001),顯示能夠降低憂鬱,提升生命意義。研究對象之平均年齡為57.3 ± 11.54,介入措施前研究對象之憂鬱程度介於輕度憂鬱至中度憂鬱(19.6 ± 7.31)之間,生命意義量表得分屬於中等程度之生命意義感(17.4 ± 6.41)。在人生相簿介入後,實驗組在憂鬱量表平均得分減少-1.5 ± 3.31分,以Wilcoxon Signed-Rank Test檢定未達顯著性差異(p=.086);而生命意義量表平均得分增加2.1 ± 1.38分,並達統計上顯著性差異(p=.007)。於介入措施後,以Mann-Whitney U Test檢定兩組的憂鬱情形未達統計顯著差異(p=.089),在生命意義達統計上之顯著性差異(p=.001)。本研究結果可提供以人生相簿協助安寧緩和醫護癌末病人進行生命回顧之照護參考。
The purpose of this study was to investigate the effects of life album program on depression and meaning of life in cancer patients who were receiving hospice and palliative care in southern Taiwan. The researcher assisted study participants in collection of photographs that described their life that they wished to share in creating their life album in a photograph book format. For this research, creation of a life album was viewed as a means of life review.
This study used qusai-experimental pre-and post-test design. The study participants recruited from hospice and palliative care unit, hospital-based palliative team, and home care hospice in a regional teaching hospital in Pintung county in Taiwan. A purposive sampling was used. According to paticipants’ wish, the participants who agreed in creation of a life ablum were assigned to the experimental group (n=11) and the participants who declined in creation of a life ablum were recruited to the control group (n=8). The experimantal group received life album program, the control group received only usual care. The questionnaires used included a demographic sheet, included the Chinese version Beck depression inventory (CBDI-II), the Chinese version purpose in life test (CPIL) and a semi-structure open-ended questionnaire of life album program.
The statistical software packages SPSS 12.0 for windows. Descriptive statistics was used to describe sample characteristics. Inferential statisticals used were ANCOVA, Wilcoxon Signed-Rank Test, Mann-Whitney U Test for measured effects of life album in depression and meaning of life in participants.
The results showed that the average age of the participants was 57.3 ± 11.54 years old. The participants had mild-moderate depression (19.6 ± 7.31) and moderate purpose in life score (17.4 ± 6.41) in pretest. Wilcoxon Signed-Rank Test was used to analyzed after experimental group receving life album, the average CBDI-II score decreased 1.5 ± 3.31 (p= .086), the average CPIL score increased significantly 2.1 ± 1.38 (p=.007). Mann-Whitney U Test were used to test average CBDI-II score (p= .089) between two groups were not significant, but CPIL score (p= .001) increased significantly. The results of the ANCOVA showed that the participants who created a life album had a statiscitally significantly greater reduction of depression and increased meaning of life comparing with those who did not.
It was concluded that the life album was effective in promoting meaning of life and reducing depression in advanced cancer patients who were receiving hospice and palliative care. Creating a life album may be a valuable and innovative intervention for nurses who are taking care of cancer or dying patients to improve the quality of their end-of-life.
目錄
致謝 ii
中文摘要 iv
英文摘要 vi
目錄 viii
表目錄 xi
圖目錄 xiii
第一章 緒論 1
第一節 研究動機及重要性 1
第二節 研究目的 7
第三節 名詞界定 8
第二章 文獻探討 9
第一節 憂鬱 9
第二節 生命意義 19
第三節 生命回顧 26
第四節 人生相簿 32
第三章 研究方法 35
第一節 研究架構 35
第二節 研究設計 37
第三節 研究地點 40
第四節 研究對象及選樣 41
第五節 研究工具及信效度 43
第六節 研究步驟 48
第七節 研究倫理 54
第八節 資料處理及分析 56
第四章 研究結果 57
第一節 研究對象之人口學特性 57
第二節 憂鬱及生命意義 73
第四節 人生相簿對生命意義之影響 79
第五節 參與人生相簿的反應 82
第六節 研究對象對人生相簿之看法與感受 85
第五章 討論 88
第一節 研究對象之人口學特性 88
第二節 癌末病人的憂鬱及生命意義 95
第三節 人生相簿對憂鬱之影響 101
第四節 人生相簿對生命意義之影響 104
第五節 人生相簿介入措施 107
第六章 結論與建議 112
第一節 結論 112
第二節 研究限制 113
第三節 研究結果應用與建議 117
參考文獻 122
中文部份 122
英文部份 128
附錄一 「人生相簿活動」大綱 138
附錄二 個案基本資料表 141
附錄三 貝氏憂鬱量表 142
附錄六 生命意義量表使用受權書 146
附錄八 同意臨床試驗證明書 148
附錄十 研究對象訪談摘要 151
表目錄
表4-1-1研究對象之來源 58
表4-1-2實驗組人口學特性 66
表4-1-3對照組人口學特性 66
表4-1-4人口學特性分析(一) 67
表4-1-5人口學特性分析(二) 68
表4-1-6人口學特性分析(三) 69
表4-1-7實驗組前後測階段身體症狀及使用藥物 70
表4-1-8對照組前後測階段身體症狀及使用藥物 71
表4-1-9前後測階段身體症狀及使用藥物分析 72
表4-2-1憂鬱量表前測得分及同質性檢定 73
表4-2-2生命意義次量表前測得分情形 74
表4-2-3生命意義量表前測得分及同質性檢定 74
表4-3-1組內憂鬱量表以Wilcoxon Signed-Rank Test比較 76
表4-3-2兩組憂鬱量表得分改變量分析 76
表4-3-3兩組憂鬱量表以Mann-Whitney U Test比較 77
表4-3-4憂鬱量表組內同質性分析 78
表4-3-5不同組別在憂鬱後測之共變數分析 78
表4-4-1兩組生命意義量表得分改變量分析 79
表4-4-2組內生命意義量表以Wilcoxon Signed-Rank Test比較 80
表4-4-3兩組生命意義量表以Mann-Whitney U Test比較 80
表4-4-4生命意義量表組內同質性分析 81
表4-4-5兩組在生命意義量表後測之共變數分析 81
表4-5-1人生相簿製作情形(一) 84
表4-5-2人生相簿製作情形(二) 84

圖目錄
圖3-1-1研究架構圖 36
圖3-1-2研究設計圖 37
圖3-6-1研究流程圖 53
圖4-1-1收案流程圖 59
參考文獻
中文部份
王雅容(2002).白血病患者之希望、憂鬱與生活品質之相關性.未發表的碩士論文.台北:台北護理學院。
王翠蘭(2008).一位舌癌併發直腸癌末期病人之護理經驗.志為護理,7(1),126-135。
毛新春(1997).認識病人的靈性需求.台灣醫學,1(5),653-656。
石丹里(1986).中文生命意義量表.中華心理學刊,28,51-60。
江南發(1991).青少年期自我統合發展之研究.未發表的博士論文.台北:國立政治大學教育研究所。
行政院衛生署(2008).台灣地區主要死亡原因.2008年5月23日取自http://www.doh.gov.tw/statistic/data/衛生統計叢書2/96/記者會專區/表1.xls
李昭輝(1997).安寧療護意義治療.安寧療護,41(3),19-24。
李明濱(1985).癌症住院病人之精神疾病—135例照會個案及對照組之比較研究.台灣醫學會雜誌,87,360-380。
李明濱(1997).醫學的人性面:情緒與疾病.台北:台大醫學院。
李佳純、于博芮、黃秀梨(2006).靈性安適照護.安寧療護雜誌,11(1),59-73。
李歡芳(2003).老人自尊與懷舊療法.護理雜誌,50(4),98-102。
何英奇(1987)).大專學生之生命意義感及其相關:意義治療法基本概念之實證性研究.教育心理學報,20,87-106。
宋秋蓉(1992).青少年生命意義之研究.未發表之碩士論文.彰化:國立彰化師範大學輔導研究所。
吳明隆(2007).SPSS操作與應用變異數分析實務.台北:五南。
吳麗芬(2001).懷舊治療與人生回顧.護理雜誌,48(1),83-88。
林玲華(1999).癌症住院病患憂鬱之篩檢.未發表的碩士論文.桃園:長庚大學護理研究所。
林玲華、陳景彥、劉嘉逸、陳美伶(2002).癌症住院病患憂鬱狀態的盛行率及預測因素.台灣醫學,6(4),535-545。
林靜琪(1995).癌症末期住院病人自述需要之探討.未發表的碩士論文.花蓮:慈濟大學護理研究所。
林靜琪、邱豔芬(1997).癌症末期住院病人自述需要的探討.慈濟醫學,9(4),295-305。
邱天助(2004).老年的生命意義及其建構模式之研究.國科會委外研究計劃:NSC92-2412-H128-002-88S。
邱麗蓮(1999).與乳癌共生婦女在生命意義探索上之現象學研究.護理研究,7(2),119-128。
洪福建、鄭逸如、邱泰源、胡文郁、陳慶餘、吳英璋(1999).癌末患者的社會問題、因應策略與負向情緒.應用心理研究,3,79-104。
柯慧貞(1989).內因性與非內因性憂鬱症之心理病理差異比較.未發表之博士論文.台北:台灣大學心理學研究所。
柯慧貞、黃耿妍、李毅達、莊麗珍(1996).貝氏憂鬱量表應用於國人周產期憂鬱症篩選之適用性.中華衛誌,15(3),208-219。
胡文郁(2004).台灣文化脈絡下癌末患者之生活品質.台灣醫學,8(5),688-697。
徐如維、李鶯喬(1996).照會精神醫學常見的問題與處理.臨床醫學,38(4),249-253。
姚如玲(2005).影響肺癌症病人疲憊、憂鬱與睡眠品質之相關因素.未發表的碩士論文.台北:台北醫學大學護理研究所。
姚建安(1998).癌末病患的睡眠障礙.安寧療護,9,30-33。
高綺吟、邱泰源、胡文郁、陳慶餘、賴明坤、陳月枝(2007).安寧癌末病患共同照護之照會.台灣醫學,11(6),602-611。
孫效智(2000).生命智慧與道德責任.教育資料集刊,26,65-78。
孫嘉玲、張元貞、宋梅生、黃美瑜、王秀香、郭素青(2004).芳香療法於癌症病患之應用.安寧療護雜誌,9(3),253-263。
黃子庭、林柳吟(2004).社區老人之生命意義及其相關因素—以雲林縣為例.台灣衛誌,23(2),159-167。
黃和美(1984).癌症末期病人心理反應之探討.未發表的碩士論文.台北:國防醫學院護理研究所。
黃淑鶴(1999).音樂治療於改善癌症末期病患疼痛及症狀困擾之成效.未發表的碩士論文.台北:台北醫學院護理學研究所。
黃建勳、鄭逸如、邱泰源、呂碧鴻、陳慶餘(2003).癌末病人的憂鬱問題.安寧療護,8(2),185-198。
黃國彥、鍾思嘉(1986).老人健康自評、生活改變和生命意義與其生活滿意度和死亡焦慮之關係.行政院國家科學委員專題研究。
商志雍、李明濱(2001).癌症病人之精神疾病.台灣醫學,5(4),429-432。
商志雍、李明濱、廖士程(2002).癌末病人常見之精神疾病.台北市醫師公會會刊,46(2),15-19。
陳心怡譯(2000).貝克憂鬱量表指導手冊中文版第二版.台北:中國行為科學社。(原著出版年:1994年)
陳珍德、程小蘋(2002).癌末病人生命意義之研究.彰化師大輔導學報,23,1-49。
陳怡靜、陳彰惠(2006).婦癌患者身體心像、社會支持和憂鬱的相關性研究.實證護理,2(4),293-299。
陳怡如(2006).末期病人的靈性需求與靈性照顧.慈濟醫學,18(suppl 4),61-66。
陳筱玲(2005).足部按摩對消化道癌症手術後患者成效之探討.未發表的碩士論文.台北:台北護理學院護理研究所。
陳雅萍、葉淑惠、龔福財、何美瑤(2007).子宮頸癌住院病人症狀困擾、憂鬱及生活品質之相關性研究.實證護理,3(2),89-98。
陳慶餘(2004).癌症病人本土化靈性照顧模式.台灣醫學,8(5),664-671。
許秀卿、胡文郁、莊榮彬、邱泰源、陳慶餘(2002).台灣老年癌末病患的症狀.台灣醫學,6(4),465-473。
許麗珠、陳耀昌、黃秀梨(1997).骨髓移植病患對居家照顧之認知、需求、滿意度與情緒反應之探討.高雄醫學雜誌,13,738-747。
湯元皓、馮煥光、劉文健(1995).癌症病患與憂鬱.臨床醫學,36,262-267。
張春興(1989).張氏心理學辭典.台北:東華。
楊克平(1998).護理實務中的靈性照護.護理雜誌,45(3),77-83。
楊庸一(2000).輕型精神疾病之治療.當代醫學,27(6),476-478。
楊馨怡(2003).食道癌病人的憂鬱對疾病預後的影響.未發表碩士論文.桃園:長庚大學護理研究所。
鄧旗明(2003).雙峰者生命意義之探討—以乳癌個案為例.未發表之碩士論文.彰化:南華大學生死學研究所。
趙可式(1997).台灣癌症末期病患對善終意義的體認.護理雜誌,44(1),48-55。
趙可式(1998).康泰安寧療護手冊.台北:康泰安寧教育基金會。
賴明亮(2002).意義治療簡介.安寧療護雜誌,7(2),153-163。
蔡坤良(2004).小琉球漁村老人生命意義感、死亡態度與幸福感之研究.未發表碩士論文.彰化:南華大學生死學研究所。
蔡春金(2005).脊髓損傷者自我概念、社會支持與憂鬱症狀之相關性.未發表的碩士論文.屏東:美和技術學院健康照護研究所。
蔡麗雲、顧乃平、張澤芸、賴裕和(2001).癌痛病患的焦慮、憂鬱及其相關因素之探討.新台北護理期刊,3(1),23-33。
蔣凱若(2005).生命回顧團體對老榮民自尊及生活滿度之影響.未發表碩士論文.台北:國防醫學院護理研究所。
鄭逸如(1997).末期病患及家屬的情緒問題.安寧療護,23,2-7。
鄭逸如、呂碧鴻(1997).癌症末期患者心理層面的照顧.台灣醫學,1(2),209-213。
鄭逸如(1998).癌症病人負向情緒的紓解.安寧療護,10,62-68。
劉佩綾(2007).血液透析患者壓力感受與憂鬱之探討.未發表的碩士論文.高雄:輔英科技大學護理系。
鍾思嘉(1995).老人的生命意義與輔導原則.測驗與輔導,11,1641-1645。
謝玉玲、黃曉峰、林曉蘋(2006).某教學醫院安寧療護病患之美術治療.安寧療護雜誌,11(1),34-51。
簡玉城(1998).談癌症病患與憂鬱.癌症新探,5,37-38。
簡明建(1999).憂鬱症的診斷及治療.諮商與輔導,165,8-11。
蕭秋月、尹祚芊、徐畢卿、葉淑惠、李怡娟(2002).回憶治療改善機構老人憂鬱狀態之成效探討.護理雜誌,49(4),43-53。
盧璧珍(2003).安寧療護理念融入非安寧病房癌末病患照護之探討:以台北某醫學中心胸腔科醫護人員為例.未發表碩士論文.彰化:南華大學生死學研究所。
魏雪卿(2005).懷舊團體治療於護理之家老人對寂寞、生命意義、生活滿意度之前趨性研究.未發表碩士論文.台北:台北護理學院醫護教育研究所。
釋慧哲、釋宗淳、陳慶餘、釋法成、周淑美、釋大慧、釋印適、釋惠敏(2005).生命回顧之臨床說法.安寧療護雜誌,10(4),345-357。
American Cancer Society.(2007).癌症護理(林素琴、林麗英、顏芳慧、蘇婉麗譯).台北:五南。(原著出版於2004年)
Erikson, E.H., Erikson, J.M., & Kivinick, H.Q.(2000).Erikson老年研究報告(周伶利譯).台北:張老師文化。(原著出版於1997年)


英文部份
Aass, N., Fossa, S. D., & Dahl, A. A. (1997). Prevalence of anxiety and depression in cancer patients seen at the Nowegian Radum hospital. European Journal of Cancer, 33, 1597-1604.
Akechi, T., Okuyama, T., Sugawara, Y., Shima, Y., & Furukawa, T. A. (2006). Screening for depression in terminally ill cancer patients in Japan. Journal of Pain and Symptom Management, 31(1), 5-12.
Atchley, R. C. (1989). A continuity theory of normal aging. The Gerontologist, 29(2), 183-190.
Bailey, R. K., Geyen, D. J., Scott-Gurnell, K., Hipolito, M. M. S., Baley, T. A., & Beal, J. M. (2005). Understanding and treatment depression among cancer patients. International Journal of Gynecological Cancer, 15, 203-208.
Baumeister, R. F. (1991). Meanings of life. New York: The Guilford Press.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of Beck depression inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77-100.
Beck, A. T., Ward, C. H., Mendelso, N. M., Monk, J., & Erbaugh, J. (1961). An Inventory for measuring depression. Archives of General Psychiatry, 4, 561-571.
Biggar, H., Forehand, R., Devine, D., Brody, G., Amistead, L., & Morse, E. (1999). Woman who are HIV infected: the role of religious activity in psychosocial adjustment. AIDS Care, 11(2), 195-199.
Black, G., & Haight, B. K. (1992). Integrality as a Holistic framework for the life review process. Holistic Nursing Practice, 7(1), 7-15.
Block, S. D. (2000). Assessing and management depression in the terminally ill patient. Annals of Internal Medicine, 132, 209-218.
Bohlmeijer, E., Smit, F., & Cuijpers, P. (2003). Effects of reminiscence and life review on late-life depression: A meta-analysis. Journal of Geriatric Psychiatry, 18(12), 1088-1094.
Bottomley, A. (1997). Psychological problems in cancer patients: a brief review of common problems. Journal of Mental Health Nursing, 4, 323-331.
Bottomley, A. (1998a). Depression in cancer patients: A literature review. European Journal of Cancer Care, 7, 181-191.
Bottomley, A. (1998b). Group Cognition behavioural therapy with cancer patients: the views of woman participants on a short-term intervention. European Journal of Cancer Care, 7(3), 23-30.
Bradley, N., Davis, L., & Chow, E. (2005). Symptom distress in patients attending an outpatient palliative radiotherapy clinic. Journal of Pain and Symptom Management, 30(2), 123-131.
Breitbart, W. (1994). Psycho-oncology: depression, anxiety, delirium. Seminars in Oncology, 121, 754-769.
Butler, R. N. (1963). The life review: An interpretation of reminiscence in the aged. Psychiatry, 26, 65-76.
Davis, M. C. (2004). Life review therapy as an intervention to manage depression and enhance life satisfaction in individuals with right hemisphere cerebral vascular accidents. Issues in Mental Health Nursing, 25, 503-515.
Derogatis, L., Morrow, G. R., Fetting, J., Penman, S., Schmale, A. M., & Henrichs, M. (1983). The prevalence of psychiatric disorders among cancer patients. Journal of American Medicine Association, 249(6), 751-757.
Doyle, D. (1992). Have we looked beyond the physical and psychological? Journal of Pain and Symptom Management, 7(5), 302-311.
Edicott, J. (1984). Measurement of depression in patients with cancer. Cancer, 53, 2243-2248.
Faller, H., B�刜zebruck, H., Drings, P., & Lang, H. (1999). Coping, distress, and survival among patients with lung cancer. Archives of General Psychiatry, 54(11), 841-845.
Fegg, M. J., Kramer, M., L’hoste, S., & Borasio, G. D. (2008). The schedule for meaning in life evaluation (SMiLE): Validation of a new instrument for meaning-in-life research. Journal of Pain and Management, 35(4), 356-364.
Ferris, F. D., & Librach, S. L. (2005). Models, standards, guidlines. Clinics in Geriatric Medicine, 21, 17-44.
Filiberti, A., Ripamonti, C., Totis, A., Ventatridda, V., Conno, F., Contiero, P. (2001). Characteristics of terminal cancer patients who commited suicide during a home palliative program. Annals Journal of Pain and Symptom Management, 22(1), 544-553.
Fine, P. G., & Davis, M. (2006). Hospice: Comprehensive care at the end of life. Anesthesiology Clinics of North America, 24, 181-204.
Fine, R. L. (2001). Depression, anxiety, and delirium in the terminally ill patients. Baylor University Medical Center Proceedings, 14(Number2), 130-133.
Fisch, M. (2004). Treatment of depression in cancer. Journal of the National Cancer Institute Monographs, 32, 105-111.
Frankl, V. E. (1967). Psychotherapy and existentialism: Selected paper on logotherapy. New York: Washington Square Press.
Friel, P. B. (1982). Death and dying. Annals of Internal Medicine, 97, 767-771.
Giltinan, J. (1990). Using life review to facilitate self-actualization in elderly women. Gerontology and Geriatrics Education, 10(4), 75-83.
Glover, J., Dibble, S. L., Doodd, M. J., & Miaskowski, C. (1995). Mood states of oncology outpatients: Dose pain make a defference? Gerontology Journal of Pain and Symptom Management, 10(2), 120-128.
Greer, S., & Silberfarb, P. (1982). Psychological concomitants of cancer; current state of research. Psychological Medicine, 12, 563-573.
Guse, L., Ingis, J., Chicoine, J., Leche, G., Stadnyk, L., & Whitbread, L. (2000). Life albums in long-term care: resident, family, and staff perceptions. Geriatric Nursing, 21(1), 34-37.
Haight, B. K. (1988). The theraputic role of a structured life review process in homebound elderly subjects. Journal of Gerontology, 43(2), 40-44.
Haight, B. K. (1992). Long-term effects of a structured life review process. Journal of Gerontology, 47(5), 312-315.
Haight, B. K., & Burside, I. (1993). Reminiscence and life review: Explaining the differences. Archives of Psychiatric Nursing, Ⅶ(2), 91-98.
Haight, B. K., Michel, Y., & Hendrix, S. (1998). Life review: Preventing despair in newly relocated nursing home resident short and long term effects. The International Journal of Aging & Human Development, 47, 119-142.
Hermann, C. P. (2001). Spiritual needs of dying patients: A qualitative study. Oncology Nursing Forum, 28(1), 67-72.
Husain, A. F., Stewart, K., Arseneault, R., Moineddin, R., Cellarius, V., & Librach., L. (2007). Woman experience higher levels of fatigue then men at the end of life: A longitudinal home palliative care study. Journal of Pain and Symptom Management, 33(4), 389-397.
Jenkins, C., Taube, A., Turner, K., Hanson, J., & Bruera, E. (1998). Initial demographic , Symptom, and medication profile in patient admitted to continuing palliative care units. Journal of Pain and Symptom Management, 16(3), 163-170.
Jones, C., Lyons, C., & Cunningham, C. (2003). Life review following critical illness in young men. Nursing in Critical Care, 8(6), 256-263.
Lapp, J. M. (1987). Reminiscing : The life review therapy. Journal of Gerontological Nursing, 13(4), 12-16.
L�臀esque, M., Savard, J., Simard, S., Gauthier, J. G., & Ivers, H. (2004). Efficacy of cognition therapy for depression among woman with metastatic cancer: a single-case experimental study. Journal of Behavior Therapy and Experimental Psychiatry, 35, 287-305.
Levin, T. T., Li, Y., Riskind, J., & Rai, K. (2007). Depression, anxiety, and quality of life in a chronic lymphocyte leukemia cohort study. General Hospital Psychiatric, 29, 251-256.
Levine, P. M., Silberfar, P. M., & Lipowski, Z. J. (1978). Mental disorder in cancer patients. Cancer, 42, 1386-1391.
Lin, C. C., Lai, Y. L., & Ward, S. E. (2003). Effect of cancer pain on performance status, mood states, and level of hope among Taiwanese cancer patients. Journal of Pain and Symptom Management, 25(1), 29-37.
Lin, H. U., & Bauer-Wu, S. M. (2003). Psycho-spiritual well-being in patients with advanced cancer: An integrative review of the literature. Journal of Advanced Nursing, 44(1), 69-80.
Lloyd-Willian, M. (2001). Screening for depression in palliative care patients: A review. European Journal of Cancer Care, 10, 31-35.
Lovejoy, N. C., Tabor, D., Matteis, M., & Lillis, P. (2000). Cancer-related depression: PartⅠ-neurologic alternations and cognitive-behavioral therapy. Oncology Nursing Forum, 27(4), 667-677.
Loyd-Willians , M., & Riddleston, H. (2002). The stability of depression scores in patients who are receiving palliative care. Journal of Pain and Magement, 24(6), 593-597.
Mastel-Smith, B., Binder, B., Malecha, A., Hersch, G., Symes, L., & McFarlane, J. (2006). Testing theraputic life review offered by homecare workers to decrease depression among home-dwelling older woman. Issues in Mental Health Nursing, 20, 1037-1049.
McDougall, G. J., Blixen, C. E., & Suen, L. J. (1997). The process and outcome of life review psychotherapy with depressed homebound older adults. Nursing Resarch, 46(5), 277-283.
Meier, A., & Edwards, H. (1974). Purpose in life test: Age and sex differences. Journal of Clinical Psychology, 30, 384-386.
Mystakidou, K., Parpa, E., Tsilika, E., Pathiaki, M., Patiraki, E., Galanos, A. (2007). Sleep quality in advanced cancer patients. Journal of Psychosomatic Research, 62, 527-533.
Mystakidou, K., Tsilika, E., Parpa, E., Pathiaki, M., Patriaki, E., & Galanos, A. (2007). Exploring the relationship between depression, hopelessness, cognitive satuts, pain, and spirituality in patients with advanced cancer Archives of Psychiatry Nursing, 21(3), 150-161.
Mystakidou, K., Tsilika, E., Parpa, E., Smyrniotis, V., Galanos, A., & Vlahos, L. (2006). Beck Depression Inventory: Exploring its psychometric properties in apalliative care population of advanced cancer patients. European Journal of Cancer, 16, 244-250.
Ng, K., & von Gunten, C. (1998). Symptom and attitudes of 100 consecutive patients admitted to an acute hospice/ palliative care unit. Journal of Pain and Symptom Management, 16(5), 307-315.
O’Mahony, S., Goulet, J., Kornblith, A., Abbatiello, G., Clarke, B., & Kless-Siegel, S. (2005). Desire for hastened death, cancer pain and depression: report of a longitudinal observational study. Journal of Pain and Symptom Management, 29(5), 446-467.
Palmer, J. L., & Fisch, M. J. (2005). Association between symptom and survival in outpatients seen in a palliative care cancer center. Journal of Pain and Symptom Management, 29(6), 565-571.
Parker, R. G. (1995). Reminiscence: A continuity theory framwork. The Gerontologist, 35(4), 515-525.
Pickerel, J. (1989). “Tell me your story”: Using life review in counseling the terminally ill. Death Studies, 13, 127-135.
Price, J. L., Stevens, H. O., & LaBarre, M. C. (1995). Spiritual aspects of nursing. Journal of Psychosocial Nursing, 3(12), 5-9.
Puentes, W. J. (2004). Cognitive therapy integrated with life review techniques: Eclectic treatment approach for affective symptoms in older adults. Journal of Clinical Nursing, 13, 84-89.
Reeve, J., Lloyd-Williams, M., & Dowrik, C. (2007). Depression in terminal illness: The need for primary care-specific research. Family Pracitce, 24, 263-268.
Reker, G. T. (1994). Logotheory and logotherapy: Challenges, opportunities, and some empirical findings. International Forum for Logotherapy, 17, 47-55.
Reker, G. T., Peacock, E. j., & Wong, P. T. P. (1987). Meaning and purpose in life and well-being: A life-span perspective. Journal of Gerontology, 42(1), 44-49.
Sellick, S. M., & Cookers, D. L. (1999). Depression and cancer: An appraisal of literature for prevalence, detection, and practice guideline development for psychological intervention. Psych-Oncology, 8(4), 315-333.
Sherwood, P., Given, B. A., Given, C. W., Champion, V. L., Doorenbos, A. Z., & Azzouz, F. (2007). A cognitive behavioral intervention for symptom management in patients with advanced cancer. Oncology Nursing Forum, 32(6), 1190-1198.
Soderstorm, D., & Wright, E. W. (1977). Religious orientation and meaning in life. Journal of Clinical Psychology, 33(1), 65-68.
Stevens-Ratchford, R. G. (1993). The effect of life review reminiscence on depress and self-esteem in older adults. American Journal of Occupation Therapy, 47(5), 413-420.
Tabourne, C. E. (1995). The effects of a life review program on disorientation, social interaction and self esteem of nursing home residents. International Journal of Aging and Human Development, 41(3), 251-266.
Tchekmedyiann, N. S., Kallich, J., McDermott, A., Fayers, P., & Erder, M. H. (2003). The relationship between psychological distress and cancer –related fatigue. Cancer, 11(6), 198-203.
Teunissen, S., Wesker, W., Kruitwagen, C., Haes, H., Voest, E., & Graeff, A. (2007). Symtom prevalence in patients with incurable cancer: A systematic review Journal of Pain and Symptom Management, 34(1), 94-104.
Tjemsland, L., S�攲eide, J. A., Matre, R., & Malt, U. F. (1997). Properative psychological variables predict immunological status in patients with operable breast cancer. Psycho-Oncology, 6(4), 311-320.
Trueman, I., & Parker, J. (2004). Life review in palliative care. European Journal of Palliative Care, 98(1), 249-253.
Trueman, I., & Parker, J. (2006). Exploring community nurses’ perception of life review in palliative care. Journal of Clinical Nursing, 15, 197-207.
Vaughan, S. M., & Kinnier, R. T. (1996). Psychological effects of a life review intervention for persons with HIV disease. Journal of Conseling and Development, 75, 115-123.
Wedding, U., Koch, A., R�仡rig, B., Pientka, L., Sauer, H., & H�仜fken, K. (2007). Requestioning depression in patients with cancer: Contribution of somatic and affective symptoms to Beck''s Depression Inventory. Annal of Oncology, 18, 1875-1881.
Wilson, K. G., Chochinov, H. M., Skirko, M. G., Allard, P., Chary, S., Gagnon, P. R. (2007). Depression and anxiety disorder in palliative cancer care. Journal of Pain and Symptom Management, 33(2), 118-129.
Yalom, I. D. (1980). Existential psychotherapy . New York: Badic Books.
Zika, S., & Chamberlain, K. (1987). Relation of hassles and personality to subjective well-being. Journal of Personality and Social Psychology, 53(1), 155-162.
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1. 王翠蘭(2008).一位舌癌併發直腸癌末期病人之護理經驗.志為護理,7(1),126-135。
2. 李昭輝(1997).安寧療護意義治療.安寧療護,41(3),19-24。
3. 李佳純、于博芮、黃秀梨(2006).靈性安適照護.安寧療護雜誌,11(1),59-73。
4. 李歡芳(2003).老人自尊與懷舊療法.護理雜誌,50(4),98-102。
5. 何英奇(1987)).大專學生之生命意義感及其相關:意義治療法基本概念之實證性研究.教育心理學報,20,87-106。
6. 吳麗芬(2001).懷舊治療與人生回顧.護理雜誌,48(1),83-88。
7. 邱麗蓮(1999).與乳癌共生婦女在生命意義探索上之現象學研究.護理研究,7(2),119-128。
8. 洪福建、鄭逸如、邱泰源、胡文郁、陳慶餘、吳英璋(1999).癌末患者的社會問題、因應策略與負向情緒.應用心理研究,3,79-104。
9. 徐如維、李鶯喬(1996).照會精神醫學常見的問題與處理.臨床醫學,38(4),249-253。
10. 姚建安(1998).癌末病患的睡眠障礙.安寧療護,9,30-33。
11. 孫效智(2000).生命智慧與道德責任.教育資料集刊,26,65-78。
12. 孫嘉玲、張元貞、宋梅生、黃美瑜、王秀香、郭素青(2004).芳香療法於癌症病患之應用.安寧療護雜誌,9(3),253-263。
13. 黃建勳、鄭逸如、邱泰源、呂碧鴻、陳慶餘(2003).癌末病人的憂鬱問題.安寧療護,8(2),185-198。
14. 陳珍德、程小蘋(2002).癌末病人生命意義之研究.彰化師大輔導學報,23,1-49。
15. 陳怡靜、陳彰惠(2006).婦癌患者身體心像、社會支持和憂鬱的相關性研究.實證護理,2(4),293-299。