跳到主要內容

臺灣博碩士論文加值系統

(3.236.124.56) 您好!臺灣時間:2021/08/02 06:42
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

我願授權國圖
: 
twitterline
研究生:簡秀芳
研究生(外文):Hsiu-Fang Chien
論文名稱:已婚、育有年幼子女的乳癌婦女之心理社會調適經驗
論文名稱(外文):The Psychosocial Adjustment Experiences of the Married Women with Breast Cancer When Their Children Were Young
指導教授:王文秀王文秀引用關係
學位類別:碩士
校院名稱:國立新竹教育大學
系所名稱:教育心理與諮商學系碩士班
學門:教育學門
學類:綜合教育學類
論文種類:學術論文
畢業學年度:97
語文別:中文
論文頁數:221
中文關鍵詞:乳癌調適經驗
外文關鍵詞:Breast cancerAdjustment experiences
相關次數:
  • 被引用被引用:0
  • 點閱點閱:565
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:4
中文摘要
本研究旨在探討4位已婚且育有年幼子女的乳癌婦女之心理社會調適經驗。欲藉由具有正向調適經驗的乳癌婦女,探討其面臨此重大疾病的威脅時,是如何克服疾病的恐懼和困境,而能達到正向適應。本研究使用現象學取向,並採用深度訪談法為資料蒐集的方法。
研究結果如下:
一、未遭遇復發經驗的乳癌婦女,會經歷「發現腫瘤階段」、「治療階段」與「疾病緩解穩定階段」,雖疾病進入緩解穩定狀態,但仍常處於死亡與復發的陰影下,乳癌婦女須終生與癌症疾病共存。
二、乳癌婦女的心理社會困擾,主要來自罹癌的衝擊以及治療的衝擊,分別是獲知診斷的衝擊、症狀困擾、身體功能的損傷、母職家庭角色的執行困難、身體意象的改變、夫妻關係的改變、復發死亡的恐懼擔憂、與家人分離的情感牽掛、工作生涯的變動,以及家庭經濟的壓力;乳癌婦女因此須承受一連串的壓力和失落,必須運用個人內、外在的資源,不斷的自我調適。
三、癌症疾病帶來的死亡衝擊,促使乳癌婦女尋思疾病的原因和意義,並尋求信仰、生命意義,因而有機會促發個人各層面的成長,罹癌反而成為其人生轉變之契機;若乳癌婦女能以正向角度詮釋疾病的意義,將得以承受疾病所帶來的痛苦。
四、乳癌婦女能否正向調適,受個人內在因應資源所影響,而外在社會支持和資源、信仰靈性資源亦具重要影響力;個人內在因應資源包含正向信念與認知的調整改變,採取問題解決行動和情緒取向的因應方式,能以有意義的目標生活,並能發現獲益或尋獲疾病意義;而外在支持和資源包含先生的接納和支持、病友團體的支持、其他社會網絡的支持和資源,以及正確的醫療資訊;而每個人有其不同因應模式和支持資源。
最後,研究者依據研究結果,分別對助人工作者,以及未來相關研究之進行提出具體建議。
Abstract
The purpose of this study was to explore the psychosocial adjustment experiences of 4 married women who have young children when they were also suffered from breast cancer. The researcher adopted Phenomenology as the research methodology and in-depth interview to collect data.
The major findings are summarized as follows: First, the women who have never confronted a relapse of breast cancer go through a process of diagnosis stage, treatment stage, and remission stage. In spite of their later stable condition, these women still have to live with breast cancer throughout their lives under the anxiety of death and cancer recurrence. Second, the psychosocial distress of the women with breast cancer comes from the impact of disease and treatment, including the impact of the time when cancer was just diagnosed, the distress during the period of treatment, the decline of physical function, the difficulty of motherhood, the change of body image, the sexual relation with the spouse, the worry of cancer recurrence, the emotional bond with the family members, the change of the future career, and the pressure of family finance. The women with breast cancer have to confront with a series of stress and loss, making use of internal and external resources to resist harm from the stressful situations, and continuously making self-adjustment during the process of disease. Third, the cancer brings the shock of death, which leads these women with breast cancer looking for the cause and meaning of disease, pursuing religious belief and the meaning of life, therefore upgrading their personal growth in every aspect, and changing the cancer as a turning point for their lives. By the positive reinterpretation of cancer, these women with breast cancer became able to endure the suffering caused by the disease. Fourth, the factors affecting the positive adjustment of the women with breast cancer lie in the influence of personal inner coping resources, external social network resources, and spiritual religion resources. The personal inner coping resources include the positive belief, cognition changes, problem-solving strategies, emotion-focused coping strategies, directing the women with breast cancer to set up meaningful life goal, to perceive benefits and obtain the meaningfulness from the disease. The external social network resources include the support from husbands, self-help groups, other social network, and the accurate medical information. However, everyone has her own distinct coping strategies, social support and resources.
Finally, according to the results of the present study, some suggestions for counseling practice and future research were addressed.
目 錄
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的與研究問題 4
第三節 名詞定義 5
第二章 文獻探討 6
第一節 乳癌疾病的特性 6
第二節 乳癌婦女的困擾問題 13
第三節 乳癌婦女的心理社會調適 22
第三章 研究方法 34
第一節 研究取向 34
第二節 研究參與者 35
第三節 研究工具 37
第四節 研究程序 42
第五節 資料整理與分析 43
第六節 研究倫理 46
第四章 研究結果 48
第一節 乳癌婦女心理社會調適經驗描述文 48
第二節 綜合分析 103
第三節 綜合討論 158
第五章 研究結論與建議 185
第一節 研究結論 185
第二節 研究限制與建議 188
第三節 研究者反思 192
參考文獻 196
中文文獻 196
英文文獻 200
附錄 209
附錄一 前導性研究訪談大綱 209
附錄二 正式研究訪談大綱 210
附錄三 研究參與者基本資料問卷 211
附錄四 實地札記 212
附錄五 研究邀請函 214
附錄六 研究參與同意書 215
附錄七 資料分析步驟 216
附錄八 效度檢核表 221

表目錄
表3-1 研究參與者基本資料表 37
表3-2 效度檢核結果 45
表4-1 獲知診斷的衝擊與調適 111
表4-2 治療產生的症狀困擾、身體損傷與調適 116
表4-3 治療對身體意象的影響與調適 125
表4-4 疾病對夫妻關係的影響與調適 131
表4-5 疾病引發的死亡復發擔憂與調適 140
表4-6 疾病對親子關係的影響與調適 146
表4-7 疾病對工作生涯的影響與調適 148
表4-8 疾病對生命的影響 157

圖目錄
圖4-1 A受訪者家庭圖 48
圖4-2 B受訪者家庭圖 63
圖4-3 C受訪者家庭圖 76
圖4-4 D受訪者家庭圖 89
圖5-1 乳癌婦女所面臨的心理社會困擾 160
圖5-2 乳癌婦女發現獲益與尋獲疾病意義的歷程 177
圖5-3 有助於乳癌婦女正向調適的個人內外在資源 184
中文文獻
王秀雯(2003)乳癌病友的自覺獲益----以罹患乳癌兩年內的病友為例。社會工作學刊,9,21-57。
王貴霞、劉哲銘、呂志得(2005)乳癌病患的困擾及擔憂問題。北市醫學雜誌,2(9),844-850。
王楚君(2003)乳房手術病患術後二週內之症狀困擾、身體心像、生活品質之探討。台北醫學大學護理學研究所碩士論文,未出版,台北市。
行政院衛生署(2006a)主要癌症死亡原因—按性別分。2007年10月9日取自http://www.doh.gov.tw/statistic/data/衛生統計叢書2/95/上冊/index.htm
行政院衛生署(2006b)主要癌症申報發生統計--女性。2008年01月11日取自http://www.doh.gov.tw/statistic/統計年報/95.htm
行政院衛生署(2006c)癌症申報發生人數按部位、性別、及年齡別分。2008年01月11日取自http://www.doh.gov.tw/statistic/統計年報/95.htm
余漢儀(1998)社會研究的研究者與倫理。載於嚴祥鸞(主編),危險與秘密~研究倫理(1-30頁)。台北:三民。
利翠珊(1997)婚姻中親密關係的形成與發展。中華心理衛生學刊,10(4),101-128。
呂桂雲、金繼春、黃惠萍(1993)乳癌婦女的因應行為。護理研究,1(3),247-256。
李玉玲(2002)癌症病患復原力之研究。暨南國際大學輔導與諮商研究所碩士論文。未出版,南投縣。
李佩怡(2000)失落與悲傷。載於林綺雲(主編),生死學(311-348頁)。台北:洪葉。
李靜芳、郭素娥(2000)住院乳癌病人行乳癌切除手術後的關注點與需求。新臺北護理期刊,2(2),31-38。
李靜雯(2001)乳癌病患手術後一個月之症狀困擾和情緒狀態之改變及其相關性。台北醫學院護理學研究所碩士論文,未出版,台北市。
李麗燕(2002)化學治療後乳癌婦女的性功能影響因素探討。台北醫學大學護理學研究所碩士論文,未出版,台北市。
沈國樑(2000)乳癌防治與乳房自檢。聲洋防癌之聲,90,2-5。
乳癌研究委員會(2004)乳癌診斷與治療共識。台北:國家衛生研究院癌症研究組台灣癌症臨床研究合作組織。
季匡華、曾玉華(2000)乳癌的放射治療。載於王惠暢等(主編),乳房疾病新論(187-196頁)。台北:九州。
季瑋珠、黃俊升、張金堅(1997)臺灣的乳癌。中華民國公共衛生雜誌,16(1),62-75。
林宜靜(2002)臨終病人面對死亡之心理調適歷程。彰化師範大學輔導與諮商學系碩士論文,未出版,彰化市。
林俐君(2005)未婚女性乳癌病患復原歷程之探討。東海大學社會工作學系碩士論文,未出版,台中市。
林惠文、顏啟華、應宗和(2006)乳癌的篩檢與診斷。基層醫學,21(12),352-358。
邱淑卿(2002)探討壓力、社會支持、因應對乳癌返家婦女之健康狀態影響。長庚大學護理學研究所碩士論文,未出版,桃園縣。
洪久茹(2007)乳癌婦女的心理社會適應狀態探討:以中年(35至64歲)女性為例。臺灣大學社會工作學研究所碩士論文,未出版,台北市。
洪彩慈、駱麗華(2000)三位乳癌婦女的受苦歷程及社會支持。榮總護理,17(1),72-82。
秦燕(2000)乳癌病患參與自助團體的意願及滿意度之研究。中華醫務社會工作期刊,8,75-95。
高淑清(2000)現象學方法及其在教育研究上的應用。載於中正大學教育研究所(主編),質的研究方法(93-133頁)。高雄:麗文。
國民健康局(2004)93年乳癌期別報告新聞稿附表。2007年10月30日取自http://www.bhp.doh.gov.tw/BHP/index.jsp
張利中(2001)尋獲生命意義的時態與心理歷程。生死學通訊,5,31-33。
張春興(1989)張氏心理學辭典。台北:東華。
張春興(1995)現代心理學。台北:東華。
陳右昇、湯月碧(2001)乳房切除後乳房重建。臺北市醫師公會會刊,45(5),59-64。
陳佳琪(2005)成年女性癌症病人創傷後成長之敘說研究。台灣師範大學教育心理與輔導學系碩士論文,未出版,台北市。
陳美芳、馬鳳歧(2004)乳癌手術後婦女症狀困擾與因應策略之相關性探討。護理雜誌,51(4),37-43。
陳美端(2008)女性乳癌患者婚姻中親密關係轉變之研究-以曾接受乳房切除手術者為例。暨南國際大學輔導與諮商研究所碩士論文,未出版,南投縣。
陳海焦(1995)乳癌婦女接受乳房切除手術後身體改變的經驗。國防醫學院護理學研究所碩士論文,未出版,台北市。
陳訓徹(2000)乳癌治療方向。臺北市醫師工會會刊,44(9),46-51。
陳訓徹(2003)乳房保留手術。載於鄭明輝(主編),珍愛生命的果實--談乳房大小事(158-160頁)。台北:東佑。
陳惠美(1997)乳癌術後婦女身心社會調適之探討:以羅氏適應模式為基礎。陽明大學臨床護理研究所碩士論文,未出版,台北市。
陳瓊瑤(2000)乳癌生存者生活品質及其相關因素的探討。長庚大學護理研究所碩士論文,未出版,桃園縣。
曾令民(2000)乳癌的臨床分期、預後因子與輔助治療通則。載於王惠暢等(主編),乳房疾病新論(81-109頁)。台北:九州。
曾令民、雷永耀(2000)乳癌的手術治療。載於王惠暢等(主編),乳房疾病新論(111-139頁)。台北:九州。
曾玉華、王令瑋(1998)乳癌之放射線治療。臨床醫學,41(4),274-281。
曾光毅、李福春(2000)現階段的乳癌預防與治療。基層醫學,15(6),115-119。
游雅清(2004)已婚乳癌婦女的角色衝突與因應方式。輔仁大學護理學系碩士論文,未出版,台北縣。
舒曼姝、蔡昌雄(2004)與癌症共存-癌症病人對疾病的因應。腫瘤護理雜誌,3(2),19-28。
黃和美(1985)癌症末期病人對死亡心理反應之探討。護理雜誌,32(4),57-59。
黃采薇、謝孟蓁、賴俊宏、賴秋絨(2006)乳癌病患化學治療期間疲憊及睡眠品質之研究。弘光學報,49,111-116。
葉秀宇(2006)乳癌存活者的壓力因應歷程之探索性研究。台灣大學心理研究所碩士論文,未出版,台北市。
劉慧芬(2002)乳癌婦女接受乳房全切除手術前後身體心像的變化及因應行為。陽明大學臨床護理研究所碩士論文,未出版,台北市。
蔡介生(2003)乳癌的放射線治療。載於鄭明輝(主編),珍愛生命的果實--談乳房大小事(166-178頁)。台北:東佑。
蔡佩珊(2003)影響乳癌婦女術後心理適應相關因素之探討。輔仁大學社會工作學系碩士論文,未出版,台北縣。
鄭明輝(2003)什麼是乳房重建。載於鄭明輝(主編),珍愛生命的果實--談乳房大小事(196-202頁)。台北:東佑。
鄧旗明(2002)雙峰病患生命意義之探討~以乳癌個案為例。南華大學生死學研究所碩士論文,未出版,嘉義縣。
穆佩芬(1996)現象學研究法。護理研究,4(2),195-201。
癌症登記年報(2003a)年齡標準化長期趨勢。2007年10月9日取自http://crs.cph.ntu.edu.tw/crs_c/list.cgi-year=monograph.htm
癌症登記年報(2003b)癌症發生率與死亡率(乳房)。2007年10月9日取自http://crs.cph.ntu.edu.tw/crs_c/Y92-C174_5.pdf
謝渙發(2001)淺談乳癌。聲洋防癌之聲,95,2-5。
謝瑞坤(2000)乳癌的化學治療。馬偕院訊,20(5),152-153。
鍾美玲(1999)乳癌婦女病後婚姻調適及其相關因素探討。國防醫學院護理研究所碩士論文,未出版,台北市。
羅志剛(1999)使用Tamoxifen治療乳癌。臺北市醫師公會會刊,43(6),46-52。

英文文獻
Al-Ghazal, S. K., Fallowfeld, L., & Blamey, R. W. (2000). Comparison of psychological aspects and patient satisfaction following breast conserving surgery, simple mastectomy and breast reconstruction. European Journal of Cancer, 36, 1938-1943.
American Cancer Society. (2006). Breast Cancer Facts & Figures 2005-2006. Retrieved January 11, 2008, from http://www.cancer.org/docroot/STT/stt_0_2006.asp?sitearea=STT&level=1
American Cancer Society. (2007). Breast Cancer Facts & Figures 2007-2008. Retrieved January 11, 2008, from http://www.cancer.org/docroot/STT/STT_0.asp
Anllo, L. M. (2000). Sexual life after breast cancer. Journal of Sex and Marital Therapy, 26, 241–248.
Astin, J. A., Anton-Culver, H., Schwartz, C. E., Shapiro Jr, D. H.,McQuade, J., Breuer, A. M., Taylor, T. H., Lee, H., & Kurosaki, T. (1999). Sense of control and adjustment to breast cancer. Behavioral Medicine, 25(3), 101-109.
Avis, N. E., Crawford, S., & Manuel, J. (2004). Psychosocial problems among younger women with breast cancer. Psycho-Oncology, 13, 295–308.
Bakewell, R. T., & Volker, D. L. (2005). Sexual dysfunction related to the treatment of young women with breast cancer. Clinical Journal of Oncology Nursing, 9(6), 697-702.
Baucoma, D. H., Porterb, L. S., Kirbya, J. S., Gremorea, T. M., & Keefeb, F. J. (2005, 2006). Psychosocial issues confronting young women with breast cancer. Breast Disease, 23, 103-113.
Bloom, J. R., Stewart, S. L., Chang, S., & Banks, P. (2004). Then and now: Quality of life of young breast cancer survivors. Psycho-Oncology, 13, 147-160.
Bogdan, R. C., & Biklen, S. K. (2001). 質性教育研究:理論與方法(黃光雄主譯)。嘉義:濤石。(原著出版於1998年)
Bouknight, R. R., Bradley, C. J., & Luo, Z. (2006). Correlates of return to work for breast cancer survivors. Journal of Clinical Oncology, 24(3), 345-353.
Bradley, C. J., Neumark, D., Bednarek, H. L., & Schenk, M. (2004). Short-term effects of breast cancer on labor market attachment: Results from a longitudinal study. Journal of Health Economics, 24, 137-160.
Chiara, N., Jonathan, R., Timothy, C., Kwame, M., & Anthony, D. (2002). Early psychological adjustment in breast cancer patients: A prospective study. Journal of Psychosomatic Research, 53(6), 1123-1130.
Choumanova, I., Wanat, S., Barrett, R., & Koopman, C. (2006). Religion and spirituality in coping with breast cancer: Perspectives of Chilean women. Breast Journal, 12(4), 349-352.
Compas, B. E., & Luecken, L. (2002). Psychological adjustment to breast cancer. American Psychological Society, 11(3), 111-114.
Corr, C. A., Nabe, C. M., & Corr, D. M. (2004). 死亡教育與輔導(張靜玉譯)。台北,湯姆生。(原著出版於2003年)
Deaux, K., Dane, F. C., & Wrightsman, L. S. (2001). 社會心理學(楊語芸譯)。台北,五南。(原著出版於1997年)
Despelder, L. A., & Strickland, A. L. (2006). 死亡教育—生死學取向(黃雅文等譯)。台北,五南。(原著出版於2005年)
Donley, J. L. (2000). "When she speaks...": A heuristic study of women facing breast cancer. Unpublished doctoral dissertation, The Union Institute, Ohio.
Dukes, H. K., & Holahan, C. K. (2003). The relation of social support and coping to positive adaptation to breast cancer. Psychology & Health, 18(1), 15-29.
Dunn, J., & Steging, S. (2000). Young women’s experience of breast cancer: Defining young and identifying concerns. Psycho-Oncology, 9, 137-146.
Figueiredo, M. I., Fries, E., & Ingram, K. M. (2004). The role of disclosure patterns and unsupportive social interactions in the well-being of breast cancer patients. Psycho-Oncology, 13, 96-105.
Fobair, P., Stewart, S., Chang, S., D'Onofrio, C., Banks, P., & Bloom, J. (2006). Body image and sexual problems in young women with breast cancer. Psycho-Oncology. 15(7), 579-594.
Foo, C. S., Su, D., Chong, C. K., Chng, H. C., Tay, K. H., Low, S. C., & Tan, S. M. (2005). Breast cancer in young Asian women: Study on survival. ANZ Journal of Surgery, 75, 566–572.
Frankl, V. E. (1983). 活出意義來-從集中營說到存在主義(趙可式等譯)。台北,光啟。(原著出版於1959年)
Fridfinnsdottir, E. (1997). Icelandic women’s identifications of stressors and social support during the diagnostic phase of breast cancer. Journal of Advanced Nursing, 25(3), 526-531.
Gall, T. L., & Cornblat, M. W. (2002). Breast cancer survivors give voice: A qualitative analysis of spiritual factors in long-term adjustment. Psycho-Oncology, 11(6), 524-535.
Ganz, P. A., Greendale, G. A., Petersen, L., Kahn, B., & Bower, J. E. (2003). Breast cancer in younger women: Reproductive and late health effects of treatment. Journal of Clinical Oncology, 21, 4184–4193.
Ganz, P., Desmond, K., Leedham, B., Rowland, J., Meyerowitz B., & Belin, T. (2002). Quality of life in long-term, disease-free survivors of breast cancer: A follow-up study. Journal of National Cancer Institute, 94, 39–49.
Gates, M. F., Lackey, N. R., & Brown, G. (2001). Caring demands and delay in seeking care in African American women newly diagnosed with breast cancer: An ethnographic, photographic study. Oncology Nursing Forum, 28, 529–537.
Golden-Kreutz, D., & Anderson, B. (2004). Finacial problems linked to depression in women with breast cancer. Journal of Psychosocial Nursing and Mental Health Services, 42(1), 10.
Groenewald, T. (2004). A phenomenological research design illustrated. International Journal of Qualitative Methods, 3(1), 1-26.
Hack, T.F., & Degner. L.F. (2003). Coping responses following breast cancer diagnosis predict psychological adjustment three years later. Psycho-Oncology, 13, 235–247.
Hall, A., A’Hern, R., & Fallowfield, L. (1999). Are we using appropriate self-report questionnaires for detecting anxiety and depression in women with early breast cancer? European Journal of Cancer, 35, 79-85.
Henderson, P. D., Gore, S. V., Davis, B. L., & Condon, E. H. (2003). African American women coping with breast cancer: A qualitative analysis. Oncology Nursing Forum, 30(4), 641-647.
Hoeller, U., Kuhlmey, A., Bajrovic, A., Grader, K., Berger, J., Tribius, S., Fehlauer, F., & Alberti, W. (2003). Cosmesis from the patient’s and the doctor’s view. International Journal of Radiation Oncology, Biology, Physics, 57, 345–354.
Holmberg, S. K., Scott, L. L., Alexy, W., & Fife, B. L. (2001). Relationship issues of women with breast cancer. Cancer Nursing, 24(1), 53-60.
Hopwood, P., Flectcher, I., Lee, A., & Ghazal, S. A. (2001). A body image scale for use with cancer patients. European Journal of Cancer, 37, 189-197.
Ihde, D. (1986). Experimental phenomenology. New York: State University of New York Press.
Janni, W., Rjosk, D., Dimpfl, T. H., Haertl, K., Strobl, B., Hepp, F., Hanke, A., Bergauer, F., & Sommer, H. (2001). Quality of life influenced by primary surgical treatment for stage I-Ⅲ breast cancer-long-term follow-up of a matched-pair analysis. Annals of Surgery Oncology, 8, 542-548.
Johnson, P. (2002). The use of humor and its influences on spirituality and coping in breast cancer survivors. Oncology Nursing Forum, 29(4), 691-695.
King, M. T., Kenny, P., Shiell, A., Hall, J., & Boyages, J. (2000). Quality of life three months and one year after first treatment for early stage breast cancer: Influence of treatment and patient characteristics. Quality of Life Research, 9, 789-800.
Kleinke, C. L. (1998). 健康心理管理: 跨越生活危機(曾華源等譯)。台北,揚智。(原著出版於1991年)
Koopman, C., Angell, K., Turner-Cobb, J. M., Kreshka, M. A., Donnelly, P., McCoy, R., Turkseven, A., Graddy, K., & Giese-Davis, J. (2001). Distress, coping, and social support among rural women recently diagnosed with primary breast cancer. The Breast Journal, 7, 25-33.
Landmark, B. T., & Wahl, A. (2002). Living with newly diagnosed breast cancer: A qualitative study of 10 women with newly diagnosed breast cancer. Journal of Advanced Nursing, 40(1), 112–121.
Landmark, B. T., Strandmark, M., & Wahl, A. (2002). Breast cancer and experiences of social support. Scandinavian Journal of Caring Sciences, 3(16), 216-223.
Leake, C. A., & Dresner, N. (2001). Psychological adjustment to breast cancer: A guide for physicans in primary care. Elsevier Science Inc., 8(5), 199-206.
Lima, E. D. (2005). Psychosocial adjustment of Brazilian women with breast cancer. Unpublished doctoral dissertation, New York University, New York.
Lincoln, Y., & Guba, E. (1985). Naturalistic inquiry. Newbury Park, CA: Sage.
Lindsay, K., & Love, S. (2002). 乳房聖經(郭雅君等譯)。台北:天下。(原著出版於2000年)
Luoma, M., & Flakamies-Blomqvist, L. (2004). The meaning of quality of life in patients being treated for advanced breast cancer: A qualitative study. Psycho-Oncology. 13(10), 729-739.
Maggard, M. A., O’Connell, J. B., Lane, K. E., Liu, J. H., Etzioni, D. A., & Ko, C. Y. (2003). Do young breast cancer patients have worse outcomes? Journal of Surgical Research, 113, 109–113.
Mak, W. M. (2002). Psycholoigcal predictors of marital adjustment in breast cancer patients. Psychology, Health and Medicine, 7, 37–51.
Manna, G., Foddai, E., Di Maggio, M. G., Pace, F., Colucci, Gebbia, N., & Russo, A. (2007). Emotional expression and coping style in female breast cancer. Annals of Oncology, 6(18), 77-80.
Manne, S., Sherman, M., Ross, S., Ostroff, J., Heyman, R. E., & Fox, K. (2004). Couples' support-related communication, psychological distress, and relationship satisfaction among women with early stage breast cancer. Journal of Consulting and Clinical Psychology, 72(4), 660-670.
Meyerowitz, B. E., Desmond, K. A., Rowlad, J. H., Wyatt, G. E., & Ganz, P. A. (1999). Sexuality following breast cancer. Journal of Sex & Marital Therapy, 25, 237-250.
Morgan, P. D., Fogel, J., Rose, L., Barnett, K., Mock, V., Davis, B. L., Gaskins, M., & Brown-Davis, C. (2005). African American couples merging strengths to successfully cope with breast cancer. Oncology Nursing Forum, 32(5), 979-987.
Morse, J. D. (1997). Responding to threats to integrity of self. Advances in Nursing Science, 19(4), 21-36.
Neimeyer, R. A. (2007). 走在失落的幽谷-悲傷因應指引手冊(章薇卿譯)。臺北:心理。(原著出版於2004年)
Northouse, L. L., Templin, T., & Mood, D. (2001). Couples’ adjustment to breast disease during the first year following diagnosis. Journal of Behavioral Medicine, 24(2), 115-136.
O’Connor, A. P., Wicker, C. A., & Germino, B. B. (1990). Understanding the cancer patient’s search meaning. Cancer Nursing, 13, 167-175.
Padgett, D. K. (2000). 質化研究與社會工作(王金永等譯)。台北:洪葉。(原著出版於1998年)
Park, C. L., & Folkman, S. (1997). Meaning in the context of stress and coping. Review of General Psychology, 1, 115-144.
Patton, M. Q. (1995). 質的評鑑與研究(吳芝儀等譯)。台北:桂冠。(原著出版於1990年)
Ransom, S., Jacobsen, P. B., Schmidt, J. E., & Andrykowski, M. A. (2005). Relationship of problem-focused coping strategies to changes in quality of life following treatment for early stage breast cancer. Journal of Pain & Symptom Management, 30(3), 243-253.
Sammarco, A. (2001). Psychosocial stages and quality of life of women with breast cancer. Cancer Nursing, 24(4), 272-277.
Schnoll, R. A., Harlow, L. L., Stolbach, L. L., & Brandt, U. (1998). A structural model of the relationships among stage of disease, age, coping, and psychological adjustment in women with breast cancer. Psycho-Oncology; 7(2), 69-77.
Shapiro, D. E., Boggs, S. R., Rodrigue, J. R., Urry, H. L., Algina, J. J., Hellman, R., & Ewen, F. (1997). Stage II breast cancer: Differences between four coping patterns in side effects during adjuvant chemotherapy. Journal of Psychosomatic Research, 43(2), 143-157.
Shelby, R. A., Lamdan, R. M., Siegel, J. E., Hrywna, M., & Taylor, K. L. (2006). Standardized versus open-ended assessment of psychosocial and medical concerns among African American breast cancer patients. Psycho-Oncology, 15, 382-397.
Smith, D. C. (1993). Exploring the religious-spiritual needs of the dying. Counseling & Values, 37(2), 71-77.
Spencer, S. M., Lehman, J. M., Wynings, C., Arena, P., Carver, C. S., Antoni, M. H., Derhagopian, R. P., Ironson, G., & Love, N. (1999). Concerns about breast cancer and relations to psychosocial well-being in a multiethnic sample of early-stage patients. Health Psychology, 18(2), 159–168.
Stanton, A. L., Danoff-Burg, S., Cameron, C. L., Bishop, M., Collins, C. A., Kirk, S. B., Sworowski, L. A., & Twillman, R. (2000). Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 68, 875–882.
Stanton, A. L., Danoff-burg, S., Huggins, M. E. (2002). The first year after breast cancer diagnosis: Hope and coping strategies as predictors of adjustment. Psycho-Oncology, 11(2), 93-102.
Stewart, D. E., Cheung, A. M., Duff, S., Wong, F., McQuestion, M., Cheng, T., Purdy, L., & Bunston, T. (2001). Long-term breast cancer survivors: Confidentiality, disclosure, effects on work and insurance. Psycho-Oncology, 10(3), 259-263.
Taleghani, F., Yekta, Z. P., & Nasrabadi, A. N. (2006). Coping with breast cancer in newly diagnosed Iranian women. Journal of Advanced Nursing, 54(3), 265-272.
Thewes, B., Butow, P., Girgis, A., & Pendlebury, S. (2004). The psychosocial needs of breast cancer survivors: A qualitative study of the shared and unique needs of younger versus older survivor. Psycho-Oncology, 13, 177–189.
Urcuyo, K. R., Boyers, A. E., Carver, C. S., & Antoni, M. H. (2005). Finding benefit in breast cancer: Relations with personality, coping, and concurrent well-being. Psychology & Health, 20(2), 175-192.
Walsh, S. R., Manuel, J. C., & Avis, N. E. (2005). The impact of breast cancer on younger women’s relationships with their partner and children. Families Systems & Health, 23(1), 80-93.
Wengstrom, Y., Haggmark, C., & Forsberg, C. (2001). Coping with radiation therapy: Strategies used by women with breast cancer. Cancer Nursing, 24(4), 264-271.
Wenzel, L. B., Fairclough, D. L., Brady, M. J., Cella, D., Garrett, K. M., Kluhsman, B. C., Crane, L. A., & Marcus, A. C. (1999). Age related differences in the quality of life of breast. Cancer, 86(9), 1768–1774.
Wilmoth, M. C. (2001). The aftermath of breast cancer: An altered sexual self. Cancer Nursing, 24(4), 278-286.
Wonghongkul, T., Moore, S. M., Musil, C., Schneider, S., & Deimling, G. (2000). The influence of uncertainty in illness, stress appraisal, and hope on coping in survivors of breast cancer. Cancer Nursing, 23(6), 422-429.
Wong-Kim, E. C., & Bloom, J. R. (2005). Depression experienced by young women newly diagnosed with breast cancer. Psycho-Oncology, 14, 564–573.
Yalom, I. D. (2001). 團體心理治療的理論與實務(方紫薇等譯)。台北,桂冠。(原著出版於1995年)
Yankaskas, B. C. (2005, 2006). Epidemiology of breast cancer in young women. Breast Disease, 23, 3-8.
Yurek, D., Farrar, W., & Andersen, B. L. (2000). Breast cancer surgery: Comparing surgical groups and determining individual differences in postoperative sexuality and body change stress. Journal of Consulting and Clinical Psychology, 68(4), 697-709.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
1. 王貴霞、劉哲銘、呂志得(2005)乳癌病患的困擾及擔憂問題。北市醫學雜誌,2(9),844-850。
2. 利翠珊(1997)婚姻中親密關係的形成與發展。中華心理衛生學刊,10(4),101-128。
3. 呂桂雲、金繼春、黃惠萍(1993)乳癌婦女的因應行為。護理研究,1(3),247-256。
4. 李靜芳、郭素娥(2000)住院乳癌病人行乳癌切除手術後的關注點與需求。新臺北護理期刊,2(2),31-38。
5. 林惠文、顏啟華、應宗和(2006)乳癌的篩檢與診斷。基層醫學,21(12),352-358。
6. 洪彩慈、駱麗華(2000)三位乳癌婦女的受苦歷程及社會支持。榮總護理,17(1),72-82。
7. 張利中(2001)尋獲生命意義的時態與心理歷程。生死學通訊,5,31-33。
8. 陳右昇、湯月碧(2001)乳房切除後乳房重建。臺北市醫師公會會刊,45(5),59-64。
9. 陳美芳、馬鳳歧(2004)乳癌手術後婦女症狀困擾與因應策略之相關性探討。護理雜誌,51(4),37-43。
10. 曾玉華、王令瑋(1998)乳癌之放射線治療。臨床醫學,41(4),274-281。
11. 曾光毅、李福春(2000)現階段的乳癌預防與治療。基層醫學,15(6),115-119。
12. 舒曼姝、蔡昌雄(2004)與癌症共存-癌症病人對疾病的因應。腫瘤護理雜誌,3(2),19-28。
13. 黃和美(1985)癌症末期病人對死亡心理反應之探討。護理雜誌,32(4),57-59。
14. 黃采薇、謝孟蓁、賴俊宏、賴秋絨(2006)乳癌病患化學治療期間疲憊及睡眠品質之研究。弘光學報,49,111-116。
15. 穆佩芬(1996)現象學研究法。護理研究,4(2),195-201。