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研究生:温雅蘭
研究生(外文):Wen, Ya-Lan
論文名稱:肺癌病人術後復原力之變化趨勢及其相關因素
論文名稱(外文):The Change Trend Of Resilience And Its Related Factors In Lung Cancer Patients after Surgery
指導教授:王桂芸
指導教授(外文):Wang, Kwua-Yun
口試委員:王桂芸李世俊許文虎朱基銘
口試委員(外文):Wang, Kwua-YunLee, Shih-ChunHsu, Wen-HsuChu, Chi-Ming
口試日期:2012-05-25
學位類別:碩士
校院名稱:國防醫學院
系所名稱:護理研究所
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:2012
畢業學年度:100
語文別:中文
論文頁數:102
中文關鍵詞:肺癌病人手術復原力
外文關鍵詞:lung cancer patientssurgeryresilience
相關次數:
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背景:肺癌是臺灣地區的重要健康問題。目前,肺部切除手術對於早期的肺癌病人而言仍是治療的首選,但隨著疾病診斷的確立與治療的開始,一連串的生理、心理、社會問題及存活的壓力接踵而至,這些不斷反覆發生的慢性壓力常使癌症病人經歷許多痛苦。近年來,癌症護理的研究趨勢,逐漸從疾病導因延伸至探究正向力量對於病人的影響。然而,關於肺癌病人如何學習與疾病共處,甚至展現復原力使其適應良好,則少有研究針對病人的復原力進行分析與討論。
目的:本研究目的主要是探討肺癌病人術後復原力的變化及其相關因素。
方法:本研究為前瞻性、縱貫式追蹤研究設計。採方便取樣的方式,在臺北兩家醫學中心的胸腔外科門診和胸腔外科病房進行收案,研究共收案24位病人。符合條件的肺癌病人將於術前、術後第一週以及術後第一個月進行量表的填寫,包括基本資料、台灣版安德森症狀量表、貝克憂鬱量表第二版、社會支持量表和中文版的復原力量表。資料統計分析與處理則採取描述性統計、推論性統計以及廣義估計方程式。
結果:研究有以下三個結果: 1.病人術前的復原力平均得分為146.31分(SD=18.54)、術後一週為141.67分(SD=16.68)、術後第一個月為146.21分(SD=18.00)。雖然,復原力平均得分於術後第一個月已接近術前狀態,但隨著術後時間的增加並沒有顯著變化。2.以GEE多變項迴歸分析模式檢定復原力的人口學特性主要影響因素為年齡、血型、婚姻狀態、教育程度及職業狀況,其中年齡愈大復原力愈好(β=.780, p < .001)。3.以GEE多變項迴歸分析模式檢定,結果發現症狀嚴重強度、憂鬱為影響復原力的主要因素,其中症狀嚴重強度愈大,影響身體活動功能愈多則復原力愈差(β=-.330, p < .01)。憂鬱感受愈多則復原力愈差(β=-.979, p < .05)。然而,社會支持程度(家人、朋友及醫療人員)在本研究中與復原力均未達統計上之顯著差異。
結論:罹患癌症使個人生命陷入危境,病人需要重新修正及調整生活模式以因應生理、心理或社會等各層面的衝擊。而癌症病人的復原力卻可助其發展正向的適應能力,因此希望此研究結果能提供給其它癌症病人、健康照護者以及未來研究之參考。


Background: Lung cancer is the most health problem in Taiwan. Currently, lung resection surgery is the first choice for patients in the initial stage of lung cancer, but a range of physical, psychological, social, and existential stressors are associated with cancer diagnosis and treatment. These multiple and repeatedly chronic stressors would cause cancer patients and survivors to experience significant distress. In the last decade, the main focus on health problems in cancer patients has begun to explore the positive impact of high-risk environments on the development. However, few studies have found that how the lung cancer patients learn to get along with their disease, and foster their resilient adaptation.
Purpose: This study was aimed to describe the change of resilience in lung cancer patients after surgery, and identified its related factors.
Methods: This study was a descriptive, longitudinal research design. Twenty- four lung cancer patients after successful treatment from thoracic surgery outpatient wards and thoracic surgery departments of two Taipei Municipal Medical Centers in Taiwan were recruited using convenience sampling. The structured questionnaires including demographic, Taiwan version of the M. D. Anderson symptom inventory, BDI-II, Social Support Scale, Resilience Scale- Chinese Form were used to collect data at preoperational stage, one week after operation, and a month after operation. Data were analyzed by descriptive statistics and generalized estimating equations.
Results: This results of this study revealed the following 3 findings: 1) The mean score of resilience was 146.31 18.54 at preoperational stage, 141.67 16.68 at one week after operation, and 146.21 18.00 at one-month follow up, and showed no significant increase with time after operation; 2) According to the results of GEE multiple regression, the demographic characteristics including age, blood, marital status, education background, and occupational status were the factors related to the resilience. A significantly positive relationship found was age with resilience (β=.870, p<.001); 3) According to the results of GEE multiple regression, the major factors were degree of disease severity and depression that significantly negative correlated with the level of resilience (β=-.330, p<.01) and (β=-.979, p<.05), respectively. However, the degree of social support (family, friend, and medical staffs) showed no significant relationship with resilience.
Conclusion: Patients were put in danger by cancer, so they must revise their lifestyle for coping with the physical, mental and social effects of cancer. Because the resilience assists cancer survivors in developing positive adjustment, this finding would be helpful to other cancer patients, health care professionals, and the researchers in the future.

正文目錄
正文目錄 I-III
「表」目錄 IV
「圖」目錄 V
「附錄」目錄 VI
中文摘要 VII
英文摘要 IX
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的 4
第二章 文獻查證 5
第一節 肺癌手術治療之相關概念 5
第二節 復原力的相關概念 10
第三節 癌症與復原力的關係及其相關研究 15
第四節 癌症病人復原力的影響因素及其相關研究 17
第三章 概念架構 23
第一節 研究架構 23
第二節 名詞解釋 24
第三節 研究問題 25
第四節 研究假設 26
第四章 研究方法 27
第一節 研究設計 27
第二節 研究場所與對象 27
第三節 研究工具 29
第四節 研究收集過程 37
第五節 研究倫理考量 39
第六節 資料處理與統計分析方法 39
第五章 研究結果 40
第一節 肺癌病人基本資料之分佈 40
第二節 肺癌病人症狀困擾、憂鬱、社會支持及復原力之分佈情形 48
第三節 肺癌病人基本資料、症狀困擾、憂鬱及社會支持與復原力之關係 57
第四節 肺癌病人復原力之變化趨勢 67
第六章 討論 70
第一節 肺癌病人基本資料、症狀困擾、憂鬱及社會支持之分佈 70
第二節 肺癌病人復原力之趨勢探討 76
第三節 肺癌病人基本資料、症狀困擾、憂鬱及社會支持與復原力之關係 78
第七章 結論與建議 84
第一節 結論 84
第二節 建議 85
第三節 研究限制 88
第八章 參考資料 89
英文部份 89
中文部份 99

「表」目錄
表一 研究對象人口學特性之分佈 42
表二 研究對象疾病特性之分佈 45
表三 研究對象生理指標-肺功能之分佈 47
表四 研究對象症狀困擾之分佈 50
表五 研究對象憂鬱之分佈 52
表六 研究對象社會支持之分佈 54
表七 研究對象復原力之分佈 56
表八 人口學特性與復原力之GEE迴歸分析 59
表九 疾病特性與復原力之GEE迴歸分析 61
表十 症狀困擾與復原力之GEE迴歸分析 63
表十一 症狀困擾與復原力之相關分析 63
表十二 憂鬱與復原力之GEE迴歸分析 64
表十三 憂鬱與復原力之相關分析 64
表十四 社會支持與復原力之GEE迴歸分析 66
表十五 社會支持與復原力之相關分析 66
表十六 研究對象復原力之GEE迴歸分析 68

「圖」目錄
圖 一 研究架構 23
圖 二 研究收案流程 38
圖 三 復原力的變化趨勢圖 69
圖 四 復原力的差值分佈圖 69


附錄」目錄
附錄一 台北榮民總醫院 人體試驗同意臨床試驗證明書
附錄二 國防醫學院三軍總醫院 人體試驗計畫同意函
附錄三 社會支持量表使用同意書
附錄四 中文版復原力量表使用同意書
附錄五 英文版復原力量表使用同意書
附錄六 中文版安德森症狀量表使用同意
附錄七 英文版安德森症狀量表使用同意
附錄八 研究量表

英文部份
Antoni, M. H., & Goodkin, K. (1988). Host moderator variables in the promotion of cervical neoplasia--I. personality facets. Journal of psychosomatic research, 32(3), 327-338.
Aspinwall, L. G., & MacNamara, A. (2005). Taking positive changes seriously. Cancer, 104(11 Suppl), 2549-2556.
Baker, F., Denniston, M., Smith, T., & West, M. M. (2005). Adult cancer survivors: How are they faring? Cancer, 104(11 Suppl), 2565-2576.
Balduyck, B., Hendriks, J., Lauwers, P., & Van Schil, P. (2007). Quality of life evolution after lung cancer surgery: A prospective study in 100 patients. Lung Cancer, 56(3), 423-431.
Balduyck, B., Hendriks, J., Sardari Nia, P., Lauwers, P., & Van Schil, P. (2009). Quality of life after lung cancer surgery: A review. Minerva Chirurgica, 64(6), 655-663.
Barlesi, F., Doddoli, C., Loundou, A., Pillet, E., Thomas, P., & Auquier, P. (2006). Preoperative psychological global well being index (PGWBI) predicts postoperative quality of life for patients with non-small cell lung cancer managed with thoracic surgery. European Journal of Cardio-thoracic Surgery, 30(3), 548-553.
Berendes, D., Keefe, F. J., Somers, T. J., Kothadia, S. M., Porter, L. S., & Cheavens, J. S. (2010). Hope in the context of lung cancer: Relationships of hope to symptoms and psychological distress. Journal of Pain and Symptom Management, 40(2), 174-182.
Bowen, D. J., Morasca, A. A., & Meischke, H. (2003). Measures and correlates of resilience. Women & Health, 38(2), 65-76.
Breitbart, W., Rosenfeld, B., Gibson, C., Pessin, H., Poppito, S., Nelson, C., . . . & Olden, M. (2010). Meaning-centered group psychotherapy for patients with advanced cancer: A pilot randomized controlled trial. Psycho-Oncology, 19(1), 21-28.
Brenner, A. V., Linet, M. S., Shapiro, W. R., Selker, R. G., Fine, H. A., Black, P. M., & Inskip, P. D. (2004). Season of birth and risk of brain tumors in adults. Neurology, 63(2), 276-281.
Brix, C., Schleussner, C., Fuller, J., Roehrig, B., Wendt, T. G., & Strauss, B. (2008). The need for psychosocial support and its determinants in a sample of patients undergoing radiooncological treatment of cancer. Journal of Psychosomatic Research, 65(6), 541-548.
Brunelli, A., Socci, L., Refai, M., Salati, M., Xiume, F., & Sabbatini, A. (2007). Quality of life before and after major lung resection for lung cancer: A prospective follow-up analysis. The Annals of Thoracic Surgery, 84(2), 410-416.
Burns, D. S., Robb, S. L., & Haase, J. E. (2009). Exploring the feasibility of a therapeutic music video intervention in adolescents and young adults during stem-cell transplantation. Cancer Nursing, 32(5), E8-E16.
Burton, N. W., Pakenham, K. I., & Brown, W. J. (2010). Feasibility and effectiveness of psychosocial resilience training: A pilot study of the READY program. Psychology, Health & Medicine, 15(3), 266-277.
Butt, C. M. (2011). Hope in adults with cancer: State of the science. Oncology Nursing Forum, 38(5), E341-350.
Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor-davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20(6), 1019-1028.
Capozzo, M. A., Martinis, E., Pellis, G., & Giraldi, T. (2010). An early structured psychoeducational intervention in patients with breast cancer: results from a feasibility study. Cancer Nursing, 33(3), 228-234.
Chambers, S. K., Pinnock, C., Lepore, S. J., Hughes, S., & O'Connell, D. L. (2011). A systematic review of psychosocial interventions for men with prostate cancer and their partners. Patient Education adn Counseling, 85(2), e75-88.
Chen, C. M. (2007). The study of resiliencce and life adaptation among adolescent survivors of brain tumors in Taiwan (Unpublished doctoral dissertation). University of National Taiwan, Taipei.
Cho, E. A., & Oh, H. E. (2011). Effects of laughter therapy on depression, quality of life, resilience and immune responses in breast cancer survivors. Journal of Korean Academy of Nursing, (3), 285-293.
Chou, L. N., & Hunter, A. (2009). Factors affecting quality of life in Taiwanese survivors of childhood cancer. Journal of Advanced Nursing, 65(10), 2131-2141.
Cleeland, C. S., Mendoza, T. R., Wang, X. S., Chou, C., Harle, M. T., Morrissey, M., & Engstrom, M. C. (2000). Assessing symptom distress in cancer patients: The M.D. anderson symptom inventory. Cancer, 89(7), 1634-1646.
Collins, L. G., Haines, C., Perkel, R., & Enck, R. E. (2007). Lung cancer: Diagnosis and management. American Academy of Family Physicians, 75(1), 56-63.
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76-82.
Costanzo, E. S., Ryff, C. D., & Singer, B. H. (2009). Psychosocial adjustment among cancer survivors: Findings from a national survey of health and well-being. Health Psychology, 28(2), 147-156.
Deimling, G. T., Bowman, K. F., Sterns, S., Wagner, L. J., & Kahana, B. (2006). Cancer-related health worries and psychological distress among older adult, long-term cancer survivors. Psychooncology, 15(4), 306-320.
Earvolino-Ramirez, M. (2007). Resilience: A concept analysis. Nursing Forum, 42(2), 73-82.
Endo, C., Sagawa, M., Sakurada, A., Sato, M., Kondo, T., & Fujimura, S. (2003). Surgical treatment of stage I non-small cell lung carcinoma. Annals of Thoracic Cardiovascular Surgery, 9(5), 283-289.
Foster, C., Wright, D., Hill, H., Hopkinson, J., & Roffe, L. (2009). Psychosocial implications of living 5 years or more following a cancer diagnosis: A systematic review of the research evidence. European Journal of Cancer Care, 18(3), 223-247.
Friborg, O., Hjemdal, O., Rosenvinge, J. H., & Martinussen, M. (2003). A new rating scale for adult resilience: What are the central protective resources behind healthy adjustment? International Journal of Methods in Psychiatric Research, 12(2), 65-76.
Gillespie, B. M., Chaboyer, W., & Wallis, M. (2007). Development of a theoretically derived model of resilience through concept analysis. Contemporary Nurse, 25(1-2), 124-135.
Goldstraw, P., Crowley, J., Chansky, K., Giroux, D. J., Groome, P. A., Rami-Porta, R., . . . Sobin, L. (2007). The IASLC lung cancer staging project: Proposals for the revision of the TNM stage groupings in the forthcoming (seventh) edition of the TNM Classification of malignant tumours. Journal of Thoracic Oncology, 2(8), 706-714.
Gooding, P. A., Hurst, A., Johnson, J., & Tarrier, N. (2011). Psychological resilience in young and older adults. International Journal of Geriatric Psychiatry, 27(3), 262-270.
Gotay, C. C., Ransom, S., & Pagano, I. S. (2007). Quality of life in survivors of multiple primary cancers compared with cancer survivor controls. Cancer, 110(9), 2101-2109.
Grafton, E., Gillespie, B., & Henderson, S. (2010). Resilience: The power within. Oncology Nursing Forum, 37(6), 698-705.
Haase, J. E., Chen, C. M. Phillips-Salimi, C. R., & Bell, C. J. (2009). Resilience. In S. J. Peterson & T. S. Bredow (Ed.). Middle range theories: Application to nursing research (2th ed., pp 326-362). Philadephia, PA: Lippincott Williams & Wilkins.
Handy, J. R., Jr., Asaph, J. W., Skokan, L., Reed, C. E., Koh, S., Brooks, G., . . . Silvestri, G. A. (2002). What happens to patients undergoing lung cancer surgery? Outcomes and quality of life before and after surgery. Chest, 122(1), 21-30.
Harden, J., Falahee, M., Bickes, J., Schafenacker, A., Walker, J., Mood, D., & Northouse, L. (2009). Factors associated with prostate cancer patients' and their spouses' satisfaction with a family-based intervention. Cancer Nursing, 32(6), 482-492.
Henry, M., Cohen, S. R., Lee, V., Sauthier, P., Provencher, D., Drouin, P., . . . Mayo, N. (2010). The Meaning-Making intervention (MMi) appears to increase meaning in life in advanced ovarian cancer: A randomized controlled pilot study. Psycho-Oncology, 19(12), 1340-1347.
Jemal, A., Bray, F., Center, M. M., Ferlay, J., Ward, E., & Forman, D. (2011). Global cancer statistics. CA: A Cancer Journal for Clinicians, 61(2), 69-90.
Lee, V., Robin Cohen, S., Edgar, L., Laizner, A. M., & Gagnon, A. J. (2006). Meaning-making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Social Science & Medicine, 62(12), 3133-3145.
Little, R.J.A. and Rubin, D.B. (1987). Statistical Analsis with Missing Data. New York: Johe Wiley & Sons, Inc.
Liu, L., Li, C., Tang, S. T., Huang, C., & Chiou, A. (2006). Role of continuing supportive cares in increasing social support and reducing perceived uncertainty among women with newly diagnosed breast cancer in Taiwan. Cancer Nursing, 29(4), 273-282.
Loprinzi, C. E., Prasad, K., Schroeder, D. R., & Sood, A. (2011). Stress management and resilience training (SMART) program to decrease stress and enhance resilience among breast cancer survivors: A pilot randomized clinical trial. Clinical Breast Cancer, 11(6), 364-368.
Maeda, T., Kurihara, H., Morishima, I., & Munakata, T. (2008). The effect of psychological intervention on personality change, coping, and psychological distress of Japanese primary breast cancer patients. Cancer Nursing, 31(4), E27-35.
Meyerowitz, B. E., Kurita, K., & D'Orazio, L. M. (2008). The psychological and emotional fallout of cancer and its treatment. The Cancer Journal, 14(6), 410-413.
Mizuno, M., Asano, Y., Sumi, T., & Inoue, Y. (2011). Adaptation status and related factors at 2 time points after surgery in patients with gastrointestinal tract cancer. Cancer Nursing, 34(1), 41-48.
Oxford English Dictionary, O. E. (2010). Resilience. Retrieved from http://oxforddictionaries.com/definition/resilience#m.
Paull, D. E., Thomas, M. L., Meade, G. E., Updyke, G. M., Arocho, M. A., Chin, H. W., . . . Little, A. G. (2006). Determinants of quality of life in patients following pulmonary resection for lung cancer. American Journal of Surgery, 192(5), 565-571.
Rami-Porta, R., Crowley, J. J., & Goldstraw, P. (2009). The revised TNM staging system for lung cancer. Annals of Thoracic Cardiovascular Surgery, 15(1), 4-9.
Richardson, G. E. (2002). The metatheory of resilience and resiliency. Journal of Clinical Psychology, 58(3), 307-321.
Robinson, L. A., Ruckdeschel, J. C., Wagner, H., Jr., & Stevens, C. W. (2007). Treatment of non-small cell lung cancer-stage IIIA: ACCP evidence-based clinical practice guidelines (2nd edition). Chest, 132(3 Suppl), 243S-265S.
Rock, P., & Rich, P. B. (2003). Postoperative pulmonary complications. Current Opinion in Anesthesiology, 16(2), 123-131.
Rogers, M. & Glendon, A. I. (2003). Blood type and personality. Personality
and Individual Differences, 34, 1099-1112.
Salib, E., & Cortina-Borja, M. (2009). Effect of 7 July 2005 terrorist attacks in London on suicide in England and Wales. The British Journal of Psychiatry, 194(1), 80-85.
Santin, O., Mills, M., Treanor, C., & Donnelly, M. (2012). A comparative analysis of the health and well-being of cancer survivors to the general population. Support Care Cancer. doi: 10.1007/s00520-011-1372-9
Sarna, L., Cooley, M. E., Brown, J. K., Chernecky, C., Elashoff, D., & Kotlerman, J. (2008). Symptom severity 1 to 4 months after thoracotomy for lung cancer. American Journal of Critical Care, 17(5), 455-467; quiz 468.
Schmer, C. E. (2010). The effect of a cancer diagnosis on hope and resilience: A correlational, longitudinal study. Unpublished Ph.D., University of Missouri - Kansas City, United States -- Missouri.
Scott, W. J., Howington, J., Feigenberg, S., Movsas, B., & Pisters, K. (2007). Treatment of non-small cell lung cancer stage I and stage II: ACCP evidence-based clinical practice guidelines (2nd edition). Chest, 132(3 Suppl), 234S-242S.
Shen, K., & Zeng, Y. (2010). The association between resilience and survival among Chinese elderly. Demographic Research, 23(5), 105-116.
Siegel, R., Ward, E., Brawley, O., & Jemal, A. (2011). Cancer statistics, 2011: The impact of eliminating socioeconomic and racial disparities on premature cancer deaths. CA: A Cancer Journal for Clinicians, 61(4), 212-236.
Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The brief resilience scale: Assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194-200.
Socinski, M. A., Crowell, R., Hensing, T. E., Langer, C. J., Lilenbaum, R., Sandler, A. B., & Morris, D. (2007). Treatment of non-small cell lung cancer, stage IV: ACCP evidence-based clinical practice guidelines (2nd edition). Chest, 132(3 Suppl), 277S-289S.
Spira, A., & Ettinger, D. S. (2004). Multidisciplinary management of lung cancer.. The New England Journal of Medicine, 350(4), 379-392.
Strauss, B., Brix, C., Fischer, S., Leppert, K., Fuller, J., Roehrig, B., . . . Wendt, T. G. (2007). The influence of resilience on fatigue in cancer patients undergoing radiation therapy (RT). Journal of cancer research and clinical oncology, 133(8), 511-518.
Szanton, S. L., & Gill, J. M. (2010). Facilitating resilience using a society-to-cells franework a theroy of nursing essentials applied to rersearch and pracitice. Advances in Nusring Science, 33(4), 329-343.
Tyler, C. V., Jr., & Snyder, C. W. (2006). Cancer risk assessment: Examining the family physician's role. Journal of the American Board of Family Medicine, 19(5), 468-477.
Uchitomi, Y., Mikami, I., Kugaya, A., Akizuki, N., Nagai, K., Nishiwaki, Y., . . . Okamura, H. (2000). Depression after successful treatment for nonsmall cell lung carcinoma. Cancer, 89(5), 1172-1179.
Uchitomi, Y., Mikami, I., Nagai, K., Nishiwaki, Y., Akechi, T., & Okamura, H. (2003). Depression and psychological distress in patients during the year after curative resection of non-small-cell lung cancer. Journal of Clinical Oncology, 21(1), 69-77.
Wagnild, G. (2003). Resilience and successful aging: Comparison among low and high income older adults. Journal of Gerontological Nursing, 29(12), 42-49.
Wagnild, G. (2009a). The Resilience Scale User's Gulide for the US English version of the Resilience Scale and the 14-Item Resilience Scale(RS-14). Worden, MT: The Resilience Center.
Wagnild, G. (2009b). A review of the resilience scale. Journal of Nursing Measurement, 17(2), 105-113.
Wagnild, G. M., & Young, H. M. (1993). Development and psychometric evaluation of the Resilience Scale. Journal of Nursing Measurement, 1(2), 165-178.
Watanabe, S., & Asamura, H. (2009). Lymph node dissection for lung cancer: Significance, strategy, and technique. Journal of Thoracic Oncology : Official publication of the International Association for the Study of Lung Cancer 4(5), 652-657.
Wilmoth, M. C., Tulman, L., Coleman, E. A., Stewart, C. B., & Samarel, N. (2006). Women's perceptions of the effectiveness of telephone support and education on their adjustment to breast cancer. Oncology Nursing Forum, 33(1), 138-144.
Win, T., Sharples, L., Groves, A. M., Ritchie, A. J., Wells, F. C., & Laroche, C. M. (2008). Predicting survival in potentially curable lung cancer patients. Lung, 186(2), 97-102.
Win, T., Sharples, L., Wells, F. C., Ritchie, A. J., Munday, H., & Laroche, C. M. (2005). Effect of lung cancer surgery on quality of life. Thorax, 60(3), 234-238.
Windle, G., Bennett, K. M., & Noyes, J. (2011). A methodological review of resilience measurement scales. Health and Quality of Life Outcomes, 9, 8.
Xiaonan, Y., & Jianxin, Z. (2007). Factor analysis and psychometric evaluation of the Connor-Davidson resilience scale (CD-RISC) with chinese people. Social Behavior and Personality, 35(1), 19-30.
中文部份
于肖楠、張建新(2005).韌性(resilience)-在壓力下復原和成長的心理機制.心理科學進展,13(5),2658-2665。
于肖楠、張建新(2007).自我韌性量表與Connor-Davidson韌性量表的應用比較.心理科學,30(5),1169-1171。
行政院衛生署(2012a,5月).民國100年主要死因分析.2012年06月01取自http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_ list_no= 12336&class_no=440&level_no=4
行政院衛生署(2012b,5月).民國100年主要死因平均每日發生件數.2012年06月01日取自http://www.doh.gov.tw/CHT2006/DM/DM2_ 2.aspx? now_fod_ list_no= 12336&class_no=440&level_no=4
朱明星(2010).管理者的血型、人格特質與工作績效之關聯性研究.未發表的碩士論文,臺北:臺北大學企業管理學系。
吳惠如(2006).肺葉切除術病人醫療利用與醫療品質之探討.未發表的碩士論文,臺北:國立陽明大學醫務管理研究所。
吳怡成(2009).微創肺癌手術.臺灣醫學,13(1),34-39。
宋淑偵(2010).新診斷癌症青少年之疾病症狀與復原力.未發表的碩士論文,臺北:國防醫學院護理研究所。
宋翠葉(2007).肝癌病患之疲憊、憂鬱、社會支持與希望感的相關性探討.未發表的碩士論文,臺北:輔仁大學護理學系碩士班。
李玉玲(2003).癌症病患復原力之研究.未發表碩士論文,南投:國立暨南國際大學輔導與諮商研究所。
汪素敏(1997).心臟移植術後病人症狀困擾、社會支持與自我照顧行為相關之探討.未發表碩士論文,臺北:國防醫學院護理研究所。
邱艷芬(2006).胸腹手術後病人的肺部復健.護理雜誌,53(5),5-12。
洪儀珍(2006).胸腔手術病人的術後疼痛、肺功能和肩功能之評估.未發表的碩士論文,臺北:臺北醫學大學護理學研究所。
姚如玲(2006).影響肺癌病人疲憊、憂鬱與睡眠品質之相關因素探討.未發表的碩士論文,臺北:臺北醫學大學護理學研究所。
連金延(2009).老年癌症患者手術前後不確定感、社會支持與心理適應之探討.未發表的碩士論文,臺北:臺北國立護理學院護理研究所。
美國精神醫學會(2007).DSM-IV-TR精神疾病診斷準則手冊(第四版).(孔繁鐘譯).台北:合記。(原著出版年:2000年)
張乃文(2003).切除性肺部手術病患於手術一個月健康相關之生活品質及其相關因素之探討.未發表碩士論文,臺北:國防醫學院護理研究所。
張愛萍(2003).發展台灣版簡明疲憊量表(BFI-Taiwan Form)與台灣版安德森症狀量表(MDASI-Taiwan Form)及信效度檢測.未發表的碩士論文,臺北:臺北醫學大學護理學研究所。
張凱瑛(2010).探討首次治療型態對非小細胞肺癌各期別病患存活情形之影響.未發表的碩士論文,臺北:國立陽明大學衛生福利研究所。
陳心怡譯(2000)貝克憂鬱量表第二版(Beck Depression Inventory-II, BDI-II)中文版指導手冊.台北,台灣:中國行為科學社。
陳金彌、陳月枝(2007).青少年復原力之概念分析.腫瘤護理雜誌,7(1),31-41。
陳冠于(2006).肺癌之性別差異與預後因子之研究.未發表的博士論文,臺北:臺灣大學醫學院臨床醫學研究所。
曾俊華(2005).歐洲癌症治療與研究組織生活品質核心問卷、肺癌生活品質問卷之信效度研究.未發表的碩士論文,臺中:中國醫藥大學醫務管理研究所。
楊蕙菱(2009).老年癌症患者憂鬱症狀、自尊、復原力及其相關因素探討.未發表的碩士論文,臺北:臺北醫學大學護理學研究所。
詹日全、黃穰基、潘超群、王仲祺、王景平、劉時安(2007).口腔癌治療後影響局部復發之相關因素分析.臺灣耳鼻喉頭頸外科雜誌.42(4),115-127。
賴虹均(2008).癌症患症的憂鬱症.腫瘤護理雜誌,8(1),1-11。
劉月敏(2009).血液透析老年患者復原力、社會支持與憂鬱感受的相關性研究.未發表的碩士論文,臺北:國立台北護理學院。
劉萱(2010).長照機構老年住民的復原力及其相關因素之探討.未發表的碩士論文,高雄:高雄醫學大學護理學研究所。
潘雪幸(2003).肺癌病患症狀盛行率、嚴重度、日常生活活動干擾及其相關因素探討.未發表的碩士論文,臺北:國防醫學院護理學研究所。
潘璦琬、許瑋玲(2008).羅序模式檢定貝氏憂鬱量表第二版之建構效度.臺灣醫學,12(3),284-291。
鄭淑香(2011).癌症患者之心裡彈性力與挫折復原力相關性探討.未發表的碩士論文,臺中:亞洲大學健康產業管理學系。
盧孟良、車先蕙、張尚文、沈武典(2002).中文版貝克憂鬱量表第二版之信度和效度.臺灣精神醫學,16(4),301-310。
嚴健彰(2003).出獄人復歸社會更生歷程之研究─從復原力的觀點探討之.未發表的碩士論文,嘉義:國立中正大學犯罪防治研究所。

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