臺灣博碩士論文加值系統

研究背景：
癌症已數十年蟬聯台灣十大死因之首，癌症的發生率及死亡率，皆呈現逐年上升的趨勢。由於癌症無法治癒，癌症病患本身的復原力及面對癌症所衍生出的因應方式，可以幫助不同階段的癌症患者成功因應癌症所帶來的衝擊。
研究方法：
採橫斷式研究設計，共收案85人，研究工具包括人口學特性、疾病屬性、因應能力量表及復原力量表。
研究結果：
癌症患者的復原力屬於中度復原力，多採取問題取向因應能力。癌症患者的復原力與問題取向因應能力(p <.0001)呈現正相關，問題取向分數越高者其復原力越好。逐步廻歸分析結果問題取向因應能力、性別、癌症分期是復原力重要的預測因子，可解釋癌症患者復原力總變異量之53.8 %。
結論與建議：
照護病人當中提升癌症患者問題解決能力可促進其發展復原力，了解癌症患者的性別、癌症分期，可以預測復原力的狀況，正向積極的問題解決態度，克服癌症所帶來的挑戰，越能面對癌症疾病並積極解決疾病導致的健康問題，對癌症患者都有較好的存活率或是生活質量。

Background:
Cancer has been the top ten causes of death for decades. The incidence and mortality of cancer are increasing year by year. Because cancer cannot be cured, it is important to explore the resilience of cancer patients and their coping behaviors with cancer.
Design:
This was a cross-sectional correlation study. Eighty-five patients were included. The research tools included demographic characteristics, disease attributes, resilience scale, and coping behavior scale. The survey data were analyzed using descriptive statistics, independent t test, one way ANOVA, Pearsons correlation, and stepwise regression.
Results:
The overall patient often adopted problem-solving behaviors, with moderate resilience.The resilience of cancer patients has a significantly positive correlation with the problem-solving behaviors (p <.0001). The higher the problem-solving behaviors, the better the resilience.The problem-solving behaviors, gender, and cancer stage accounted for 53.8% of the total variation in resilience.
Conclusions / recommendations:
Improving the problem solving ability of cancer patients when caring for patients can improve resilience. Understand the gender and cancer stage of cancer patients can predict resilience. A positive problem-solving attitude and overcoming the challenges posed by cancer, the more able to face cancer, and actively address the health problems caused by the disease, the better the survival rate or quality of life for cancer patients.

中文摘要………………………………………………………Ⅰ
英文摘要………………………………………………………Ⅱ
目錄………………………………………………………………Ⅲ
圖目錄……………………………………………………………Ⅴ
表目錄……………………………………………………………Ⅵ
第一章 緒論
第一節 研究背景………………………………………………1
第二節 研究目的………………………………………………4
第三節 研究問題………………………………………………4
第四節 名詞解釋………………………………………………5
第二章 文獻探討
第一節 復原力相關理論與研究……………………7
第二節 癌症患者復原力的相關研究…………13
第三節 罹癌患者身心理適應過程及相關研究………20
第三章 研究方法
第一節 研究設計及架構…………………………………27
第二節 研究對象………………………………………………29
第三節 研究工具………………………………………………31
第四節 研究倫理………………………………………………33
第五節 資料分析………………………………………………35
第四章 研究結果
第一節 癌症患者的基本屬性分佈情形……36
第二節 癌症患者復原力分佈情形………………40
第三節 癌症患者因應能力分布情形…………43
第四節 基本人口學屬性與復原力、因應能力之差異分析…46
第五節 基本屬性與復原力、因應能力之相關分析…………54
第六節 復原力的預測因子……………………………55
第五章 討論
第一節 癌症患者的復原力與因應能力探討………57
第二節 復原力與因應能力的相關性探討……………61
第三節 癌症患者復原力預測因子探討…………………63
第六章 結論
第一節 結論………………………………………………………………………64
第二節 研究應用與建議………………………………………………65
第三節 研究限制……………………………………………………………67
參考文獻
中文部分………………………………………………………………………………68
英文部分………………………………………………………………………………70
附錄
附錄一 人體試驗計畫同意書……………………………………78
附錄二 研究說明及問卷內容……………………………………79
附件三 復原力量表授權書…………………………………………86
附件四 癌症因應量表授權書……………………………………88

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