臺灣博碩士論文加值系統

近年來，我國女性卵巢癌的發生率攀升且罹癌年齡有年輕化跡象。罹患卵巢癌與後續治療過程除造成身體不適外，因病灶處為女性特有性徵，亦可能衝擊女性患者原有身體心像、親密關係及性別角色等等。究竟卵巢癌患者罹癌過程中，如何面對摘除卵巢的醫療決策、產生哪些衝擊，同時，身體心像、女性角色有何轉變，為本研究關注議題。
本研究以深度訪談法，蒐集八名罹患卵巢癌且已完成療程之患者的罹癌經驗，並進行訪談文本分析。本研究發現有五：一、受訪者進行醫療決策考量，易受「化療損害身體機能」與「卵巢功能受損」兩因素之影響；二、罹患卵巢癌後受訪者所受之衝擊主要有兩面向，包含「心理面」以及「社會生活面」；三、多數受訪者雖失去卵巢，但罹癌後扮演女性角色的態度卻因擺脫女性生理困擾、走過死亡威脅，成為更自在的女性，然其中一位受訪者則因失去卵巢後失去過去健康的親密關係，對丈夫感覺愧疚；四、不同年齡、類型的卵巢癌患者所感知到的衝擊經驗，會因「年齡高低差異」、「未來生育計畫的有無」、「器官位置的內隱」與「告別女性生理困擾」等緩衝因子的出現而有所不同；五、罹癌後，家庭成員支持、宗教信仰調適個人心態、病友團體等情緒性支持成為受訪者主要支持網絡，相較之下，正式資源提供的工具性支持有缺席的現象。本研究建議有二：一、提升民眾對卵巢癌的健康識能，破除負向標籤並提倡卵巢癌患者做女人之正向經驗；二、醫護團隊可協同社會工作者持續關注卵巢癌患者生育需求，並規劃醫療決策相關配套措施。

關鍵字：卵巢癌、身體心像、性別角色、親密關係

In recent years, the incidence of ovarian cancer among women in Taiwan has been increasing, and there is a trend towards a younger age at diagnosis. Besides causing physical discomfort, being diagnosed with ovarian cancer and undergoing subsequent treatment may impact female patients' original body image, intimate relationships and gender roles. This study focuses on how ovarian cancer patients face medical decisions regarding ovary removal, the resulting impacts, and the changes in body image and female roles during the cancer process.
Using in-depth interviews, this research collected experiences from eight ovarian cancer patients who had completed their treatment and conducted text analysis of the interview transcripts. The study identified five main findings: 1) Respondents' medical decision-making was influenced by considerations related to the "physical damage caused by chemotherapy" and the "impairment of ovarian function"; 2) The impacts experienced by ovarian cancer survivors were mainly categorized into "psychological aspects" and "social life aspects"; 3) Despite losing their ovaries, most respondents adopted a more liberated female role after cancer, free from physiological troubles and having faced the threat of death, although one participant felt guilty about the loss of a healthy intimate relationship with her husband; 4) Ovarian cancer patients of different ages and types experience varied impacts, influenced by factors such as "age disparities," "the presence of future fertility plans," "hidden aspects of organ location" and "mitigation of female physiological issues"; and 5) After cancer diagnosis, emotional support from family members, personal adjustment through religious beliefs and participation in patient support groups became the main support networks for respondents. In contrast, formal resources providing instrumental support were often lacking.
The study proposes two recommendations: 1) Enhance public awareness of ovarian cancer, eliminate negative labels, and promote positive experiences of ovarian cancer patients as women; and 2) Healthcare teams should collaborate with social workers to address the fertility needs of ovarian cancer patients and develop supportive measures related to medical decision-making.

Keywords: Ovarian cancer, body image, gender roles, intimate relationships

目錄
第一章 緒論 1
第一節 研究背景 1
第二節 研究動機 2
第三節 研究目的與問題 3
第二章 文獻探討 4
第一節 卵巢癌病因、治療、副作用及癒後情形 4
第二節 卵巢癌患者的社會心理衝擊 8
第三節 卵巢癌對女性角色的衝擊 13
第四節 卵巢癌患者的社會支持資源 19
第三章 研究方法 22
第一節 研究方法選取 22
第二節 研究對象選取 22
第三節 研究工具 25
第四節 資料搜集方法 26
第五節 資料分析方法 27
第六節 研究倫理 27

第四章 研究結果 28
第一節 患者進行醫療決策之考量 29
第二節 卵巢癌治療的挑戰與衝擊 31
第三節 卵巢癌前後的女性性別角色 40
第四節 劫後餘生：卵巢癌患者的資源網絡 60
第五章 討論 66
第一節 罹癌到新生：回看治療歷程 66
第二節 罹癌後女性性別角色的轉變 68
第三節 失去卵巢後衝擊減緩的因子 69
第四節 罹患卵巢癌後的支持資源 75
第六章 結論與建議 80
第一節 研究結論 80
第二節 研究建議 81
第三節 研究限制 83
參考文獻 85
附件一：問卷研究受訪者知情同意書 95

表目錄
表1受訪者基本資料表 23
表2受訪者罹癌前後的女性角色轉變與使用之支持資源對照表 41

英文文獻
Afiyanti, Y., & Milanti, A. （2013）. Physical sexual and intimate relationship concerns among I ndonesian cervical cancer survivors: A phenomenological study. Nursing & Health Sciences, 15（2）, 151-156.doi: https://doi.org/10.1111/nhs.12006
Akyüz, A., Güvenç, G., Üstünsöz, A., & Kaya, T. （2008）. Living with gynecologic cancer: experience of women and their partners. Journal of nursing scholarship, 40（3）, 241-247.doi: https://doi.org/10.1111/j.1547-5069.2008.00232.x
American Cancer Society.（2013）.Survival Rates for Ovarian Cancer. https://www.cancer.org/cancer/types/ovarian-cancer/detection-diagnosis-staging/survival-rates.html
Arden‐Close, E., Gidron, Y., & Moss‐Morris, R. （2008）. Psychological distress and its correlates in ovarian cancer: a systematic review. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 17（11）, 1061-1072.doi: https://doi.org/10.1002/pon.1363
Armstrong, D. K., Bundy, B., Wenzel, L., Huang, H. Q., Baergen, R., Lele, S., ... & Burger, R. A. （2006）. Intraperitoneal cisplatin and paclitaxel in ovarian cancer. New England Journal of Medicine, 354（1）, 34-43.doi: 10.1056/NEJMoa052985
Ayers, T. S., Sandier, I. N., West, S. G., & Roosa, M. W. （1996）. A dispositional and situational assessment of children's coping: Testing alternative models of coping. Journal of personality, 64（4）, 923-958.
Beesley, V. L., Smith, D. D., Nagle, C. M., Friedlander, M., Grant, P., DeFazio, A., ... & OPAL Study Group. （2018）. Coping strategies, trajectories, and their associations with patient-reported outcomes among women with ovarian cancer. Supportive Care in Cancer, 26, 4133-4142.
Beesley, V. L., Smith, D. D., Nagle, C. M., Friedlander, M., Grant, P., DeFazio, A., ... & OPAL Study Group. （2018）. Coping strategies, trajectories, and their associations with patient-reported outcomes among women with ovarian cancer. Supportive Care in Cancer, 26, 4133-4142.
Berek, J. S., Renz, M., Kehoe, S., Kumar, L., & Friedlander, M. （2021）. Cancer of the ovary, fallopian tube, and peritoneum: 2021 update. International Journal of Gynecology & Obstetrics, 155, 61-85.doi: https://doi.org/10.1002/ijgo.13878
Blascovich, J., Tomaka, J., Robinson, J. P., Shaver, P. R., & Wrightsman, L. S. （1991）. Measures of self-esteem. Measures of personality and social psychological attitudes, 1, 115-160.
Blinder, V. S., & Gany, F. M. （2020）. Impact of cancer on employment. Journal of Clinical Oncology, 38（4）, 302.
Boding, S. A., Russell, H., Knoetze, R., Wilson, V., & Stafford, L. （2022）. ‘Sometimes I can't look in the mirror’: Recognising the importance of the sociocultural context in patient experiences of sexuality, relationships and body image after ovarian cancer. European Journal of Cancer Care, 31（6）, e13645.doi: https://doi.org/10.1111/ecc.13645
Boding, S. A., Russell, H., Knoetze, R., Wilson, V., & Stafford, L. （2022）. ‘Sometimes I can't look in the mirror’: Recognising the importance of the sociocultural context in patient experiences of sexuality, relationships and body image after ovarian cancer. European Journal of Cancer Care, 31（6）, e13645.
Bodurka, D. C., & Sun, C. C. （2006）. Sexual function after gynecologic cancer. Obstetrics and Gynecology Clinics, 33（4）, 621-630.doi: https://doi.org/10.1016/j.ogc.2006.09.006
Bower, J. E., Kemeny, M. E., Taylor, S. E., & Fahey, J. L. （2003）. Finding positive meaning and its association with natural killer cell cytotoxicity among participants in a bereavement-related disclosure intervention. Annals of Behavioral Medicine, 25（2）, 146-155.
Broadstock, M., & Borland, R. （1998）. Using information for emotion‐focused coping: Cancer patients' use of a cancer helpline. British journal of health psychology, 3（4）, 319-332.
Burles, M., & Holtslander, L. （2013）. “Cautiously optimistic that today will be another day with my disease under control”: understanding women’s lived experiences of ovarian cancer. Cancer nursing, 36（6）, 436-444.
Büssing, A., Ostermann, T., & Matthiessen, P. F. （2005）. Search for meaningful support and the meaning of illness in German cancer patients. Anticancer Research, 25（2B）, 1449-1455.
Carpenter, J. S., & Brockopp, D. Y. （1994, May）. Evaluation of self-esteem of women with cancer receiving chemotherapy. In Oncology Nursing Forum （Vol. 21, No. 4, pp. 751-757）.
Chang, Y. H., Li, W. H., Chang, Y., Peng, C. W., Cheng, C. H., Chang, W. P., & Chuang, C. M. （2016）. Front-line intraperitoneal versus intravenous chemotherapy in stage III-IV epithelial ovarian, tubal, and peritoneal cancer with minimal residual disease: a competing risk analysis. BMC cancer, 16, 1-8.doi: https://doi.org/10.1186/s12885-016-2279-0
Charles, C., Whelan, T., Gafni, A., Reyno, L., & Redko, C. （1998）. Doing nothing is no choice: lay constructions of treatment decision‐making among women with early‐stage breast cancer. Sociology of Health & Illness, 20（1）, 71-95.
Coates, A., Abraham, S., Kaye, S. B., Sowerbutts, T., Frewin, C., Fox, R. M., & Tattersall, M. H. N. （1983）. On the receiving end—patient perception of the side-effects of cancer chemotherapy. European Journal of Cancer and Clinical Oncology, 19（2）, 203-208.doi: https://doi.org/10.1016/0277-5379（83）90418-2
Cohen, S., & Wills, T. A. （1985）. Stress, social support, and the buffering hypothesis. Psychological bulletin, 98（2）, 310.
Elson, J. （2002）. Menarche, menstruation and gender identity: Retrospective accounts from women who have undergone premenopausal hysterectomy. Sex Roles, 46（1????2）, 37????48.
Elson, J. (2004). Am I still a woman?: hysterectomy and gender identity. Temple University Press.
Ezendam, N. P., Pijlman, B., Bhugwandass, C., Pruijt, J. F., Mols, F., Vos, M. C., ... & van de Poll-Franse, L. V. （2014）. Chemotherapy-induced peripheral neuropathy and its impact on health-related quality of life among ovarian cancer survivors: results from the population-based PROFILES registry. Gynecologic oncology, 135（3）, 510-517.doi: https://doi.org/10.1016/j.ygyno.2014.09.016
Fischer, O. J., Marguerie, M., & Brotto, L. A. （2019）. Sexual function, quality of life, and experiences of women with ovarian cancer: a mixed-methods study. Sexual medicine, 7（4）, 530-539.doi: https://doi.org/10.1016/j.esxm.2019.07.005
Fitch, M. I., Gray, R. E., & Franssen, E. （2000）. Women’s perspectives regarding the impact of ovarian cancer: implications for nursing. Cancer Nursing, 23（5）, 359-366.
Goff, B. A., Mandel, L. S., Melancon, C. H., & Muntz, H. G. （2004）. Frequency of symptoms of ovarian cancer in women presenting to primary care clinics. Jama, 291（22）, 2705-2712. doi:10.1001/jama.291.22.2705
Hamilton, J. B., & Sandelowski, M. （2004, July）. Types of social support in African Americans with cancer. In Oncology Nursing Forum （Vol. 31, No. 4）.
Hilton, B. A. （1996）. Getting back to normal: the family experience during early stage breast cancer. In Oncology Nursing Forum （Vol. 23, No. 4, pp. 605-614）.
Hulbert, J. C., & Anderson, M. C. （2008）. What doesn’t kill you makes you stronger: Psychological trauma and its relationship to enhanced memory control. Journal of Experimental Psychology:General, 147（12）,1931.
International Agency for Research on Cancer. Global cancer statistics. 2020. https://gco.iarc.fr
Jefferies, H. I. L. A. R. Y. (2002). Ovarian cancer patients: are their informational and emotional needs being met?. Journal of Clinical Nursing, 11(1), 41-47.
Jefferies, H. I. L. A. R. Y. （2002）. Ovarian cancer patients: are their informational and emotional needs being met?. Journal of Clinical Nursing, 11（1）, 41-47.
Karian, V. E., Jankowski, S. M., & Beal, J. A. （1998）. Exploring the lived-experience of childhood cancer survivors. Journal of pediatric oncology nursing, 15（3）, 153-162.
Kullmer, U., Stenger, K., Milch, W., Zygmunt, M., Sachsse, S., & Münstedt, K. （1999）. Self-concept, body image, and use of unconventional therapies in patients with gynaecological malignancies in the state of complete remission and recurrence. European Journal of Obstetrics & Gynecology and Reproductive Biology, 82（1）, 101-106.doi: https://doi.org/10.1016/S0301-2115（98）00226-7
Lazarus, R. S., & Folkman, S. （1984）. Stress, appraisal, and coping. Springer publishing company.
Lheureux, S., Gourley, C., Vergote, I., & Oza, A. M. （2019）. Epithelial ovarian cancer. The Lancet，393（10177）, 1240-1253.doi: https://doi.org/10.1016/S0140-6736（18）32552-2
Liavaag, A. H., Dørum, A., Bjøro, T., Oksefjell, H., Fosså, S. D., Tropé, C., & Dahl, A. A. （2008）. A controlled study of sexual activity and functioning in epithelial ovarian cancer survivors. A therapeutic approach. Gynecologic oncology, 108（2）, 348-354.doi: https://doi.org/10.1016/j.ygyno.2007.10.009
Marjoribanks, J., Farquhar, C., Roberts, H., & Lethaby, A. （2012）. Long term hormone therapy for perimenopausal and postmenopausal women. Cochrane database of systematic reviews, （7）.doi: https://doi.org/10.1002/14651858.CD004143.pub4
Mary Collins, M. S. N., Linda Abbott, R. N., Julie Aschenbrenner, R. N., & Connie Hart, B. S. N. （2007）. Putting Evidence Into Practice®: Evidence-based interventions for chemotherapy-induced peripheral neuropathy. Clinical journal of oncology nursing, 11（6）, 901.doi: https://doi.org/10.1188/07.cjon.901-913
McGarvey, E. L., Baum, L. D., Pinkerton, R. C., & Rogers, L. M. （2001）. Psychological sequelae and alopecia among women with cancer. Cancer practice, 9（6）, 283-289.doi: https://doi.org/10.1111/j.1523-5394.2001.96007.pp.x
McQuaide, S. （1998）. Opening space for alternative images and narratives of midlife women. Clinical Social Work Journal, 26（1）, 39-53.
Momenimovahed, Z., Tiznobaik, A., Taheri, S., & Salehiniya, H. （2019）. Ovarian cancer in the world: epidemiology and risk factors. International journal of women's health, 287-299.doi: 10.2147/IJWH.S197604
Münstedt, K., Manthey, N., Sachsse, S., & Vahrson, H. （1997）. Changes in self-concept and body image during alopecia induced cancer chemotherapy. Supportive care in cancer, 5, 139-143.doi: https://doi.org/10.1007/BF01262572
Nordner, A., & Ahlberg, K. （2006）. The importance of participation in support groups for women with ovarian cancer. In Oncology nursing forum （Vol. 33）.
Norton, T. R., Manne, S. L., Rubin, S., Carlson, J., Hernandez, E., Edelson, M. I., ... & Bergman, C. （2004）. Prevalence and predictors of psychological distress among women with ovarian cancer. Journal of Clinical Oncology, 22（5）, 919-926.doi: 10.1200/JCO.2004.07.028 Journal of Clinical Oncology 22, no. 5 （March 01, 2004） 919-926.
Olson, S. H., Mignone, L., Nakraseive, C., Caputo, T. A., Barakat, R. R., & Harlap, S. （2001）. Symptoms of ovarian cancer. Obstetrics & Gynecology, 98（2）, 212-217.doi: https://doi.org/10.1016/S0029-7844（01）01457-0
Orr, B., & Edwards, R. P. （2018）. Diagnosis and treatment of ovarian cancer. Hematology/Oncology Clinics, 32（6）, 943-964.doi: https://doi.org/10.1016/j.hoc.2018.07.010
Parton, C., Ussher, J. M., & Perz, J. （2017）. Experiencing menopause in the context of cancer: Women’s constructions of gendered subjectivities. Psychology & Health, 32（9）, 1109-1126.
Phillips, E., Montague, J., & Archer, S. （2017）. “A peculiar time in my life”: making sense of illness and recovery with gynaecological cancer. International journal of qualitative studies on health and well-being, 12（1）, 1364603.doi: https://doi.org/10.1080/17482631.2017.1364603
Pickard-Holley, S. （1995, November）. The symptom experience of alopecia. In Seminars in oncology nursing （Vol. 11, No. 4, pp. 235-238）. WB Saunders.doi: https://doi.org/10.1016/S0749-2081（05）80003-8
Power, J., Brown, L., & Ritvo, P. （2008）. A qualitative study examining psychosocial distress, coping, and social support across the stages and phases of epithelial ovarian cancer. Health care for women international, 29（4）, 366-383.
Rasmussen, D. M., Hansen, H. P., & Elverdam, B. （2010）. How cancer survivors experience their changed body encountering others. European Journal of Oncology Nursing, 14（2）, 154-159.
Rha, S. Y., Song, S. K., Lee, C. E., Park, Y., & Lee, J. （2016）. Gaps exist between patients’ experience and clinicians’ awareness of symptoms after chemotherapy: CINV and accompanying symptoms. Supportive Care in Cancer, 24, 4559-4566.doi: https://doi.org/10.1007/s00520-016-3295-y
Robinson, L., Kocum, L., Loughlin, C., Bryson, L., & Dimoff, J. K. （2015）. I wanted you to know: Breast cancer survivors’ control of workplace communication about cancer. Journal of Occupational Health Psychology, 20（4）, 446.
Roid, G. H., & Fitts, W. H. （1994）. Tennessee self-concept scale, revised manual. Los Angeles: Western Psychological Ser- vices.
Schilder, P. （1950）. The image and appearance of the human body （Vol. 163）. Routledge.
Schwartz, B. （2004）. The paradox of choice: Why more is less. New York.
Solbrække, K. N., & Bondevik, H. （2015）. Absent organs—Present selves: Exploring embodiment and gender identity in young Norwegian women's accounts of hysterectomy. International journal of qualitative studies on health and well-being, 10（1）, 26720.
Stewart, C., Ralyea, C., & Lockwood, S. （2019, April）. Ovarian cancer: an integrated review. In Seminars in oncology nursing（Vol. 35, No. 2, pp. 151-156）. WB Saunders.doi: https://doi.org/10.1016/j.soncn.2019.02.001
Stewart, D. E., Wong, F., Duff, S., Melancon, C. H., & Cheung, A. M. （2001）. “What doesn't kill you makes you stronger”: an ovarian cancer survivor survey. Gynecologic oncology, 83（3）, 537-542.doi: https://doi.org/10.1006/gyno.2001.6437
Sun, C. C., Bodurka, D. C., Weaver, C. B., Rasu, R., Wolf, J. K., Bevers, M. W., ... & Rubenstein, E. B. （2005）. Rankings and symptom assessments of side effects from chemotherapy: insights from experienced patients with ovarian cancer. Supportive Care in Cancer, 13, 219-227.doi: https://doi.org/10.1007/s00520-004-0710-6
Tanay, M. A., & Armes, J. O. （2019）. Lived experiences and support needs of women who developed chemotherapy‐induced peripheral neuropathy following treatment for breast and ovarian cancer. European Journal of Cancer Care, 28（3）, e13011.doi: https://doi.org/10.1111/ecc.13011
Tanay, M. A., & Armes, J. O. （2019）. Lived experiences and support needs of women who developed chemotherapy‐induced peripheral neuropathy following treatment for breast and ovarian cancer. European Journal of Cancer Care, 28（3）, e13011.doi: https://doi.org/10.1111/ecc.13011
Tsai, L. Y., Tsai, J. M., & Tsay, S. L. （2020）. Life experiences and disease trajectories in women coexisting with ovarian cancer. Taiwanese Journal of Obstetrics and Gynecology, 59（1）, 115-119.
Warren, N., Melrose, D. M., Brooker, J. E., & Burney, S. （2018）. Psychosocial distress in women diagnosed with gynecolog- ical cancer. Journal of Health Psychology, 23（7）, 893–904. https://doi.org/10.1177/1359105316640061
Watts, S., Prescott, P., Mason, J., McLeod, N., & Lewith, G. （2015）. Depression and anxiety in ovarian cancer: a systematic review and meta-analysis of prevalence rates. BMJ open, 5（11）, e007618.doi: http://dx.doi.org/10.1136/bmjopen-2015-007618
Weaver, A. J., & Flannelly, K. J. （2004）. The role of religion/spirituality for cancer patients and their caregivers. Southern medical journal, 97（12）, 1210-1214.
Wilmoth, M. C., & Spinelli, A. （2000）. Sexual implications of gynecologic cancer treatments. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 29, 413–421.doi: https://doi.org/10.1111/j.1552-6909.2000.tb02064.x
Windebank, A. J., & Grisold, W. （2008）. Chemotherapy‐induced neuropathy. Journal of the Peripheral Nervous System, 13（1）, 27-46.doi: https://doi.org/10.1111/j.1529-8027.2008.00156.x
Wray, N., Markovic, M., & Manderson, L. （2007）. Discourses of normality and difference: Responses to diagnosis and treatment of gynaecological cancer of Australian women. Social Science & Medicine, 64（11）, 2260-2271.doi: https://doi.org/10.1016/j.socscimed.2007.02.034
Young, R. C. （2003）. Early-stage ovarian cancer: to treat or not to treat. Journal of the National Cancer Institute, 95（2）, 94-95.doi: https://doi.org/10.1093/jnci/95.2.94
Young, R. C., Walton, L. A., Ellenberg, S. S., Homesley, H. D., Wilbanks, G. D., Decker, D. G., ... & Major Jr, F. （1990）. Adjuvant therapy in stage I and stage II epithelial ovarian cancer: results of two prospective randomized trials. New England Journal of Medicine, 322（15）, 1021-1027.doi: 10.1056/NEJM199004123221501
Ziebland, S., Evans, J., & McPherson, A. （2006）. The choice is yours? How women with ovarian cancer make sense of treatment choices. Patient education and counseling, 62（3）, 361-367.


中文文獻
台灣癌症防治網（2023）。取自：http://web.tccf.org.tw/lib/addon.php?act=post&id=1201
吳芷儀（2019）。卵巢癌治療新趨勢。彰基藥訊，27（3），5-8。
吳舜堂、陳欽雨（2017）。高齡長者社會支持，社會參與與活躍老化關係之研究。福祉科技與服務管理學刊，5（4），331-352。
李佳興（2016）。已婚女性家庭角色的變與不變〔碩士論文，淡江大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0002-2106201611264400
李書帆（2013）。探討不同治療方式對早期子宮頸癌病患生活品質之影響。﹝碩士論文。中山醫學大學﹞臺灣博碩士論文知識加值系統。 https://hdl.handle.net/11296/h2674g。
李晨郁、彭月珠（2020）。照顧一位年輕未婚女性罹患卵巢癌之護理經驗。腫瘤護理雜誌，20（2），59-68。
李耀泰、陳福民、沈仁達、郭宗正（2009）。卵巢癌的長期維持治療。中華民國婦癌醫學雜誌，（2009 年1），6-10。
李耀泰、陳福民、沈仁達、郭宗正（2009）。卵巢癌的長期維持治療。中華民國婦癌醫學雜誌，6-10。
李耀泰、陳福民、郭宗正（2012）。卵巢癌的保守性治療。中華民國婦癌醫學雜誌，65-74。
林宜欣（2020）。上皮性卵巢癌手術之後的更年期症狀與荷爾蒙補充治療。 台灣更年期醫學會會訊，（62），14-19。
林宜欣（2022）。卵巢癌精準醫療發展。台灣更年期醫學會會訊，（68），9-11。
林金定、嚴嘉楓、陳美花（2005）。質性研究方法：訪談模式與實施步驟分析。身心障礙研究季刊， 3（2）, 122-136。
林嘉慧、林麗英、吳杼芸、林瑞玲、張春梅（2006）。門診病人接受化學治療之症狀困擾與處置經驗。榮總護理，23（4），364-373。
林嘉慧、林麗英、吳杼芸、林瑞玲、張春梅（2006）。門診病人接受化學治療之症狀困擾與處置經驗。榮總護理，23（4）。364-373。
林靜琪（1998）。化學治療引起口腔黏膜潰瘍之文獻探討。 護理雜誌， 45（2），79-84。
邱玉蟬（2015）。寫劇本或新聞？看熱鬧還是感同身受？女性癌症病人的新聞建構。傳播與社會學刊，（31），65-94。https://doi.org/10.30180/CS.201501_（31）.0005
邱冠斌、黃小波（2011）。臺灣女性社會角色變遷對親子教育影響之研究。中華行政學報，（8），131-155。https://doi.org/10.6712/JCPA.201106_（8）.0007
邱意云、吳婷婷、湯詠卉（2015）。照護一位行婦科減癌手術婦女之護理經驗。榮總護理，32（1），31-38。https://doi.org/10.6142/VGHN.32.1.31
柯薰貴、鍾信心、許淑蓮、張永源（2002）。乳房腫瘤婦女術前不確定感。調適策略及其相關性之探討。長庚護理，13（1），32-42。
洪惠芬、廖美蓮、謝玉玲（2012）。照顧任務分配的公平性：對台灣社會照顧體制的初步檢視。社會發展研究學刊，（11），33-70。
洪維禧（2020）。癌症個案的復原力及其相關因素探討。﹝碩士論文。中臺科技大學﹞臺灣博碩士論文知識加值系統。 https://hdl.handle.net/11296/twwzk5。
胡幼慧（1991）。性別,社會角色與憂鬱症狀.。婦女與兩性學刊（台灣），（2）。
胡悅倫（1998）。社會支持，作業難度對兒童壓力下生理反應之影響。國家科學委員會研究彙刊：人文及社會科學，8（2），195-225。
張秀如、余玉眉（2007）。身體觀點-體現與身體心像。護理雜誌，54（3），77-81.
張秀如、余玉眉（2007）。身體觀點-體現與身體心像。護理雜誌，54（3），77-81。
張晉芬，2013，《勞動社會學》，台北：政大出版社。
張菊惠（1998）。月經之女性主義論述。婦女與兩性研究通訊，(48)，21-25。https://doi.org/10.6256/FWGS.1998.48.21
張鳳玲、許帆媗、李相頤、洪麗琴（2022）。一位卵巢癌病人術後身心衝擊之照護經驗。領導護理，23（3），119-133。
張燕後（2018）。卵巢癌治療的現況與未來展望。臨床醫學月刊，82（4），605-607。
張瓈方、張乃文、王桂芸（2010）。身體心像紊亂之概念分析。長庚護理，21(1)，25-32。https://doi.org/10.6386/CGN.201003_21(1).0003
莊其穆（2015）。卵巢癌遠端轉移的擴散型態。婦癌醫學期刊，（41），31-34。
許正眉、李雅文（2006）。一位卵巢癌末期病患之護理經驗。長庚護理, 17（2）, 216-223。
許雅惠（2018）。乳癌病人接受化學治療後手足症候群症狀困擾、身體心像及健康相關生活品質探討。﹝碩士論文。長庚科技大學﹞臺灣博碩士論文知識加值系統。 https://hdl.handle.net/11296/mam7k3
郭素真、葉淑娥、陳淑芬、鄭涵文、謝佑珊（2011）。婦癌病人參與支持團體分享之經驗。榮總護理, 28（2）, 139-147。
陳美碧, 謝麗鳳, 李宜恬, & 劉淑言. （2015）. 癌症病人音樂/認知治療與情緒支持改善其困擾之先驅性研究. 榮總護理, 32（2）, 166-177.
陳偉君、李德芬（2021）。已婚職業婦女工作壓力，角色衝突與健康狀態及其相關因素之研究。台灣醫學，25（2），169-179。
陳嘉琦、鍾聿琳（2008）。子宮頸癌婦女之性諮商， 2（1），17-22。
彭心怡（2017）。乳癌術後重建手術對患者身體心像與性生活滿意度之影響。﹝碩士論文。國立臺灣師範大學﹞臺灣博碩士論文知識加值系統。 https://hdl.handle.net/11296/r47efe。
曾秀芬、劉千禎、林佩儀（2018）。一位初次診斷卵巢癌青少女接受化學治療之門診照護經驗。澄清醫護管理雜誌，14（4），53-61。https://www.airitilibrary.com/Article/Detail?DocID=18136702-201810-201810020036-201810020036-53-61
童伊迪（2013）。醫療社會工作於腫瘤治療病患的處遇與發展。社區發展季刊，141，477-488。
黃采薇、劉波兒、袁光霞、張正雄、賴俊宏（2002）。癌症病患持續化學治療之相關因素探討。弘光學報，（40），7-16。
黃婉婷、古雪貞（2008）。照顧一位罹患卵巢癌病人之護理經驗。馬偕護理雜誌，2（1），81-91。https://doi.org/10.29415/JMKN.200801_2（1）.0008
楊雪婷、謝馥矯、魏雅雯、王乙茜（2021）。一位未婚女性罹患卵巢癌之照護經驗。領導護理，22（2），80-95。
葉家彤（2017）。癌症存活者身心調適歷程之探究 ─以三位已婚職業婦女罹癌經驗為例。﹝碩士論文。國立高雄師範大學﹞臺灣博碩士論文知識加值系統。 https://hdl.handle.net/11296/s39sz8。
熊誼芳、蔡秀鸞、王怡人、李英芬（2016）。癌症病人害怕疾病進展之因素。評估與照護。腫瘤護理雜誌, 16, 43-56。
劉瑋琳（2014）。女性頭頸癌病人的疾病衝擊及感受汙名化程度之現況探討。﹝碩士論文。國立臺灣大學﹞臺灣博碩士論文知識加值系統。 https://hdl.handle.net/11296/43mmng。
劉瑞靈、丘周萍（2002）。協助一位接受乳癌切除手術婦女心理衝擊之護理經驗。護理雜誌，49（5），96-102。
蔡岱蓉（2013）。宗教信仰對癌症病人健康影響之初探。﹝碩士論文。國立臺北護理健康大學﹞臺灣博碩士論文知識加值系統。 https://hdl.handle.net/11296/76e4wg。
蔡岱蓉（2013）。宗教信仰對癌症病人健康影響之初探。﹝碩士論文。國立臺北護理健康大學﹞臺灣博碩士論文知識加值系統。https://hdl.handle.net/11296/76e4wg。
蔡慶泉（2013）。癌症倖存者疾病適應歷程中正向心理之探討。﹝碩士論文。國立暨南國際大學﹞臺灣博碩士論文知識加值系統。 https://hdl.handle.net/11296/wu8ex2。
鄭育眞、黃雅儀（2010）。一位卵巢癌復發病患經歷手術治療後之護理經驗。長庚護理，21（2）。256-264。
蕭聖謀（2020）。腹腔內化療提高卵巢癌末期患者存活時間，降低死亡危險機率。健康世界，523，38-39。