:::

詳目顯示

回上一頁
題名:新診斷之癌症患童父母之調適過程
書刊名:長庚護理
作者:蔣宜倩 引用關係葉昭幸
作者(外文):Chiang, I-chenYeh, Chao-hsing
出版日期:2001
卷期:12:3=35
頁次:頁177-188
主題關鍵詞:癌症病童父母調適過程Cancer childParentsAdaptation process
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:8
  • 點閱點閱:25
     本研究主要目的是探討5位癌症病童父母(4位母親與1位父親)在面臨孩童罹患癌症時其心理反應及相關的調適過程。以質性研究方法進行研究,資料收集與分析採並行之方式,並採用Miles & Huberman (1994) 所提之資料分析方法加以整理及分析。研究結果顯示:父母親對孩童罹患癌症感受到的壓力為對孩童疾病狀況、醫療與癒後的不確定感,而父母親除了以哭泣與言語表達出其心中的苦水外,也會以身體症狀來表達壓力,並感受到因孩童疾病關係所導致的生活與工作改變、經濟負擔與忽略健康手足等影響。面對此壓力狀況父母親會使用不同的調適策略以因應孩童疾病之壓力,包括主動尋求醫療相關資訊、尋求支持系統協助、樂觀面對╱逃避與尋求宗教支持的方式,然而調適過程中會受影響因素影響,包括父母親對孩童疾病的認知、孩童疾病嚴重度與性別及人格特質。藉由此研究預先了解癌症患童父母所感受之壓力與反應,適時予以協助,提升護理品質。
     The purpose of this study is to explore the psychosocial responses and adaptation process in four mothers and one father who had children with cancer. Based on a qualitative study design, data collection and data analysis proceeded simultaneously. The within and between case analysis suggested by Miles and Huberman was used for data analysis. Results showed that parents perceived stressors from uncertainty of the child's illness, treatment outcome, and progress of disease. Futhermore, in addition to crying and verbal complaints, parents reported psychophysical complaints (such as insomnia, dysmenorrhea, and physical discomfort). They also experienced effects related to changes in their daily life routines, jobs, financial burden, and sibling and health care. Moreover, parents used different strategies to cope with stress. They actively sought related medical information, sought different support systems, relied on religious support, or used avoidance. Factors affecting coping processes were perception of the child's illness, the severity of the child's illness, gender of child and personality of child. Findings suggest that, in order to improve quality of care, nurses need to better understand the stressors and responses of parents of sick children.
期刊論文
1.沈青青、顧小明(19980600)。住院癌症病童父母需要之先期研究。榮總護理,15(2),125-135。new window  延伸查詢new window
2.Yeh, C. H.、Tsai, J. L.、Li, W.、Chen, H. M.、Lee, S. C.、Yang, C. P.(2000)。Use of alternative therapy among pediatric oncology patients in Taiwan。Pediatric Hematology & Oncology,17(1),55-65。  new window
3.Leventhal-Belfer, L.、Bakker, A. M.、Russo, C. L.(1993)。Parents of childhood cancer survivors: A descriptive look at their concerns and needs。Journal of Psychosocial Oncology,11(2),19-41。  new window
4.Mishel, M. H.(1983)。Parent's perception of uncertainty concerning their hospitalized child。Nursing Research,32(6),324-330。  new window
5.中華民國兒童癌症基金會(2000)。歷年病童人數統計。中華民國兒童癌症基金會會訊,67,37。  延伸查詢new window
6.葉昭幸、蔡佳玲、林秋芬(19980600)。罹患急性白血病兒童父母決定中斷治療及再度接受治療之心理過程探討。長庚護理,9(2)=22,51-58。new window  延伸查詢new window
7.Baskin, C. H.、Forehand, R.、Saylor, C.(1985)。Predictors of psychological adjustment in mothers of children with cancer。Journal of Psychosocial Oncology,3(3),43-54。  new window
8.Cohen, M. H.(1995)。The triggers of heightened parental uncertainty in chronic, Life-Threatening childhood illness。Qualitative Health Research,5(1),63-77。  new window
9.Cohen, M. H.、Martison, I. M.(1988)。Chronic uncertainty: its effect on parental appraisal of a child's health。Journal of Pediatric Nursing,3(2),89-96。  new window
10.Dahlquist, L. M.、Czyzewski, D. I.、Jones, C. L.(1996)。Parents of children with cancer: a longitudinal study of emotional distress, coping style, and martial adjustment two and twenty month after diagnosis。Journal of Pediatric Psychology,21(4),541-554。  new window
11.Brown, Karin A.、Barbarin, Oscar A.(1996)。Gender differences in parenting a child with cancer。Social Work in Health Care,22(4),53-71。  new window
12.Enskar, K.、Carlsspn, M.、Golsater, M.、Hamrin, E.、Kreuger, A.(1997)。Life situation and problems as reported by children with cancer and their parents。Journal of Pediatric Oncology Nursing,14(1),18-26。  new window
13.Greenberg, H. S.、Meadows, A. T.(1991)。Psychosocial Impact of Cancer Survival on School-Age Children and Their Parents。Journal of Psychosocial Oncology,9(4),43-56。  new window
14.Grootenhuis, M. A.(1997)。Parents' emotional reaction related to different prospects for the survival of their children with cancer。Journal of Psychosocial Oncology,15(1),43-62。  new window
15.Grootenhuis, M. G.、Last, B. F.(1997)。Predictors of parental emotional adjustment to childhood cancer。Psycho-Oncology,6,115-128。  new window
16.Kersey, J. H.(1997)。Fifty Years of Studies of the Biology and Therapy of Childhood Leukemia。The Journal of the American Society of Hematology,90(11),4243-4251。  new window
17.Larson, L. S.、Wittrock, D. A.、Sandgren, A. K.(1994)。When a child is diagnosed with cancer: I. Sex differences in parental adjustment。Journal of Psychosocial Oncology,12(1/2),123-142。  new window
18.Leavitt, M.、Martinson, I. M.、Lin, C.、Armstrong, V.、Hornberger, L.、Zhang, J.、Han, X.(1999)。Common themes and ethnic differences in family caregiving the first year after diagnosis of childhood cancer。Journal of Pediatric Nursing,14(2),110-122。  new window
19.Martinson, I. M.、Lin-chiang, C. Y.、Armstrong, V.、Hornberger, L.、Zhang, J.、Han, X.(1999)。Comparison of Chinese and Caucasian families caregiving to children with cancer at home。Journal of Pediatric Nursing,14(2),99-109。  new window
20.Mishel, M. H.(1996)。Commentary Uncertainty and coping in father of children with cancer。Journal of Pediatric Oncology Nursing,13(2),89-90。  new window
21.Overholser, J. C.、Fritz, G. K.(1990)。The impact of childhood cancer on the family。Journal of Psychosocial Oncology,8(4),71-85。  new window
22.Tarr, J.、Pickler, R. H.(1999)。Becoming a cancer patient: a study of families of children with acute lymphocytic leukemia。Journal of Pediatric Oncology Nursing,16(1),44-50。  new window
23.Van Dongen-Melman, J. E. W. M.、Van Zuuren, F. J.、Verhulst, F. C.(1998)。Experiences of parents of childhood cancer survivors: a qualitative analysis。Patient Education and Counseling,34,185-200。  new window
24.Wills, B. S. H.(1999)。The experiences of Hong Kong Chinese parents of children with acute lymphocytic leukemia。Journal of Pediatric Nursing,14(4),231-238。  new window
25.Yates, P.(1999)。Family coping: Issues and challenges for cancer nursing。Cancer Nursing,22(1),63-71。  new window
26.Yeh, C. H.、Lee, T. T.、Chen, M. L.(2000)。Adaptational process of parents of pediatric oncology patients。Pediatric Hematology and Oncology,17,119-131。  new window
27.Yeh, C. H.、Lin, C. F.、Tsai, J. L.、Lai, Y. M.、Kuo, H. C.(1999)。Determinants of parental decisions on 'drop out' from cancer treatment for childhood cancer patients。Journal of Advanced Nursing,30(1),193-199。  new window
28.顏秋芳(19930300)。一位母親面臨女兒遽患白血病的情緒反應與適應行為。護理雜誌,40(1),49-54。new window  延伸查詢new window
29.Enskär, K.、Carlsson, M.、Golsäter, M.、Hamrin, E.、Kreuger, A.(1997)。Parental Reports of Changes and Challenges That Result From Parenting a Child With Cancer。Journal of Pediatric Oncology Nursing,14(3),156-163。  new window
30.Martinson, I. M.、Kim, F. S.、Yang, S. O.、Cho, Y. S.、Lee, J. S.、Lee, Y. H.(1995)。Impact of childhood cancer on Korean families。Journal of Pediatric Oncology Nursing,12(1),11-17。  new window
31.Martinson, I. M.、Liu-Chiang, C. Y.、Liang, Yi-Hau(1997)。Distress symptoms and support systems of Chinese parents of children with cancer。Cancer Nursing,20(2),94-99。  new window
32.Sterken, D. J.(1996)。Uncertainty and coping in fathers of children with cancer。Journal of Pediatric Oncology Nursing,13(2),81-88。  new window
圖書
1.陳月枝、蔡秉琴、李雅玲、袁大錦、孫明華、林錦英、廖珍娟、高碧霞、劉碧玉、章美英、馬哲玲、徐霜、陳紀雯、曾紀瑩、陳瑞美、吳美玲、張秉宜、林元淑、高玉玲、嚴靜芬(1998)。小兒科護理學。台北:華杏。  延伸查詢new window
2.Miles, Matthew B.、Huberman, A. Michael、Newman, G.(1994)。Qualitative data analysis: an expanded sourcebook。Sage Publications。  new window
3.Lincoln, Yvonna S.、Guba, Egon G.(1985)。Naturalistic Inquiry。Sage。  new window
4.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top