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題名:支持性團體對子宮頸癌婦女處遇成效之研究
書刊名:臺灣社會工作學刊
作者:陳秀美張宏哲 引用關係
作者(外文):Chen, Hsiu-meiChang, Hong Jer
出版日期:2004
卷期:1
頁次:頁109-146
主題關鍵詞:子宮頸癌支持性團體疾病不確定感情緒困擾焦慮憂鬱團體歷程Cervical cancerSupport groupUncertainty of illnessEmotional disturbanceAnxietyDepressionGroup process
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 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:2
  • 共同引用共同引用:19
  • 點閱點閱:22
社會工作常將團體工作方法運用於病友輔導,但以研究角度評估團體處遇是否有效,卻相當缺乏。研究者多年在醫務社會工作領域裡深刻體會,處遇技巧的評估與研究將有助於專業能力的提昇,所以本研究嘗試採用多元方法研究:量化與質化並行模式。研究者結合統計取向與臨床取向的研究角度,分別由量性研究觀點,探討子宮頸癌婦女接受支持性團體介入方案的成效,以及採用質性研究觀點,了解團體歷程所帶給團體成員的影響力。 研究結果結論如下:(1)支持性團體對子宮頸癌婦女「疾病不確定威」、「焦慮程度」方面,在統計評量上有顯著性的改善,但在「憂鬱程度」方面,並無顯著性的改善效果(接近顯著性,P=0.067)。質性資料反映出改善效果屬於起伏型類型者,在疾病壓力因應技巧上較以問題導向行為因應。(2)團體成員對團體的滿意面向,以經驗分享、情緒表露、資訊獲得、社會性支持居多。團體幫助性因素較偏向情緒及壓力調適。(3)本研究屬於小團體,所以統計考驗要達顯著性必須前測與復測分數差距很大,才能達顯著性,而本研究的結果多達顯著性,因此更凸顯支持性團體之效果。
Support group is often used in counseling in clinical social work. However, rare research evidence sustains effects from group therapy. Assessment of intervention skills and research are strongly believed to be helpful for promotion of professional ability. As a result, Multiple-mode research is used in this study; quantitative and qualitative approaches are implemented simultaneously. From quantitative approach, outcomes are explored which are revealed by women with cervical cancer involving in support group. From qualitative research, group process is analyzed to comprehend effects to group members. Results: (1) Uncertainty of illness and levels of anxiety show there is significant improvement by group therapy, however, effects does not present any significance in levels of depression (p=0.067). As can be seen from qualitative evidence, there is a tendency to behave problem-orientated to cope with stress from diseases. (2) Sharing experience, disclosure of emotion, gain of information and social support are main factors revealed by members to group. Adjustment on emotion and stress are mostly ones obtained from group support. (3) This study is based on small group. In order to reach significant difference, ranges in scores between pre-test and post-test should be large. Effects from support group are accentuated by significance in results in this study.
期刊論文
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2.潘正德(19930700)。小團體輔導之研究理論--測量方法的選擇。學生輔導通訊,27,72-77。  延伸查詢new window
3.Siegel, K.(1990)。Psychosocial oncology research。Soc Work Health Care,15(1),21-43。  new window
4.許淑蓮(1995)。Mishel疾病不確定量表之中文版測試。護理研究,4(1),59-67。new window  延伸查詢new window
5.閻家慧(1986)。乳癌患者與自助團體之工作評估。醫務社會工作協會年刊,57-65。  延伸查詢new window
6.潘正德(19921200)。小團體輔導的研究理論--研究撰寫之考量。輔導月刊,28(11/12),34-38。  延伸查詢new window
7.Arnold, E. M.(1999)。The Cessation of Cancer Treatment as a Crisis。Social Work in Health Care,29(2),21-37。  new window
8.Bunston, T.、Mings, D.(1998)。Planning Psychosocial Care for Cancer Patients : If at First You Do not Succeed, Shift Your Paradigm。Social Work in Health Care,27(1),67-87。  new window
9.Cain, E. N.、Kohom, E. I.、Quinlan, D. M.(1986)。Psychosocial Benefits of a Cancer Support Group。Cancer,57(1),183-189。  new window
10.Christman, N. J.(1990)。Uncertainty and Adjustment During Radiotherapy。Nurse Research,39(1),17-21。  new window
11.Fawzy, E. I.、Cousins, N. W.、Kemeny, M. F.(1990)。A Structured Psychiatric Intervention for Cancer Patients: Changes Over Time in Methods of Coping and Affective Disturbance。Archives of General Psychiatry,47,720-725。  new window
12.Fawzy, E. I.、Cousins, N. W.、Kemeny, M. F.(1990)。A structured psychiatric intervention for cancer patients. II. Changes over time in immunological measures。Archives of General Psychiatry,47(8),729-735。  new window
13.Ferlic, M.、Goldman, A.、Kenedy, B.(1979)。Group Counseling in Adult Patients with Advanced Cancer。Cancer,43,760-766。  new window
14.Gottschal, L. A.(1984)。Measurement of Mood and Affect in Cancer Patients。Cancer,53,2236-2241。  new window
15.Gurowka, K. J.、Lightman, E. S.(1995)。Supportive and Unsupportive Interaction as Perceived by Cancer Patients。Social Work in Health Care,21(4),71-89。  new window
16.Heinrich, R. L.、Schag, C. C.(1985)。Stress and Activity Management: Group Treatment for Cancer Patient and Spouses。Journal of Consulting and Clinical Psychology,53(4),439-446。  new window
17.Morgenstem, H.、Gellert, G. A.、Walter, S. D.、Ostfeld, A. M.、Siegel, B. S.(1984)。The Impact of a Psychosocial Support Program on Survival with Breast Cancer: the Importance of Selection Bias in Program Evaluation。Journal of Chronic Disease,37(4),273-282。  new window
18.Peck, A.、Boland, J.(1977)。Emotional reactions to radiation treatment。Cancer,40(1),180-184。  new window
19.Sormanti, M.、Kayser, K.、Strainchamps, E.(1997)。A Relational Perspective of Women Coping with Cancer: A Preliminary Study。Social Work in Health Care,25,89-106。  new window
20.Taylor, R. L.、Lam, D. J.、Roppel, C. E.、Barter, J. T.(1984)。Friends Can Be Good Medicine: Excursion into Mental Health Promotion。Community Mental Health Journal,20,294-303。  new window
21.Tech, C. F.、Telch, M. J.(1986)。Group Coping Skills Instruction and Supportive Group Therapy for Cancer Patient: A Comparison of Strategies。Journal of Consulting and Clinical Psychology,54(6),802-808。  new window
22.Trusburg, R. W.、Van Knippenberg, F. C. E.、Rupma, S. E.(1992)。Effects of Psychological Treatment on Cancer Patients: A Critical Review。Psychosomatic Medicine,54,489-517。  new window
23.Worden, J. W.、Weisman, A. D.(1984)。Preventive Psychosocial Intervention with Newly Diagnosed Cancer Patients。General Hospital Psychiarty,6(4),243-249。  new window
24.Schiff, M.、Bargal, D.(2000)。Helping Characteristics of Self-help and Support Groups。Group Research,31(3),275-305。  new window
25.Baum, Andrew(1990)。Stress, intrusive imagery, and chronic distress。Health Psychology,9(6),653-675。  new window
26.方紫薇(19910100)。團體評估與團體研究。諮商與輔導,61,27-32。  延伸查詢new window
27.方紫薇(19901200)。團體評估與團體研究。諮商與輔導,60,25-30。  延伸查詢new window
28.Mishel, M. H.、Braden, C. J.(1988)。Finding meaning: Antecedents of uncertainty in illness。Nursing Research,37(2),98-103+127。  new window
29.秦燕(20001000)。乳癌病患參與自助團體的意願及滿意度之研究。中華醫務社會工作學刊,8,75-95。  延伸查詢new window
30.Spiegel, D.、Bloom, J. R.、Yalom, I.(1981)。Group Support for Patients with Metastatic Cancer: A Randomized Prospective Outcome Study。Archives of General Psychiatry,38(5),527-533。  new window
研究報告
1.行政院衛生署(1995)。台灣地區癌症資訊統計資料。台北:行政院衛生署。  延伸查詢new window
2.行政院衛生署(1997)。台灣地區癌症資訊統計資料。台北:行政院衛生署。  延伸查詢new window
學位論文
1.黃俐婷(1998)。女性乳癌患者之內外控歸因、因應方式與適應結果相關性研究(碩士論文)。東海大學。  延伸查詢new window
2.陳佩英(1999)。疼痛對癌症病患焦慮與憂鬱之影響(碩士論文)。長庚大學。  延伸查詢new window
圖書
1.林萬億(1991)。團體工作。台北:三民書局。  延伸查詢new window
2.許臨高(2000)。團體工作實務。台北:雙葉書廊有限公司。  延伸查詢new window
3.張春興(1989)。社會及行為科學研究法。台北:東華書局。  延伸查詢new window
4.蔡中理(1998)。團體診療歷程與實務。台北:五南書局。  延伸查詢new window
5.蕭仁釗(1997)。健康心理學。台北縣:桂冠。  延伸查詢new window
6.Bloom, M.、Fischer, J.、Orme, J. G.(1995)。Evaluating Practice Guidelines for the Accountable Professional。New Jersy:Prentice Hall。  new window
7.Lazarus, R. S.(1966)。Psychological Stress and the Coping Press。New York, N.Y.:McGrawuHill Book Co.。  new window
8.Russell, M. L.(1988)。Stress Management for Chronic Disease。New York:Pergamon Press。  new window
9.Padgett, Deborah K.、王金永、張英陣(2000)。質化研究與社會工作。臺北:洪葉文化出版社。  延伸查詢new window
10.Kurtz, Linda Farris(1997)。Self-Help and Support Groups: A Handbook for Practitioners。Sage。  new window
11.Yalom, Irvin D.(1995)。The theory and practice of group psychotherapy。Basic Books。  new window
12.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
圖書論文
1.Justice, B.(1988)。Stress, Coping, and Health Outcome。Stress Management for Chronic Disease。New York:Pergamon Press。  new window
2.Perkins, D. V.、Lafuze, J. E.、Van Dusen, C.(1995)。Social Climate Correlates of Effectiveness in Alliance for Mentally Ill Group。Self-help and Mutual Aid Groups: International and Multicultural Perspectives。New York:Haworth。  new window
 
 
 
 
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