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題名：乳癌手術後婦女症狀困擾與因應策略之相關性探討
書刊名：護理雜誌
作者：陳美芳／馬鳳歧
作者(外文)：Chen, Mei-fang／Ma, Fung-chi
出版日期：2004
卷期：51:4
頁次：頁37-44
主題關鍵詞：乳癌；乳房切除術；症狀困擾；因應策略；Breast cancer；Mastectomy；Symptom distresses；Coping strategies
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(7) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:7
  • 共同引用共同引用:5
  • 點閱點閱:45
　　　　　本研究係針對臺北市二所醫學中心130位乳癌婦女，以結構式問卷調查其手術後二年內的症狀困擾與因應策略之相關性。研究工具包括身體症狀量表、情緒困擾量表、社會功能困擾量表、因應策略量表及基本資料表，共五部份。使用的統計方法包括描述性統計、t 檢定、單因子變異數分析與事後雪費氏檢定及皮爾遜積差相關等方法，研究結果顯示乳癌手術後婦女所面臨的身體、心理、社會困擾，其困擾程度均介於無至輕度障礙之間且三者間呈顯著正相關。乳癌手術後婦女面對症狀困擾時，病患大多採取問題取向的因應策略，愈採取問題取向因應策略，乳癌婦女所經驗之身體、心理、社會困擾愈少。本研究結果可提供專業人員更多照護訊息，發展適合的護理措施，提供有效的因應策略，以協助病患解決身心社會困擾，提昇病患的生活品質。
　　　　　The purpose of this descriptive cross-sectional survey was to understand the correlation between symptom distresses and coping strategies in female victims of breast cancer with in two years of their undergoing a mastectomy. The instruments used in this study were the Physical Symptoms Scale, short form of Profile of Mood states (POMS-SF), Social Function Distress Questionnaire, Jalowiec Coping scale (JCS), and demographic data. The data were analyzed by descriptive statistic, t-test, one-way ANOVA, post Scheffe test and Pearson product-moment correlation. The essential results are summarized as follows. Degrees of biopsychosocial distresses varied from none to mild. Physical symptom distress, psychological distress, and social function distress were positively correlated. When patients were confronted with symptom distresses, they tended to adopt problem-focused coping strategies. The more problem-focused coping strategies, they used the less symptom distresses they experienced. The results of this study could be used to help to develop nursing interventions and efficient coping strategies. Patient may then be able to use the latter to solve symptom distresses and enhance their quality of life.
期刊論文
1.陳惠美(1999)。乳癌術後婦女心社會調適之探討 ：以羅氏適應模式為基礎。護理研究，7(4)，321-332。new window  延伸查詢new window
2.蔡宜樺、楊銘欽、季瑋珠(1998)。乳癌確診後之初期罹病成本與相關因子之探討--以台大醫院病患為例。中華衛誌，17(3)，242-251。new window  延伸查詢new window
3.Ben-Zur, H.、Gilbar, O.、Lev, S.(2001)。Coping with breast cancer: Patient, spouse, and dyad models。Psychosomatic Medicine，63(1)，32-39。  new window
4.Carter, B. J.(1997)。Women's experiences of lymphedema。Oncology Nursing Forum，24(5)，875-882。  new window
5.Freidenbergs, I.、Freidenbergs, I.、Gordon, W.、Hibbard, M. R.、Diller, L. W.、Hibbard, M. R.(1980)。Assessment and treatment of psychosocial problems of the cancer patient: A case study。Cancer Nursing，3(2)，111-119。  new window
6.Fu, M. R.、LeMone, P.、McDaniel, R. W.(2004)。An integrated approach to an analysis of symptom management in patients with cancer。Oncology Nursing Forum，31(1)，65-70。  new window
7.Heim, E.、Valach, L.、Schaffner, L.(1997)。Coping and psychosocial adaptation: Longitudinal effects over time and stages in breast cancer。Psychosomatic Medicine，59(4)，408-418。  new window
8.Hughes, K. K.(1993)。Psychosocial and functional status of breast cancer patients。Cancer Nursing，16(3)，222-229。  new window
9.Jean, L.(1997)。Health visitor support for patients with breast cancer。Nursing Standard，11(35)，33-38。  new window
10.McCorkle, R.、Young, K.(1978)。Development of a symptom distress scale。Cancer Nursing，1(1)，373-378。  new window
11.Nelson, J. P.(1996)。Struggling to gain meaning: living with the uncertainty of breast cancer。Advance Nursing Science，18(3)，59-76。  new window
12.Nezu, C. M.、Nezu, A. M.、Friedman, S. H.、Houts, P. S.、DelliCarpini, L. A.、Bildner, C.、Faddis, S.(1999)。Cancer and psychological distress: Two investigations regarding the role of social problem-solving。Journal of Psychosocial Oncology，16(3)，27-40。  new window
13.Polinsky, M. L.(1994)。Functional status of long-term breast cancer survivors: Demonstrating chronicity。Health & Social Work，19(3)，165-173。  new window
14.Price, J.、Purtell, J. R.(1997)。Prevention and treatment of lymphedema after breast cancer。American Journal of Nursing，97(9)，34-37。  new window
15.Schover, L. R.、Yetman, R. J.、Tuason, L. J.、Meisler, E.、Esselstyn, C. B.、Hermann, R. E.、Grundfest-Broniatowski, S.、Dowden, R. V.(1995)。Partial mastectomy and breast reconstruction。Cancer，75(1)，54-64。  new window
16.Schreier, A. M.、Williams, S. A.(2004)。Anxiety and quality of life of women who receive radiation or chemotherapy for breast cancer。Oncology Nursing Forum，31(1)，127-130。  new window
17.Tishelman, C.、Taube, A.、Sachs, L.(1991)。Self-reported symptom distress in cancer patients: Reflections of disease, illness or sickness?。Social Science & Medicine，33(11)，1229-1240。  new window
18.Trief, P. M.、Donohue-Smith, M.(1996)。Counseling needs of women with breast cancer: What the women tell us。Journal of Psychosocial Nursing，34(5)，24-29。  new window
19.Pasacreta, J. V.(1997)。Depressive phenomena, physical symptom distress, and functional status among women with breast cancer。Nursing Research，46(4)，214-221。  new window
20.Shacham, S.(1983)。A shortened version of the profile of mood states。Journal of Personality Assessment，47(3)，305-306。  new window
21.Jalowiec, A.、Murphy, S. P.、Powers, M. J.(1984)。Psychometric assessment of the Jalowiec coping scale。Nursing Research，33(3)，157-161。  new window
學位論文
1.王楚君(2003)。乳房手術患者術後兩週內之症狀困擾、身體心像、生活品質之探討(碩士論文)。臺北醫學大學。  延伸查詢new window
2.丘周萍(1987)。接受血液透析治療患者的壓力知覺、社會心理適應及其相關因素之探討(碩士論文)。國防醫學院。  延伸查詢new window
3.李靜雯(2002)。乳癌病患手術後一個月之症狀困擾和情緒狀態之改變及其相關性(碩士論文)。台北醫學院。  延伸查詢new window
4.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
5.楊文琪(1996)。接受化學治療之血液腫瘤病患其身心社會困擾與自我照顧、社會支持的相關性探討(碩士論文)。國立陽明大學。  延伸查詢new window
6.郭婷婷(2000)。非小細胞肺癌患者症狀困擾與因應策略之相關性探討(碩士論文)。國立陽明大學。  延伸查詢new window
圖書
1.張金堅(1998)。乳房的美麗與哀愁：乳房保養與疾病。台北：台視文化。  延伸查詢new window
2.McDowell, I.、Newell, C.(1987)。Measuring health: A guide to rating scales and questionnaires。New York：Oxford University Press。  new window
3.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
其他
1.童寶玲(2002)。乳癌東西方有異，http://minho.show.org.tw/gs/乳癌東西方有異.htm。  延伸查詢new window
圖書論文
1.Rowland, J. H.、Massie, M. J.(1998)。Breast Cancer。Psycho-Oncology。New York：Oxford University Press。  new window
 
 
 
 
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