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題名：大腸癌病人決定接受標靶治療之決策過程
書刊名：護理暨健康照護研究
作者：姚遠賢／黃玉苹 引用關係／楊政議 引用關係／王守玉 引用關係
作者(外文)：Yao, Yuan-hsien／Huang, Yu-ping／Yang, Cheng-i／Wang, Shou-yu
出版日期：2013
卷期：9:4
頁次：頁311-319
主題關鍵詞：大腸癌；標靶治療；決策過程；質性研究；紮根理論分析；Colorectal cancer；Targeted therapy；Decision-making process；Qualitative research；Grounded theory analysis
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(1) 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:1
  • 共同引用共同引用:31
  • 點閱點閱:49
背景：近年來大腸癌的病人數持續的上升，而標靶藥物在癌症治療過程中被認為能有效延長病人存活時間，目前對於標靶治療的研究多傾向探討其成效及副作用等，然對於大腸癌病人決定接受標靶治療之決策過程相關研究卻付之闕如。 目的：探討大腸癌病人在決定接受標靶治療之決策過程。 方法：採質性研究深入訪談方式，資料收集先以立意取樣，後採理論取樣(theoretical sampling)及紮根理論分析的技巧，深入訪談9位曾接受過標靶治療的大腸癌病人。 結果：研究發現，大腸癌病人在決定接受標靶治療之重大決策過程共包含三個範疇：「治療的動機」、「資訊的收集」及「改善病後生活品質」；而核心範疇為「把握當下，希望未來」。 結論/實務應用：本研究結果可供臨床護理人員進一步了解大腸癌病人於罹癌時行標靶治療決策的過程，藉此同理病人感受並適時提供病人所需的幫助。
Background: Numbers of colorectal cancer patients have continued to rise in recent years. Targeted therapy is an approach that has proven effective in prolonging the life of colorectal cancer patients. Research related to targeted therapy has focused primarily on therapy effectiveness and side effects. No research has yet investigated the decision-making process used by colorectal cancer patients to accept targeted therapy. Purpose: This study explores the decision-making process used by colorectal cancer patients to accept targeted therapy treatment. Methods: This study used a qualitative research method. Purposive sampling, theoretical sampling, and grounded theory data analysis were used in the data collection and analysis process. A total of 9 colorectal-cancer-patient recipients of targeted therapy participated in in-depth interviews. Results: The decision-making process used by participants to accept targeted therapy may be subdivided into the 3 main categories of motives of treatment, searching for information, and improving life quality. The core category is: “seize the moment and look forward to the future”. Conclusions / Implications for Practice: Study results provide important new information to clinical nurses about the patient decision-making process with regard to target therapy. Nurses may apply this information to focus on the feelings of patients and offer timely, appropriate patient-centered assistance.
期刊論文
1.姚遠賢、謝東呈、蘇淑芬、王守玉(20111200)。現今大腸癌之治療趨勢。弘光學報，65，72-92。new window  延伸查詢new window
2.張玉如、陳素根、鄧慶華(20080600)。一位肝癌末期個案之護理經驗。腫瘤護理雜誌，8(1)，79-90。  延伸查詢new window
3.葉怡柔、林水木、許峯旗、林逸祥、簡素玉(2009)。大腸直腸癌之藥物治療。藥學雜誌，101，93-95。  延伸查詢new window
4.楊政議、李麗紅、曾雯琦(20081000)。質性研究與實證主義的關係。護理雜誌，55(5)，64-68。new window  延伸查詢new window
5.Banning, M.(2008)。Clinical reasoning and its application to nursing: Concepts and research studies。Nurse Educationin Practice，8(3)，177-183。  new window
6.Carey, M、Anderson, A、Sanson-Fisher, R.、Lynagh, M.、Paul, C.、Tzelepis, F.(2012)。How well are we meeting haematological cancer survivors’ preferences for involvement in treatment decision making。Patient Education and Counseling，88(1)，87-92。  new window
7.Charmaz, K.(2004)。Premises, principles, and practices in qualitative research: Revisiting the foundations。Qualitative Health Research，14(7)，976-993。  new window
8.Chewning, B.、Bylund, C. L.、Shah, B.、Arora, N. K.、Gueguen, J. A.、Makoul, G.(2012)。Patient preferences for shared decisions: A systematic review。Patient Education and Counseling，86(1)，9-18。  new window
9.Fraenkel,L.、McGraw, S.(2007)。What are the essential elements to enable patient participation in medical decision making?。Journal of General Internal Medicine,，22(5)，614-619。  new window
10.Hack, T. F.、Degner, L. F、Watson, P、Sinha, L.(2006)。Do patients benefit from participating in medical decision making? Longitudinal follow-up of women with breast cancer。Psycho-Oncology，15(1)，9-19。  new window
11.Hibbard, J. H.、Stockard, J.、Mahoney, E. R.、Tusler, M.(2004)。Development of the patient activation measure(PAM): Conceptualizing and measuring activation in patients and consumers。Health Services Research，39(4, Pt.1)，1005-1026。  new window
12.Hibbard, J. H.、Mahoney, E. R.、Stockard, J.、Tusler, M.(2005)。Development and testing of a short form of the patient activation measure。Health Services Research，40(6, Pt. 1)，1918-1930。  new window
13.Jemal, A. D. V. M.、Bray, F.、Center, M. M.、Ferlay, J.、Ward, E.、Forman, D.(2011)。Global cancer statistics。CA: A Cancer Journal for Clinicians，61(2)，69-90。  new window
14.Kerssens, J. J、Groenewegen, P. P、Sixma, H. J.、Boerma, W. G.W、van der Eijk, I.(2004)。Comparison of patient evaluations of health care quality in relation to WHO measures of achievement in 12 European countries。Bull World Health Organ，82(2)，106-114。  new window
15.Lam, W.、Fielding, R.、Chan, M.、Chow, L.、Ho, E.(2003)。Participation and satisfaction with surgical treatment decision-making in breast cancer among Chinese women.。Breast Cancer Research Treatment，80(2)，171-180。  new window
16.McCann, T. V.、Clark, E.(2004)。Grounded theory in nursing research: Part 1--methodology。Nurse Researcher，11(2)，7-18。  new window
17.Say, R., Murtagh, M.Thomson, R.(2006)。Patient's€™ preference for involvement in medical decision making: A narrative review。Patient Education and Counseling，60(2)，102-114。  new window
18.Schonberg, M. A、Marcantonio, E. R、Hamel, M. B.(2009)。Perceptions of physician recommendations for joint replacement surgery in older patients with severe hip or knee osteoarthritis。Journal of the American Geriatrics Society，57(1)，10-1111。  new window
19.Siminoff, L. A.、Dorflinger, L.、Agyemang, A.、Baker, S.、Wilson-Genderson, M.(2012)。Oncologists assessments of lung cancer patient and family disagreements regarding treatment decision making。Lung Cancer，77(1)，212-216。  new window
20.Taylor, E. J、Outlaw, F. H(2002)。Use of prayer among person with cancer.。Holistic Nursing Practice，16(3)，46-60。  new window
21.Yeh, C. J.、Inman, A. G.(2007)。Qualitative data analysis and interpretation in counseling psychology: Strategies for best practices. The Counseling Psychol: Strategies for best practicesogist。The Counseling Psychologis，35(3)，369-403。  new window
22.羅湘云(20080700)。探討一位肺癌末期患者初次接受化學治療之護理經驗。澄清醫護管理雜誌，4(3)，40-46。  延伸查詢new window
23.廖慧娟、楊喬茵、顧雅利、蕭雅莉、江明珠(20050900)。肝癌病患不確定感之相關因素探討。長庚護理，16(3)=51，252-263。new window  延伸查詢new window
24.Charmaz, K.(1990)。Discovering chronic illness: Using Grounded theory。Social Science and Medicine，30(11)，1161-1172。  new window
25.王守玉、Windsor, Carol、Yates, Patsy(20120200)。簡介紮根理論研究法。護理雜誌，59(1)，91-95。new window  延伸查詢new window
26.Clarke, A. E.(2003)。Situational analyses: Grounded theory mapping after the postmodern turn。Symbolic Interaction，26(4)，553-567。  new window
27.Kremer, H.、Ironson, G.、Schneiderman, N.、Hautzinger, M.(2007)。"It's my body": Does patient involvement in decision making reduce decisional conflict?。Medical Decision Making，27(5)，522-532。  new window
28.張淑娟、陳淑雯、陳淑貞、陳筱瑀、楊勝舜(2007)。慢性C型肝炎患者接受干擾素合併Ribavirin治療的決策過程。長庚護理，18（1），21－31。new window  延伸查詢new window
學位論文
1.陳錫秉(2008)。APC、MGMT及APC相關分子變異與國人大腸癌發生及預後之關係(博士論文)。慈濟大學。  延伸查詢new window
2.趙玉環(2010)。探討成人癌症病患接受放射線治療期間之適應過程(碩士論文)。弘光科技大學。  延伸查詢new window
圖書
1.胡文郁、陳慶餘、陳月枝、釋惠敏、邱泰源、李開敏、鈕則誠(2005)。臨終關懷與實務。臺北：國立空大。  延伸查詢new window
2.Lincoln, Yvonna S.、Guba, Egon G.(1985)。Naturalistic Inquiry。Sage。  new window
3.Strauss, Anselm L.、Corbin, Juliet M.(1990)。Basics of qualitative research: Grounded theory procedure and techniques。Sage。  new window
4.Corbin, Juliet M.、Strauss, Anselm(2008)。Basics of qualitative research: Technique and procedures for developing grounded theory。Sage。  new window
其他
1.國民健康署(20131029)。中華民國99年癌症登記報告，http://www.hpa.gov.tw/BHPNet/Web/Stat/StatisticsShow.aspx?No=201305060001。  延伸查詢new window
2.World Health Organization.(2013)。Cancer mortality and morbidity，http://www.who.int/gho/ncd/mortality_morbidity/cancer/en/index.html。  new window
 
 
 
 
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