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題名:從多重理論模式綜觀乳癌倖存者過渡期照護之影響因素與介入策略
書刊名:護理雜誌
作者:趙玉環李姿儀許樹珍
作者(外文):Chao, Yu-huanLee, Tzu-iSheu, Shuh-jen
出版日期:2018
卷期:65:1
頁次:頁83-89
主題關鍵詞:乳癌倖存者過渡理論過渡期照護社會生態學模式優勢觀點Breast cancer survivorsTransition theoryTransitional careSocial-ecological modelStrengths perspective
原始連結:連回原系統網址new window
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  • 共同引用共同引用:4
  • 點閱點閱:32
乳癌疾病高度威脅婦女的存活,且治療所致的負面效應嚴重地降低婦女的生活品質與心理安適,過渡期之照護品質是影響乳癌婦女從患者過渡至倖存者階段的關鍵時刻。本文提出以社會生態學模式為主,參考Dr. Meleis過渡理論為架構,檢視影響乳癌倖存者過渡期之照護,探索的層面包括個人、人際、組織、社區及政策層級等因素。本文同時整合優勢觀點,依據各層級之優勢提出實徵性研究結果的可能介入措施,企圖契合本土社會文化之脈絡與臨床實務之運用,以提升國內乳癌婦女的整體性照護方針。醫療保健提供者應能識別判斷婦女立身所處之系統和過渡期中各層級的情境優勢和資源所在,並妥善發展可行的策略,以成功地協助乳癌婦女從罹病治療結束後安穩過渡到倖存者階段,以整體促進婦女生存期間的關照內涵與生活品質。
Breast cancer significantly threatens the life of women, while the adverse effects of cancer treatment degrade quality of life and psychological well-being. The quality of transitional care following the completion of treatment significantly affects the ability of breast cancer patients to transition successfully into survivorship. This paper introduces multiple theoretical perspectives and provides an overview of the tenets of each in order to identify the positions of breast cancer survivors and to highlight the factors and strategies that influence their transitional care. The theoretical perspectives that are introduced include the social-ecological model, transition theory, and the strengths perspective. In order to improve the holistic care of women with breast cancer, factors relevant to transition are categorized into the individual, interpersonal, organizational, community, and policy levels. Furthermore, empirical interventions, which are based on the respective advantages of the various levels of the social-ecological model, are proposed in order to conform to the sociocultural context and clinical practices. Healthcare providers should leverage the strengths and resources at each level to develop feasible strategies and to provide quality of care in order to assist breast cancer patients to transition successfully from treatment to survivorship and to holistically improve their subsequent quality of life and function.
期刊論文
1.Meleis, A. I.、Sawyer, L. M.、Im, E. O.、Hilfinger Messias, D. K.、Schumacher, K.(2000)。Experiencing transitions: An emerging middle-range theory。Advances in Nursing Science,23(1),12-28。  new window
2.Brunet, J.、Taran, S.、Burke, S.、Sabiston, C. M.(2013)。A qualitative exploration of barriers and motivators to physical activity participation in women treated for breast cancer。Disability and Rehabilitation,35(24),2038-2045。  new window
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4.廖玉貞、葉大成、李彩鳳、吳麗芬(20140600)。靈性懷舊對於改善乳癌婦女化療後生活滿意度及希望狀態之成效。護理暨健康照護研究,10(2),113-122。new window  延伸查詢new window
5.McLeroy, Kenneth R.、Bibeau, Daniel、Steckler, Allan、Glanz, Karen(1988)。An ecological perspective on health promotion programs。Health Education Quarterly,15(4),351-377。  new window
6.胡曉芳、李采娟、劉良智、吳建廷、王雅容(20131000)。探討走路方案於乳癌術後疲憊及運動耐受力之成效。護理雜誌,60(5),53-63。new window  延伸查詢new window
7.馮欣蓓、蕭妃秀、賴佑銘、曾雯琦(20131200)。以文化觀點探討乳癌病人醫療照護需求。領導護理,14(4),2-10。  延伸查詢new window
8.Fang, S. Y.、Chang, H. T.、Shu, B. C.(2015)。The moderating effect of perceived partner empathy on body image and depression among breast cancer survivors。Psycho-Oncology,24(12),1815-1822。  new window
9.Chow, S. L.、Ting, A. S.、Su, T. T.(2014)。Development of conceptual framework to understand factors associated with return to work among cancer survivors: A systematic review。Iranian Journal of Public Health,43(4),391-405。  new window
10.Ashing-Giwa, K.、Tapp, C.、Rosales, M.、Mcdowell, K.、Martin, V.、Santifer, R. H.、Mitchell, E.(2012)。Peer-based models of supportive care: The impact of peer support groups in African American breast cancer survivors。Oncology Nursing Forum,39(6),585-591。  new window
11.Im, E. O.(2011)。Transitions theory: A trajectory of theoretical development in nursing。Nursing Outlook,59(5),278-285。  new window
12.Hebdon, M.、Foli, K.、McComb, S.(2015)。Survivor in the cancer context: A concept analysis。Journal of Advanced Nursing,71(8),1774-1786。  new window
13.Garrett, K.、Okuyama, S.、Jones, W.、Barnes, D.、Tran, Z.、Spencer, L.、Marcus, A.(2013)。Bridging the transition from cancer patient to survivor: Pilot study results of the cancer survivor telephone education and personal support (C-STEPS) program。Patient Education and Counseling,92(2),266-272。  new window
14.Fenton, A.、Walsh, K.、Wong, S.、Cumming, T.(2015)。Using strengths-based approaches in early years practice and research。International Journal of Early Childhood,47(1),27-52。  new window
15.Fang, S. Y.、Lee, K. T.(2016)。"From patient to survivor": Women's experience with breast cancer after 5 years。Cancer Nursing,39(3),E40-E48。  new window
16.Kantsiper, M.、McDonald, E. L.、Geller, G.、Shockney, L.、Snyder, C.、Wolff, A. C.(2009)。Transitioning to breast cancer survivorship: Perspectives of patients, cancer specialists, and primary care providers。Journal of General Internal Medicine,24(2),459-466。  new window
17.Marshall, C. A.、Curran, M. A.、Koerner, S. S.、Weihs, K. L.、Hickman, A. C.、García, F. A.(2013)。Information and support for co-survivors during or after cancer treatment: Consideration of Un Abrazo Para la Familia as a model for family-focused intervention in cancer rehabilitation。Work,46(4),395-405。  new window
18.Lang, H. C.、Wu, S. L.(2012)。Lifetime costs of the top five cancers in Taiwan。The European Journal of Health Economics,13(3),347-353。  new window
19.Mollica, M.、Newman, S. D.(2014)。Breast cancer in African Americans from patient to survivor。Journal of Transcultural Nursing,25(4),334-340。  new window
20.Mueller, S. K.(2016)。Transdisciplinary coordination and delivery of care。Seminars in Oncology Nursing,32(2),154-163。  new window
21.Moore, A. R.、Buchanan, N. D.、Fairley, T. L.、Smith, J. L.(2015)。Public health action model for cancer survivorship。American Journal of Preventive Medicine,49(6),470-476。  new window
22.Pasalic, D.、Jiang, J.、Jagsi, R.、Giordano, S. H.、Smith, B. D.(2017)。Association of insurance status with the use of immediate breast reconstruction in women with breast cancer。Plastic and Reconstructive Surgery-Global Open,5(7),1360-1367。  new window
23.Pintado, S.、Andrade, S.(2017)。Randomized controlled trial of mindfulness program to enhance body image in patients with breast cancer。European Journal of Integrative Medicine,12,147-152。  new window
24.Runowicz, C. D.、Leach, C. R.、Henry, N. L.、Henry, K. S.、Mackey, H. T.、Cowens-Alvarado, R. L.、Ganz, P. A.(2016)。American Cancer Society/American Society of Clinical Oncology breast cancer survivorship care guideline。CA: A Cancer Journal for Clinicians,66(1),43-73。  new window
25.Wang, J.-W.、Zhang, T.-R.、Shen, Q.、Yang, Z.-Q.、Liu, C.、Chen, S.-J.、Yu, J.-M.(2015)。The experience of cancer survivors in community-based psycho-social support activities in Shanghai, China: A qualitative study。Quality of Life Research,24(12),2815-2822。  new window
26.Weick, A.、Rapp, C.、Sullivan, W. P.、Kisthardt, W.(1989)。A strengths perspective for social work practice。Social Work,34(4),350-354。  new window
其他
1.國民健康署(20161229)。102年癌症登記年報,http://www.hpa.gov.tw/Pages/List.aspx?nodeid=119。  延伸查詢new window
2.國家衛生研究院(20170111)。癌症診療品質認證作業計畫,http://tcog.nhri.org.tw/accredit。  延伸查詢new window
3.American Cancer Society(20161210)。Survivorship care plans,http://www.cancer.org/treatment/survivorship-during-and-after-treatment/survivorship-care-plans.html。  new window
圖書論文
1.Sallis, J. F.、Owen, N.、Fisher, E. B.(2008)。Ecological models of health behavior。Health Behavior and Health Education: Theory, Research, and Practice。San Francisco, California:Jossey-Bass。  new window
 
 
 
 
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