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題名:乳癌患者主要照顧者之因應、社會支持與生活品質
書刊名:臺灣精神醫學
作者:蔡盈盈張巍鐘陸汝斌曹朝榮
作者(外文):Tsai, Ying-yingChang, Wei-chungLu, Ru-bandTsao, Chao-jung
出版日期:2007
卷期:21:1
頁次:頁43-52
主題關鍵詞:照顧者生活品質因應社會支持CaregiversCopingSocial supportQuality of life
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(6) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:16
  • 點閱點閱:148
目的:本研究旨在探討在疾病治療過程中且未經歷復發階段的乳癌患者,其主要照顧者的因應、社會支持與生活品質之相關性。方法:採研究調查法,以結構性問卷於南部兩所醫學中心及一所區域教學醫院之外科門診與化療室收集資料,有效問卷共54 份。研究工具包括:家屬因應行為量表、社會支持量表及台灣簡明版世界衛生組織生活品質問卷。 結果:情緒取向因應與整體生活品質成顯著負相關;相反地,問題取向因應與之成顯著正相關。乳癌患者家屬照顧者主觀認為所獲得的社會支持程度,與其生活品質成正相關,特別是來自於其親友的部分。逐步迴歸分析發現,對家屬照顧者整體生活品質最具預測力之變項分別為:情緒取向因應、經濟狀況、親友以及患者的社會支持,可解釋其總變異量 44.8%。結論:研究結果顯示,當乳癌患者之主要照顧者情緒取向因應越少,問題取向的因應越多,且有來自親友的社會支持較高的時,其整體生活品質會較佳。
Objectives: The purpose of this study was to identify the factors that affect the adjustment of the primary caregivers of breast cancer patients, and to examine what coping strategies and sources of perceived social support are related to a higher quality of life. Methods: This cross-sectional study was designed to determine the relationship between predictor variables (coping strategies, social support) and quality of life. The sample consisted of 54 primary caregivers of women who had been diagnosed with breast cancer, stages 0-3, within an 18-month period. The independent variables were measured with the Family Coping Behaviors Scale and the Social Support Scale. The dependent variable was measured with the WHOQOL- BREF. Results: Bivariate correlational analysis showed that problem-focused coping strategies and social support from family/friends were both significant and positively related to quality of life, whereas emotion-focused coping strategies had detrimental effects. Study variables accounted for a considerable amount of variance in the primary caregivers' quality of life (44.8%). Among these factors, emotion-focused coping strategies and social support from family/friends accounted for the greatest variance in the level of the quality of life of the family caregivers. Conclusion: The findings suggest that coping strategies are very influential in helping primary caregivers deal with the effects of cancer, and the perceived adequacy of support from family members or friends is also important to their psychosocial adjustment.
期刊論文
1.羅淑芬、黃秀梨、劉雪娥、姚開屏(20020900)。燒傷病患主要照顧者生活品質及其相關因素之探討。臺灣醫學,6(5),625-636。  延伸查詢new window
2.Hinds, C.(1985)。The needs of families who care for patients with cancer at home: Are we meeting them?。Journal of Advanced Nursing,10(6),575-581。  new window
3.Olsen, A. M.、Glasdam, S.(1995)。Safety in handling chemotherapy。Eur J Cancer,31,306。  new window
4.Ell, K.、Nishimoto, R.、Mentall, J.、Hamovitch, M.(1988)。Longitudinal analysis of psychological adaptation among family members of patient with cancer。J Psychosom Res,32,429-438。  new window
5.Given, B.、Given, C. W.(1992)。Patient and family caregiver reaction to new and recurrent breast cancer。J Am Med Womens Assoc,47(5),201-206。  new window
6.Northouse, L.、Templin, Y.、Mood, D.、Oberst, M.(1998)。Couples' adjustment to breast cancer and benign breast disease: a longitudinal analysis。Psycho-oncology,7,37-48。  new window
7.Vess, J. D.、Moreland, J. R.、Schwebel, A.、Kraut, E.(1988)。Psychosocial needs of cancer patients: learning from patients and their spouses。J Psychosoc Oncol,6(1/2),31-51。  new window
8.Pearlin, L. I.、Mullan, J. T.、Semple, S. J.、Skaff, M. M.(1990)。Caregiving and the stress process: An overview of concepts and their measures。Gerontologist,30(5),583-594。  new window
9.Schumacher, K. L.、Dodd, M. J.、Paul, S. M.(1993)。The stress process in family caregivers of persons receiving chemotherapy。Research in Nursing & Health,16(6),395-404。  new window
10.Keitel, M. A.、Zevon, M. A.、Rounds, J. B.、Petrelli, N. J.、Karakousis, C.(1990)。Spouse adjustment to cancer surgery: distress and coping responses。J Surg Oncol,43,153-158。  new window
11.Kershaw, T.、Northouse, L.、Kritpracha, C.、Schafenacker, A.、Mood, D.(2004)。Coping strategies and quality of life in women with advanced breast cancer and their family caregivers。Psychology and Health,19,139-155。  new window
12.Kathleen, D.、Carole, K.(2003)。The relation of social support and coping to Positive adaptation to breast cancer。Psychology and health,18,15-29。  new window
13.Davis, J. M.、Hoshiko, B. R.、Jones, S.、Gosnell, D.(1992)。The effect of a support group on grieving individuals' levels of perceived support and stress。Arch Psychiatr Nurs,6,35-39。  new window
14.Le, T.、Leis, A.、Pahwa, P.、Wright, K.、Ali, K.、Reeder, B.(2003)。Quality of life issue in patients with ovarian cancer and their caregivers: a review。Obstet Gynecol Surv,58,749-758。  new window
15.Diane, R. Z.、Cheryl, A. G.、Martha, J. F.(1994)。Quality of life and coping in patients with gynecologic cancer and their spouses。Oncol Nurs Forum,21,1699-1706。  new window
16.Northouse, L. L.、Laten, D.、Reddy, P(1995)。Adjustment of women and their husbands to recurrent breast cancer。Research in Nursing and Health,18(6),515-524。  new window
17.林梅香、顧乃平、劉仲冬、陳政友、林麗嬋(19960600)。肝癌患者家屬主要照顧者的壓力、因應行為、健康狀況及其相關因素之探討。護理研究,4(2),171-185。new window  延伸查詢new window
18.姚開屏(20020300)。臺灣版世界衛生組織生活品質問卷之發展與應用。臺灣醫學,6(2),193-200。  延伸查詢new window
19.Cohen, Sheldon、Wills, Thomas Ashby(1985)。Stress, social support, and the buffering hypothesis。Psychological Bulletin,98(2),310-357。  new window
研究報告
1.行政院衛生署(2004)。衛生統計--癌症發生率統計。臺北。  延伸查詢new window
學位論文
1.林少瑜(2004)。呼吸器依賴主要照顧者壓力感受、因應行為與社會支持之相關性探討(碩士論文)。國立陽明大學。  延伸查詢new window
2.徐薇鈞(1997)。癌症病患主要照顧者生活品質與社會支持及其相關因素(碩士論文)。高雄醫學院。  延伸查詢new window
圖書
1.姚開屏、世界衛生組織生活品質問卷臺灣版問卷發展小組(2001)。臺灣版世界衛生組織生活品質問卷之發展及使用手冊。臺北:臺灣版世界衛生組織生活品質問卷發展小組。  延伸查詢new window
2.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
圖書論文
1.Keller, M.、Heinrich, G.、Sellschop, A.、Beutel, M.(1996)。Between distress and support: spouses of cancer patients。Cancer and the family。Chichester:Wiley。  new window
 
 
 
 
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