乳癌病人的壓力與調適初步探討

Priliminary Study on Stressor and Coping of Mastectomy Patients

張珏(Chuen Chang) ； 黃梅羹(Mei-Gun Huang) ； 林弘崇(Hong-Chung Lin)

《中華民國公共衛生學會雜誌》 8卷2期 (1988/06) Pp. 109-124

https://doi.org/10.6288/JNPHARC1988-08-02-04

摘要

為了明瞭乳癌病人，出院後在一般生活中，不同時期可能會遇見的壓力源及其調適方式，以便在未來可協助乳癌病友去面對壓力源與開創新的調適方式。特以某醫院出院1-5年的乳癌病人60名為研究對象，進行問卷訪視。結果發現：
1．乳癌病友的壓力源因素，經因素分析的結果，可分為“生理反應的壓力”、“人際與自我的壓力”、“手術反應的壓力”、“預後的壓力”、“家庭關係與傷口問題壓力”、“對生殖能力的影響壓力”等六個類別。
2．乳癌病友的調適型態，經因素分析的結果可分為“問題解決的調適”、“情緒處理的調適”、“社會支援”、“藉外物的調適”、“行為與認知的調適”等五種型態。
3．分析乳癌病人壓力源與調適之間的關係、結果發現：病友會出現“人際與自我的壓力”時，愈會以“情緒處理”的調適方法來面對這種壓力。
4．在手術後住院期間與出院後年數，隨時問而有不同的應對行為。出院期越長，採用問題解決方式較多。
5．由“和面臨相同情境的人，交換意見“，的需要，……、可以肯定乳癌病友聯誼會的功能。

並列摘要

Sixty breast cancer patients after mastectomy have been interviewed in order to understand the stressor they faced as well as the coping behavior they adopted. Results were obtained as follow:
1. After factor analysis, there are six factors have been identified. Those are physiological reaction, self and interpersonal relationship, surgery, prognosis, family relations, and reproductive ability.
2. There are five factors identified from coping scale. Those are problem-solving, emotional management, social support, external dependency, and cognition/behavior.
3. When facing the stressor of self and interpersonal relationship, the emotional management coping style was frequently adopted.
4. At different postoperative period (1-2yr, 3-4yr, 5yr more), the longer the period, the more problem solving coping styles were adopted.
5. When facing problem, 45% will turn to spouse, while 31% to patient herself.
6. The need to exchange information and gain mutual support of patients with of same experience, reflect the importance on organizing selfhlp help group for mastectomy patients.

並列關鍵字

Mastectomy patient ； stressor ； coning style