初診斷乳癌婦女其壓力感受

Stress Perception of Newly Diagnosed Breast Cancer Women

李作英(Tso-Ying Lee) ； 周桂如(Kuei-Ru Chou) ； 穆佩芬(Pei-Fang Mu) ； 李惠玲(Hui-Ling Lee) ； 葉美玲(Mei-Ling Yeh)

《腫瘤護理雜誌》 12卷2期 (2012/12) Pp. 25-36

https://doi.org/10.6880/TJON.201212_12(2).03

摘要

台灣地區乳癌發生率逐漸升高，好發年齡亦逐漸年輕化，此現象已嚴重衝擊到中年婦女的健康與生活。本研究目的為探討初診斷乳癌婦女之壓力感受，收集某醫學中心乳房外科病房之初診斷乳癌婦女為樣本，以質性訪談法進行深度訪談，共訪談20位。結果萃取出無法操控、沉重負荷、面對挑戰與無法預期等四個主題。初罹患乳癌婦女感受到無法操控時，需要引導及提供正確資訊以增加其控制力；負荷沉重方面，親友與病友的支持非常重要；面對挑戰時，心理與認知上是需要給予時間重建，以提供病人做決策；此外在無法預期的感受方面，對罹癌婦女而言，從接納自己、接受疾病、面對新生活，及面對未來疾病的變化雖不可預期，但可建構一個新的更具有意義的生活世界。本研究建議初診斷乳癌婦女面臨壓力，需要整合醫療團隊如醫師、護理師、心理師、社工師或宗教者等，提供病人合適的照護計畫與措施。另研究者亦可將研究所萃取的主題發展成乳癌患者之壓力量表，提供醫護人員藉由此工具快速評估病人的壓力狀態，以提升乳癌照護品質。

關鍵字

初診斷乳癌 ； 壓力感受 ； 質性研究

並列摘要

In Taiwan, the incidence rate of breast cancer steadily increases, and the statistics also show that the onset age gets younger and younger. Both trends of incidence and onset age result in a serious impact on the health and life of middle-aged women. The purpose of this study was to explore the women's perception of stress, who were newly diagnosed as breast cancer. The subjects of this study were from a surgical ward of a medical center. Through in-depth interviews, 20 women were recriuted and interviewed. The results sugest that four themes including uncontrollable, overloaded, facing the challenges and unpredictable were extracted from the data collected. The research findings showed that the newly diagnosed breast cancer women perceive uncontrollable, these women may improve their abilities in making decisions when professional guidance and assistance were provided. When they perceive overloaded, supports from friends and families are important factors in helping these women go through the overloaded stress. When the women perceive facing the challenges, it indeed takes time to reconstruct the women's mental health and recognition to allow them to make a decision. Besides, when the women perceive unpredictable, they can further face their new life flexibly when they accept of themselves and the disease. The cancer itself grants different meaning to the life of these women. They may still be able to construct a meaningful life even they might be staging into the unpredictable future. This study suggested that the newly diagnosed breast cancer women should seek help from a medical care team to deal with the stress through appropriate care plans and interventions provided by doctors, nurses, psychologists, social workers and religionists. In the future, the researchers may develop a stress scale for breast cancer women, to help the clinicians quickly assess the patients' stress to improve the care efficiency and quality of breast cancer patients.

並列關鍵字

newly diagnosed breast cancer ； perception of stress ； qualitative research