子宮頸癌婦女接受同步化學放射線治療期間的生活經驗

The Lived Experience of the Women with Cervical Cancer During Concurrent Chemoradiotherapy

陳凱麗(Kai-Li Chen)

指導教授 ： 蘇燦煑

國立臺灣大學/醫學院/護理學研究所/碩士(2009年)

https://doi.org/10.6342/NTU.2009.02067

摘要

子宮頸原位癌可百分之百治癒，但有些婦女初次診斷時疾病已發展至晚期。局部晚期子宮頸癌自1999年開始以同步化學放射線治療為標準治療，此新的治療方式改善患者的存活率，同時造成患者身心與生活上的衝擊。
本研究目的為深入探討子宮頸癌婦女接受同步化學放射線治療期間的生活經驗，採質性研究設計，田野研究法，於台北市某醫學中心以立意取樣的方式，選取接受同步化學放射線治療之子宮頸癌婦女，共七位。研究者以參與式觀察，一面提供照護，一面以會談法，於個案接受治療約兩個月期間收集資料。資料參考現象學資料分析，呈現子宮頸癌患者於此期間的真實經驗與感受。
本研究結果發現子宮頸癌患者於接受同步化學放射線治療期間的生活經驗，
包括五個類目：一、面對確立診斷的複雜情緒，二、惶恐眼前即將進行一場硬仗，三、陷入第一段展開的苦戰，四、跨入第二段最嚴厲的苦戰，五、欣喜打完一場艱困硬戰卻心悸猶存。
本研究結果可提供照顧此類婦女之相關健康照顧者了解子宮頸癌婦女於接受同步化學放射線治療期間的生活經驗，做為醫療計畫與臨床護理指導之參考。

關鍵字

子宮頸癌 ； 同步化學放射線治療 ； 生活經驗

並列摘要

Cervical cancer could be totally healed if it is diagnosed in cervical carcinoma in situ stage. However, many patients did not obtain confirmed diagnosis until the cancer proceeds to its advance stage. Concurrent chemoradiotherapy has become the standard treatment of local advance cervical cancer since 1999. The new treatment improved patient’s survival but they therefore suffer from a series of concurrent chemoradiotherapy treatment procedures which cause them enormous physical and psychological impacts.
The purpose of this study was to explore lived experiences of patients receiving concurrent chemoradiotherapy treatment in a medical center in Taipei City. Qualitative research methods were used to figure out patients’ profound experiences. Seven patients receiving concurrent chemoradiotherapy treatment were recruited by using purposive sampling strategy. As an observer-as-participant, the author took care of the subjects, observed the process while patients receiving treatments, and talked to patients in order to understand their explicit and implicit experiences. All the data were densely described and analyzed inductively.
Five main themes were identified as the followings: （1）complicated emotions while the cancer diagnosis became apparent; （2） strong fear of the coming battles with cancer treatments; （3） suffering from the first stage treatment; （4） experiencing the most painful stage of the treatments; and （5） ongoing fright after the treatment procedures.
The staged and anguished experiences among women with cervical cancer and receiving concurrent chemoradiotherapy treatment were uncovered in this study. Implications and suggestions for health professionals were made based on the findings to improve the quality of care for their patients.

並列關鍵字

cervical cancer ； concurrent chemoradiotherapy ； lived experiences

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