- 學位論文
乳癌病人利用中醫緩解癌因性疲憊症之經驗討論
The Study of the Experience of Breast Cancer Patients Using Traditional Chinese Medicine to Relieve Cancer-Related Fatigue
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摘要
台灣女性乳癌的發生率和死亡率在2018年至2021年間逐年上升，病人因治療而產生持續性及主觀性的癌因性疲憊症之症狀，在日常生活中出現精神不濟或造成治療延遲。中醫近年被證實能有效緩解副作用，因此台灣衛生福利部推出「全民健康保險中醫癌症患者加強照護計畫」。本研究目的瞭解中醫介入乳癌治療後，病人的接受經驗及過程。本研究採質性研究深度訪談法，以女性乳癌病人為研究對象，共訪談九位病人。資料分析採主題式內容分析法，進行分類整理與歸納。 結果發現，中西醫介入乳癌治療可分為三個部分，包括癌症西醫治療過程、中醫介入治療經驗、和其他相關問題。乳癌病人透過西醫治療癌症多年，大部分乳癌患者在接受化療或放療等西醫治療過程中，出現嚴重的癌因性疲憊症，表現為持續的疲倦、身體虛弱及心理壓力，對日常生活和治療進程造成困擾。病人普遍認為這種疲憊感難以藉由休息緩解。在中醫介入方面，針灸和科學中藥等治療方法有助於緩解疲憊，改善疲憊感、提高體力和心理舒適感方面，進而提升生活品質，中西醫結合治療對癌因性疲憊症的緩解效果具有實際意義，中醫治療不僅改善病人的身體症狀，並提供心理上的支持，促進病人對抗癌症的信心和治療的積極性。 因此，研究得出中醫介入在緩解癌因性疲憊症方面有正面效果，未來建議繼續推動中西醫整合治療，並加強對癌因性疲憊症的研究，以完善癌症病人的健康照護。
並列摘要
The incidence and mortality rates of breast cancer in Taiwanese women increased annually from 2018 to 2021. Patients often experience persistent and subjective symptoms of cancer-related fatigue (CRF) due to treatment, leading to lethargy in daily life or delays in treatment. In recent years, traditional Chinese medicine (TCM) has been proven effective in alleviating side effects. Therefore, the Ministry of Health and Welfare in Taiwan launched the "Enhanced Care Plan for Cancer Patients Using Traditional Chinese Medicine under National Health Insurance." The purpose of this study is to understand the experience and process of TCM intervention in breast cancer treatment. This study adopts a qualitative research method with in-depth interviews, targeting female breast cancer patients, with a total of nine patients interviewed. Data analysis was conducted using thematic content analysis for classification, organization, and summarization. The results revealed that the integration of Western and Chinese medicine in breast cancer treatment can be divided into three parts: the process of cancer treatment with Western medicine, the experience of TCM intervention, and other related issues. Most breast cancer patients who underwent chemotherapy or radiotherapy as part of their Western medical treatment experienced severe cancer-related fatigue, characterized by persistent tiredness, physical weakness, and psychological stress, which affected daily life and the treatment process. Patients generally felt that this fatigue was difficult to alleviate through rest. Regarding TCM intervention, treatments such as acupuncture and scientific Chinese medicine helped alleviate fatigue, improve physical strength, and enhance psychological comfort, thereby improving the quality of life. The combination of Western and Chinese medicine showed practical significance in relieving cancer-related fatigue. TCM not only improved patients' physical symptoms but also provided psychological support, boosting patients' confidence in fighting cancer and their motivation for treatment. Therefore, the study concludes that TCM intervention has a positive effect on alleviating cancer-related fatigue. It is recommended to continue promoting integrated Western and Chinese medicine treatment in the future and to strengthen research on cancer-related fatigue to enhance the health care of cancer patients.
參考文獻
中文文獻
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