乳癌患者不確定感及影響因素之探討

A Study of Breast Cancer Patients' Uncertainty and Impact Factors

李美雲(May-Yun Lee) ； 蕭正光(Cheng-Kuang Shaw) ； 許淑蓮(Sheila Sheu) ； 張宏泰(Hong-Tai Chang) ； 徐南麗(Nanly Hsu)

《志為護理-慈濟護理雜誌》 1卷3期 (2002/09) Pp. 57-65

https://doi.org/10.6974/TCNJ.200209.0057

摘要

本研究在於瞭解影響乳癌患者不確定感之因素，係採描述性橫斷性調查法，以立意取樣方式，選取南部某醫學中心，接受化學治療之前、中、後的乳癌患者92位為研究對象，於民國90年12月13日至91年4月25日進行資料的收集，研究工具包括「個人基本資料表」、「Mishel疾病不確定感量表」、「社會支持量表」、「化學治療知識量表」等四部份量表。研究結果顯示患者的手術方式（乳房重建）、自覺疾病嚴重度、教育年毅、現在病史及社會支持、化學治療知識等因子是影響疾病不確定感的重要因子，可解釋總變異量的41.6%。藉由本研究結果可使護理人員暸解接受化學治療之乳癌患者面對疾病與治療時的不確定感及其影響因素，並當做照護乳癌患者時的參考依攘，以提升照護品質及增加患者之調適能力。

關鍵字

不確定感 ； 社會支持 ； 化學治療

並列摘要

The purpose of this descriptive study was to understand the degree of uncertainty among breast cancer patients, their social support, resources, and understanding of chemotherapy, as well as the influencing factors and significant predictors of uncertainty. Using cross-sectional study and purposive sampling, the researcher chose 92 breast cancer patients at a medical center in southern Taiwan from among those being prepared to receive chemotherapy, those receiving chemotherapy, and those who had completed chemotherapy. Data was collected from December 13, 2001, to April 25, 2002. The instruments included the ”Personal Data Questionnaire”, the ”Mishel Uncertainty in Illness Scale”, the ”Social Support Scale”, and the ”Chemotherapy Knowledge Scale”. Results indicated the operative procedure with breast reconstruction, self-awareness of disease severity, education, present illness, social support and understanding of chemotherapy proved important as predictive variables for illness uncertainty, which could explain 41.6% of the whole variance. From this study, the investigator hopes nursing staff can understand uncertainty and its influencing factors among breast cancer patients facing disease and the therapeutic strategy, and refer to it when caring for them, to improve our nursing quality and strengthen each patient's adaptive ability.

並列關鍵字

uncertainty ； social support ； chemotherapy