父親罹癌之家庭調適歷程－成年子女的觀點

The family adjustment process of a father's cancer －with adult children's perspective

林靜汝(Ching-Ru Lin)

指導教授 ： 熊秉荃

國立臺灣大學/社會科學院/社會工作學研究所/碩士(2022年)

https://doi.org/10.6342/NTU202200177

摘要

本研究旨在以成年子女的觀點探討家庭中父親罹患癌症時，家庭所面臨的挑戰與家庭成員的調適方法，並發掘家庭調適歷程中家庭顯現的內在能力與外在優勢。
透過立意取樣邀請三位成年子女為研究參與者，以質性研究方法、半結構式訪談大綱進行訪談，並採取敘事分析中的「類別－內容」分析方法，依據研究目的，本研究結果發現：
一、癌症影響與挑戰個人身心狀況以及家庭氛圍
癌症也造成家庭成員間的情緒拉扯與動盪，癌症這項危機事件亦顯現過往事件的影響。
二、成年子女面臨多個家庭間的衝突
處於婚姻或養育孩子階段之成年子女，因父親罹患癌症的照護需求，經驗角色衝突，而無法同時兼顧多個家庭需求。
三、家庭資源包含成員內部溝通、成員各自應對方式以及大家庭資源
家庭成員彼此合作、成員各自的應對方式以及旁系血親或姻親的親朋好友也提供許多資源，幫助家庭度過危機。
四、家庭外部優勢為社區鄰里、職場同事以及正式支持資源
家庭與社區鄰里維持的良好關係、成年子女職場資源以及正式支持資源是家庭發生意外、非預期事件時的保障。
五、經歷癌症事件之家庭的正向成長與改變
家庭增加了家庭連結變深、溝通變密切；學習欣賞家庭成員；對人生增加新的體悟、活在當下；對生活多了準備等正向成長與改變。
最後依據上述的研究結果，本研究對實務工作、未來研究提出相關建議。

關鍵字

家庭調適歷程 ； 癌症家庭 ； 父親重病 ； 成年子女

並列摘要

The objective of this study is to explore the challenges faced by the family and the adjustment method of family members when the father suffers cancer threaten, from the perspective of adult children, and then to explore the internal capabilities and external advantages of the family during the family adjustment process.
　　Through intentional sampling, three adult children were invited as research participants. The interviews were conducted using qualitative research methods, semi-structured interview outlines, and the "category-content" analysis method in narrative analysis. According to the research purposes, the results of this study found:
1. Cancer affects and challenges individual physical and mental conditions and family atmosphere
Cancer also causes emotional tension and turmoil among family members, and the cancer crisis also shows the impact of past events.
2. Adult children face conflicts between multiple families
Adult children in the marriage or child-rearing stage are unable to juggle multiple family needs at the same time due to the care needs of their father's cancer and experience role conflict.
3. Family resources include members’ internal communication, members’ respective coping styles, and extended family resources
Family members working with each other, how each member is coping, and friends and relatives of collateral blood or in-laws also provide many resources to help families through a crisis.
4. The external advantages of the family are community neighbors, workplace colleagues, and formal support resources
Good relationships between families and community neighbors, workplace resources for adult children, and formal support resources are safeguards for families in the event of unexpected and unexpected events.
5. Growth and changes in families experiencing cancer events
The family increases the family connection and the communication becomes closer; learn to appreciate family members; gain new understanding of life, live in the moment; be more prepared for life and other growth and changes.
Finally, based on the above research results, this study puts forward relevant suggestions for practical work and future research.

並列關鍵字

FAAR model ； cancer family ； father ill ； adult children

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