癌症個案的復原力及其相關因素探討

研究背景：癌症已數十年蟬聯台灣十大死因之首，癌症的發生率及死亡率，皆呈現逐年上升的趨勢。由於癌症無法治癒，癌症病患本身的復原力及面對癌症所衍生出的因應方式，可以幫助不同階段的癌症患者成功因應癌症所帶來的衝擊。研究方法：採橫斷式研究設計，共收案85人，研究工具包括人口學特性、疾病屬性、因應能力量表及復原力量表。研究結果：癌症患者的復原力屬於中度復原力，多採取問題取向因應能力。癌症患者的復原力與問題取向因應能力(p <.0001)呈現正相關，問題取向分數越高者其復原力越好。逐步廻歸分析結果問題取向因應能力、性別、癌症分期是復原力重要的預測因子，可解釋癌症患者復原力總變異量之53.8 %。結論與建議：照護病人當中提升癌症患者問題解決能力可促進其發展復原力，了解癌症患者的性別、癌症分期，可以預測復原力的狀況，正向積極的問題解決態度，克服癌症所帶來的挑戰，越能面對癌症疾病並積極解決疾病導致的健康問題，對癌症患者都有較好的存活率或是生活質量。

關鍵字

因應行為；復原力；癌症患者

並列摘要

Background: Cancer has been the top ten causes of death for decades. The incidence and mortality of cancer are increasing year by year. Because cancer cannot be cured, it is important to explore the resilience of cancer patients and their coping behaviors with cancer. Design: This was a cross-sectional correlation study. Eighty-five patients were included. The research tools included demographic characteristics, disease attributes, resilience scale, and coping behavior scale. The survey data were analyzed using descriptive statistics, independent t test, one way ANOVA, Pearsons correlation, and stepwise regression. Results: The overall patient often adopted problem-solving behaviors, with moderate resilience.The resilience of cancer patients has a significantly positive correlation with the problem-solving behaviors (p <.0001). The higher the problem-solving behaviors, the better the resilience.The problem-solving behaviors, gender, and cancer stage accounted for 53.8% of the total variation in resilience. Conclusions / recommendations: Improving the problem solving ability of cancer patients when caring for patients can improve resilience. Understand the gender and cancer stage of cancer patients can predict resilience. A positive problem-solving attitude and overcoming the challenges posed by cancer, the more able to face cancer, and actively address the health problems caused by the disease, the better the survival rate or quality of life for cancer patients.