癌症病人的復原力及其護理處置

癌症是台灣地區的重要健康問題，隨著疾病診斷的確立與治療的開始，一連串的生理、心理、社會問題及存活的壓力接踵而至，這些不斷反覆發生的慢性壓力常使癌症病人經歷許多痛苦。近年來，癌症護理的研究趨勢，逐漸從疾病導因延伸至探究正向力量對於病人的影響。然而，關於癌症病人如何學習與疾病共處，甚至展現復原力使其適應良好，則少有研究針對病人的復原力進行分析與討論。因此，本文藉由說明復原力的定義、影響因素及彙整文獻後提出的四項促進癌症病人復原力之護理處置，期盼能提供護理人員日後協助癌症病人發展復原力之參考。

關鍵字

癌症病人；復原力；護理處置

並列摘要

Cancer is a critical health problem in Taiwan. The range of physical, psychological, social, and existential stressors associated with cancer diagnosis and treatment can cause significant distress in cancer patients and survivors. The focus of cancer research has broadened in the past decade from the disease itself to factors that can have a positive influence on the health and life quality of cancer patients. However, few studies have explored how patients adapt and become resilient to the life challenges of their disease. This article introduces the concept of resilience and its influence factors. We analyze study findings and introduce four nursing interventions that have been used to nurture resilience in cancer patients. The authors hope findings help strengthen nurse competencies in order to enhance cancer patient quality of care.

並列關鍵字

cancer patients ； resilience ； nursing intervention

參考文獻

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Aspinwall, L. G., & MacNamara, A. (2005). Taking positive changes seriously. Cancer, 104(11, Suppl.), 2549－2556. doi:10.1002/cncr.21244

Breitbart, W., Rosenfeld, B., Gibson, C., Pessin, H., Poppito, S., Nelson, C., … Olden, M. (2010). Meaning-centered group psychotherapy for patients with advanced cancer: A pilot randomized controlled trial. Psycho-Oncology, 19(1), 21－28. doi:10.1002/pon.1556

Burns, D. S., Robb, S. L., & Haase, J. E. (2009). Exploring the feasibility of a therapeutic music video intervention in adolescents and young adults during stem-cell transplantation. Cancer Nursing, 32(5), E8－E16. doi:10.1097/NCC.0b013e3181a4802c

Burton, N. W., Pakenham, K. I., & Brown, W. J. (2010). Feasibility and effectiveness of psychosocial resilience training: A pilot study of the READY program. Psychology, Health & Medicine, 15(3), 266－277. doi:10.1080/13548501003758710

被引用紀錄

蕭雅文、江慧珣、廖珍娟、藍湘勻（2022）。創傷復原力概念分析。健康科技期刊，9(1)，44-52。https://doi.org/10.6979/TJHS.202209_9(1).0004

陳文香、羅惠敏（2022）。血液腫瘤住院患者的心理調適與復原力之縱貫性研究。腫瘤護理雜誌，22(2)，5-20。https://doi.org/10.6880/TJON.202212_22(2).01

劉幸愉、林美伶、馬維芬（2015）。運用復原理論改善思覺失調症病人自傷行為之護理經驗。精神衛生護理雜誌，10(1)，26-33。https://doi.org/10.6847/TJPMHN.201511_10(1).0004

何承容（2013）。接受合併化學及放射線治療之食道癌患者調適影響之研究- 復原力作用的綜合探討〔碩士論文，臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831/TMU.2013.2013.00159

許博泓、蘇千玲（2021）。運用復元理論於一位思覺失調症病人之護理經驗。高雄護理雜誌，38(1)，72-85。https://doi.org/10.6692/KJN.202104_38(1).0007

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癌症病人的復原力及其護理處置

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