乳癌婦女的因應行為

Coping Behaviors of Women with Breast Cancer

呂桂雲(K. Y. Lu) ； 金繼春(C. C. Chin) ； 黃惠萍(H. P. Huang)

《護理研究》 1卷3期 (1993/09) Pp. 247-256

https://doi.org/10.7081/NR.199309.0247

摘要

本研究的目的是在探討婦女從發現乳房腫瘤到乳癌切除後二個月期間的因應行為。期望協助臨床護理人員及護理教育者瞭解乳癌婦女的因應行為，進而提供適當的照顧，提高護理服務品質。
研究方法是采用調查中的深度訪談法，以低結構性會談方式在南部兩所醫院訪談三十位接受乳房切除并加上輔助療法的乳癌婦女。然後將過程記錄作內容貌分析，將乳癌婦女的語言表達內容、表情、動作含義分析歸納。
資料分析歸納後，研究對象的因應行為可分為五類：情緒反應行為，尋求資源行為、身體心像再定向行為、身體及社會功能的評價行為及自我控制行為。隨著疾病的不同皆段病人會有不同的因應行為：從發現腫瘤開始，病人常出現的情緒反應是震驚、逃避；到确定診斷後，除了焦慮、憂傷、憤怒的情緒反應，病人主要的因應行為是尋求資源；對於自己身體的變化，病人主要采取是身體心像再定及身體及社會功能的評價行為；對於未來的生活，病人較常出現的是自我控制行為。護理人員需要主動去瞭解病人的因應行為，提供病人所需的資源及情緒支持，以協助病人減輕衝擊，提高生活品質。

關鍵字

乳癌 ； 衝擊 ； 因應行為

並列摘要

The purpose of this study was to investigate the coping behaviors of women with breast cancer. The study was conducted in two large general hospitals in southern Taiwan. Thirty women undergoing with mastectomy and adjuvant chemotherapy within sixty postoperative days were investigated. A qualitative paradigm was employed for understanding the nature of these coping behaviors. Interviews were used to gather data with the researcher participating as a nurse. The interviews were then recorded for content analysis. The patients’ coping behaviors were identified and categorized into five themes: emotional reaction, seeking resource, reorienting body image, compare/appraisal, and self-control. The findings of this study may be used by nursing staff and nursing educators to understand the behaviors of the patient with breast cancer and improve the quality of nursing care. It is also hoped that this study may provide a data base and information for future studies of breast cancer.

並列關鍵字

breast cancer ； impact ； coping behaviors