乳癌術後婦女身心社會調適之探討－以羅氏適應模式為基礎

Physical and Psychological Adjustment in Women with Mastectomy: Based on Roy's Adaptation Model

陳惠美(Hui-Mei Chen) ； 馬鳳歧(Fung-Chi Ma) ； 郭英調(Benjamin Ing-Tiau Kuo) ； 石宜銘(Yi-Ming Shyr)

《護理研究》 7卷4期 (1999/08) Pp. 321-332

https://doi.org/10.7081/NR.199908.0321

摘要

本研究運用羅氏適應模式，探討乳癌術後婦女的身心社會調適及相關因素，涵蓋生理功能、自我概念、角色功能以及相互依賴等四個構面之調適。以「乳癌婦女身心社會調適量表」測量北部三所醫院的122位乳癌婦女。本研究結果顯示：(1)乳癌術後婦女之身心社會調適狀況呈現「輕度障礙」之程度，在各層面調適中心相互依賴調適最佳，自我概念調適最差。(2)乳癌術後婦女最常發生的身體症狀依序爲「手術側手臂發麻」、「疲倦」、「手術部位感覺異常」。(3)乳癌術後婦女之身體症狀與生理功能調適、自我概念調適、角色功能調適、相互依賴調適及整體身心社會調適各構面，均呈顯著負相關。本研究結果可引導護理人員將護理理論與護理實務做有效連續，以提供乳癌婦女身體、心理、心靈「全人」的護理服務。

關鍵字

乳癌 ； 乳房切除術 ； 身心社會調適 ； 羅氏適應模式

並列摘要

The purpose of this study, guided by Roy's adaptation model, was to investigate physical and psychological adjustment including physiological, self-concept, role function, and interdependence dimensions. The Bio-Psychosocial Adjustment to Illness Scale was administered to 122 women with mastectomy at outpatient departments of three hospitals in the Taipei area. The findings indicated that women with mastectomy had a mild degree of disturbance of adjustment to illness. The best adaptation dimension was interdependence, and the worst was self-concept. The physical symptoms presented among these women were arm numbness on the operation side, fatigue, and loss of sensation in the operation area. The physical symptoms were negatively related to physical and psychological adjustment, and the four dimensions of adaptation.

並列關鍵字

breast cancer ； mastectomy ； physical and psychological adjustment ； Roy's adaptation model