一位罹患乳癌的産婦於周産期的壓力與因應行爲

The Stress and Coping Behaviors in a Woman with Breast Cancer during Perinatal Period

張淑貞(Shu-Chen Chang)

《腫瘤護理雜誌》 4卷1期 (2004/09) Pp. 35-48

https://doi.org/10.6880/TJON.200409_4(1).04

摘要

本個案研究的目的是探討一位乳癌手術後的産婦於周産期間的壓力與因應行爲。作者於護理過程完全參與與觀察個案的各項行爲表現，並書寫行爲過程記錄收集資料後，予以整理歸納分析。結果顯示個案在周産期間的壓力有「母體及胎兒生命備受威脅」、「害怕剖腹産手術及麻醉」、「新生兒健康受威脅」、「害怕無法照顧新生兒」及「面臨化學治療的不確定感」等壓力。個案面臨上述壓力的適應行爲包括「正向思考鼓舞自己」、「滿意的陪産經驗」、「積極維護胎兒安全與成長」、「經由比較定位新生兒的健康狀況」、「維護新生兒免於傷害」、「由成功案例經驗得到支持」、「充實相關訊息」、「應用有意義的他人」及「勇於挑戰乳癌的化學治療」等。個案處於壓力情境時，主護護士應用專業知識與技能，如提供剖腹産與乳癌化學治療照護上的相關知識與訊息、尋求資源、提供情緒支持等，提供符合個案需求的護理活動，協助個案應用適當的因應行爲以減緩壓力情境，成功地協助個案達成身心適應狀態。

關鍵字

乳癌 ； 周産期産婦 ； 因應行爲

並列摘要

The purpose of this study was to explore the stress and coping behaviors in a woman with breast cancer during perinatal period. The researcher used the field study method to collect data and analysis the context. The results of this study provide a greater understanding of the woman who suffered from the perinatal stress included threat of hers and the fetus's life, fear about cesarean section and anesthesia procedures, threat of neonatal health, fear of unable to take care the neonate, and uncertainty about chemotherapy processes. To overcome the stress, the woman used coping behaviors including encouraging herself with positive thinking, satisfying herself from smooth delivery experience, improving in fetus safety and growth, orientating the neonatal health status through others, protecting for neonatal from being endangered, supporting from others' successful experiences, collecting information about breast cancer and chemotherapy, facing the challenge of breast cancer and chemotherapy process. The researcher offered professional knowledge and skills, searched for resources and information, provided the specific nursing care to assist the woman who therefore could utilize coping behaviors to lessen the stress, and then to achieve the physical and psychological situation of being adapted.

並列關鍵字

breast cancer ； perinatal woman ； coping behaviors