研究目的:了解國內乳癌病患之情緒、自我效能與資訊尋求行為間的關係,並檢定自我效能在女性乳癌病患之情緒與資訊尋求行為間,究竟扮演著中介因子或調節因子的角色。 研究方法:本研究包含量性資料和質性資料兩部份。量性研究部份:本研究採用橫斷性研究,經徵詢院方同意與倫理委員會審查後,最後以四家醫院作為個案醫院,以其一般外科(乳房外科)、血液暨腫瘤內科與放射腫瘤科門診之乳癌病人為研究對象,此外同時以採立意取樣選取國內之乳癌病友團體,郵寄問卷調查。於98年5月15日至6月30日收案期間,共發放765份問卷,總共蒐集292位乳癌病人有效樣本。質性資料則透過焦點團體座談會,了解女性乳癌病患情緒、自我效能與資訊尋求行為之相關影響因素。 研究結果與建議:女性乳癌病患之情緒透過自我效能的調節作用後對其資訊尋求行為有顯著影響。量性結果顯示,女性乳癌病患之資訊尋求行為會受到教育程度和目前癌症狀況影響,病患之情緒和其資訊尋求行為高度個體化;質性結果顯示,病友及病友團體的協助對乳癌病患之正面影響,包括穩定病患情緒,滿足病患資訊需求,更進一步影響病患就醫治療等相關決策,提升病患對疾病之了解與照護信心。對於後續研究之建議包括:1.同時將環境因素、文化因素及病患人格特質納入考量2.以病患整體的治療過程為分析單位3.以不同疾病的病患為研究對象,以獲得關於病患之情緒、自我效能與資訊尋求行為的影響 關鍵字:乳癌病患、情緒、自我效能、資訊尋求行為
Purposes: The purposes of this study were to find out Taiwanese women’s emotion, self-efficacy and information seeking behavior in breast cancer, and to explore if the variable of self-efficacy between emotion and information seeking behavior is a mediator or moderator. Methods: This study including the quantitive and qualitative data. This is a cross-sectional study. After searching for cooperation from hospitals and approved by the Institutional Review Board procedure, four hospitals in Taipei agreed to join this study. The participants of this study include breast cancer patients of breast surgery, hematology, radiology oncology clinics. All samples came from convenient sampling. There were 292 patients valid samples with collection period from May 15 to June 30, year 2009. And the qualitative data collected by focus group to explore the relationship among emotion, self-efficacy and the information seeking behavior in women with breast cancer. Results and Recommendations: The relationship between emotion and information seeking behavior will be moderated by self-efficacy. The information seeking behavior in women with breast cancer will be influenced by education and current cancer situation, and patients’ emotion and information seeking behavior are highly individualized. According to the qualitative study, cancer patients’ and support groups will positively influence breast cancer patients including stablizing patients’ emotion and satisfying patients’ needs for information, arising patients’ confidence in self-care about their disease. Recommendations to further researches are to consider environmental, cultural and patients’ personality factors, take patients’ whole course of treatment as unit of analysis, and focus on different types of cancer in order to obtain more comprehensive understanding about patients’ emotion, self-efficacy and information seeking behavior. Key words: breast cancer, emotion, self-efficacy, information seeking behavior
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