龍舟運動對乳癌術後康復者之創傷後成長研究

The study on the Post-traumatic Growth of Breast Cancer Survivors in Dragon Boating

蔡佩倚(Tsai Pei I)

指導教授 ： 施登堯

國立臺灣師範大學/運動與休閒學院/體育學系/碩士(2021年)

https://doi.org/10.6345/NTNU202101448

摘要

本研究旨在探討龍舟運動對乳癌術後康復者之創傷後成長影響，從國內外研究中已看見運動對乳癌術後康復者創傷成長的效益，但還未見研究切入探討哪一種運動形式和強度更適合乳癌患者術後參與。故本研究透過半結構式深度訪談法，訪談臺灣第一支乳癌病友龍舟隊成員，最後篩選出一名隊員作為個案研究對象，藉以瞭解乳癌患者罹癌創傷的經歷以及龍舟運動介入對乳癌患者創傷後成長的影響。本研究訪談資料運用紮根理論開放編碼的技術進行分析，將訪談逐字稿進行逐行分解，分類標示資料的概念，最後歸納出以下結論: 一、乳癌患者罹癌時面臨衝擊包含得知確診罹癌、得知需要化療消息以及得知先生向他人揭露病情；二、乳癌患者創傷經歷分為「確診到開刀前」、「開刀」、「化療前」、「化療」四個時期，四個時期出現的生理、心理和社會創傷並不是單一分別存在，而是交織互相影響個案；三、龍舟運動讓乳癌患者擴大社交網絡，獲得社會支持的力量，使其不再害怕面對疾病，並從中建立自信心和成就感，促進心理正向的成長。本研究建議後續可增加更多符合本研究目的之個案，進入主軸編碼來分析成長的機轉，進一步瞭解龍舟運動對乳癌患者創傷後成長的影響。

關鍵字

乳癌術後康復者 ； 龍舟運動 ； 創傷後成長

並列摘要

This research aimed to explore the influence of Breast Cancer Survivors that suffer from trauma of the operation. According to the domestic and international researches, there was good effect on Breast Cancer Survivors who did exercise; however, there was no researches aimed to the specific and the suitable intensity sport for Breast Cancer Survivors. Thus, the present research, by using half-structural depth interviews, took a teammate from the first cancer-patients dragon boat team in Taiwan as the object of this study, in order to realize the experience of getting cancer, the sufferance from trauma of the cancer, and the effect after they started to do exercise. The collected data of this study was analyzed by technique of open coding of grounded theory. The research concluded that: (1) the breast cancer patients were shocked by the diagnosis of cancer, notification of the requirement of getting chemotherapy, and knowing that their husbands disclosed their conditions to others; (2) the experience of breast cancer patients could be divided into four periods, after the diagnosis and before the operation, operation, before doing chemotherapy, and doing chemotherapy, which the mental, physical, and social trauma would not appear singly but influenced mutually. (3) the breast cancer patients could broaden their social networks and received the power of social support, so that they would not afraid of facing illness anymore and can also build up their confidence and the sense of accomplishment to improve the matureness mentally. This study recommended that more suitable objects could be added and enter the axial coding to analyze the mechanism of the growth in order to understand the influences of dragon boating to the Breast Cancer Survivors’ growth.

並列關鍵字

breast cancer survivor ； dragon boating ； post-traumatic growth

參考文獻

向肇英、李介至、李韻雯、鄭素月(2012)。乳癌婦女的不確定感及相關因素之探討。新臺北護理期刊，14(2)，23-31。

中文部分

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中華輕艇協會 (2020)。龍舟規則。取自中華輕艇協會網站，網址：http://www.taiwancanoe.com.tw/instpage.php?r=&w=100%&h=800&url=www.taiwancanoe.com.tw/html/rules/%E9%BE%8D%E8%88%9F%E8%A6%8F%E5%89%87.pdf, 2020 年11 月16 日檢索。

王貴霞、劉哲銘、呂志得(2005)。乳癌病患的困擾及擔憂問題。北市醫學雜誌，2(9)，844-850。