癌症患者之心裡彈性力與挫折復原力相關性探討

Exploration of the Relationships among Psychological flexibility and Resilience of Patients with cancer

鄭淑香(Shu-hsaing Cheng)

指導教授 ： 黃雅文

亞洲大學/健康學院/長期照護研究所在職專班/碩士(2011年)

摘要

本研究主要目的為：一、了解癌症患者人口學屬性、疾病相關屬性、社會支持與心理彈性力及挫折復原力之情況。二、探討癌症患者心理彈性力、社會支持、挫折復原力之相關性。三、分析癌症患者心理彈性力、社會支持、對挫折復原力之預測力。研究採結構式問卷調查法。以中部某區域學醫院核子醫學科20至70歲癌症病患為對象立意取樣、橫斷式研究，問卷共發出178(人)份，回收171(人)份，問卷回收率96.06％。將所得資料進行描述性統計、獨立t檢定、單因子變異數、皮爾森積差相關、徑路.歸等統計分析。
本研究結果發現：
一、癌症患者人口學屬性、疾病相關屬性、心理彈性力、社會支持、挫折復原力整題而言：以社會支持平均分佈為最低，心理彈性平均分佈為最強。其獨居居住型態、會因疾病復發而入院治療、目前有工作狀況、情緒悲傷，皆達統計上顯著。即獨居居住型態、會因疾病復發而入院治療、目前有工作狀況、情緒悲傷與心理彈性力、社會支持皆有相關程度。
二、心理彈性力與挫折復原力成正相關。心理彈性力、醫療專業人員社會支持與挫折復原力成正相關。即癌症患者之心理彈性力、醫療專業人員社會支持，皆達顯著性正相關。
三、心理彈性力、醫療專業人員社會支持是挫折復原力的最佳預測因子。
徑路迴歸分析結果心理彈性力、社會支持可解釋癌症患者挫折復原力總變異量之60%。

藉由本研究結果建議未來針對癌症患者設計心理彈性力、社會支持衛生教育課程進行準實驗介入研究。提供照護癌症患者時的參考依據，以提升自我專業知識及技能，並時時做好自我準備，方能提供更貼切適當及優質護理品質服務。

關鍵字

癌症患者 ； 心理彈性力 ； 挫折復原力 ； 社會支持

並列摘要

Purpose on the focus: Purpose on the focus: first, understanding the demographic properties in patients with cancer, disease-related property, social support and mental resilience elastic force and frustration. Sencod probes cancer patients with elastic force, social supports of resilience, frustrations associated. Third, the analysis of psychological flexibility, social support for cancer patients,the frustrations predictive power of resilience. Study of the mining structure questionnaire method. Nuclear- Medicine Department in the hospital and 20-70 years old cancer patients for the sampling and cross-study of the conception of the object, the questionnaire issued a total of 178% , recovery of 171%, recovery rate to the questionnaire 96.06%. Descriptive statistics, data obtained from independent t test、AVONA、Pearson correlation and Path regression analysis .
The study occulusion: The first, correlation between cancer patient demographic attributes, properties, psychological flexibility, social support, resilience of the whole question of frustration: to support the average distribution of minimum social, flexibility is distributed equally for the strongest. Their living patterns, living alone will be admitted by relapse, the current working situation, feeling sad, are statistically significant. Living patterns, living alone will be admitted by relapse, the current working situation, feeling sad elastic force and psychological and social support.
The second, elastic force and psychological flexibility and resilience frustration is positively related. Medical professionals social support and psychological setback resilience is positively related. Elastic force of cancer patients, medical professionals social support, are significantly positively correlated.

The third：Medical professionals and psychological flexibility are the best predictor of frustration resilience. Path regression analysis results of psychological flexibility of elastic force, social support can be explained with cancer resilience of the total variation of 60%.
The study results suggest psychological flexibility designed for cancer patients, social support, health education courses for experimental intervention studies. When providing care of cancer patients, to improve himself professional knowledge and skills, and always ready for self, appropriate to provide quality care and service.

並列關鍵字

cancer patients ； resilience ； Psychological flexibility ； Social Support

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