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| Title: | 初探疾病覺知、因應策略及生活品質之關聯性 —以術後頭頸癌患者為對象之追蹤研究
Exploring the Relationships of Illness Perception,
Coping Strategy, and Quality of Life: A Longitudinal Study in Post-surgical Head and Neck Cancer Patients |
| Authors: | 陳品樺
Chen, Pin-Hua |
| Contributors: | 吳治勳
Wu, Chih-Hsun
陳品樺
Chen, Pin-Hua |
| Keywords: | 疾病覺知
疾病表述常識模式
生活品質
因應
頭頸癌
illness perception
Common Sense Model
quality of life
coping
head and neck cancer |
| Date: | 2019 |
| Issue Date: | 2019-08-07 16:34:38 (UTC+8) |
| Abstract: | 緒論：頭頸癌病人經常面臨吞嚥困難、進食困難、外觀改變與聲音改變等生活中生理、心理、社會等層面的挑戰，對其生活品質產生相當的影響，也需要相當的因應資源。本研究以疾病表述常識模式為理論基礎，將疾病覺知與因應視為動態歷程，進而探討其如何影響頭頸癌病人之生活品質。研究方法：本研究以台灣北部某醫學中心之頭頸癌患者為參與者，以問卷方式搜集其癌症切除手術後一個月與六個月之資料，共有42位參與者（男性36名，女性6名）。研究將利用路徑分析，探討疾病覺知中之疾病結果、時間感、個人控制感、治療控制感、疾病認同、疾病理解程度、疾病在意程度、情緒反應）、與三類因應策略（個人內因應、社會支持、及逃避因應）之相互影響，以及對四個向度的生活品質（生理、心理、社會關係、環境）之預測性。研究結果：結果支持疾病覺知與因應策略有相互影響，術後一個月的治療控制、個人控制可正向預測術後六個月之個人內因應，而術後一個月之疾病結果、時間感、疾病認同、理解程度、情緒程度，可預測術後六個月之逃避因應。術後一個月的個人內因應策略可正向預測術後六個月各範疇的生活品質。討論：本研究可見個人內因應對後續生活品質的重要性，然因樣本與方法上的限制，相關結果有待後續研究繼續探討。
Introduction: Head and Neck Patients confront with challenges of swallowing, eating, and changes in the appearance and voice, which bring about influences on quality of life and the need of coping resources. The present study is based on Common Sense Model, and a ‘dynamic view’ on ‘illness perception’ and ‘coping strategy’ is taken to explore the relationship of illness perception, coping strategy and quality of life among head and neck cancer patients. Method: Path analysis is used for the examination of the relationship of illness perception (including consequence, timeline, personal control, treatment control, identity, understanding, concern, and emotional response), coping strategy and quality of life. Forty-two head and neck cancer patients (thirty-six male and six female) recruited from a medical center in northern Taiwan completed the questionnaire through a month after surgery and the six-month follow up. Result: There are interaction between illness perception and coping strategy. Self-sufficient coping six-months after surgery are predicted by personal control and treatment control a month after surgery, and avoidant coping six-months after surgery are predicted by consequence, timeline, identity, understanding, and emotional response a month after surgery. Quality of life six-months after surgery are predicted by self-sufficient coping a month after surgery. Discussion: The importance of self-sufficient coping on following quality of life is shown in the present study. However, the result have to be examined by further research with suitable sample size. |
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| Description: | 碩士
國立政治大學
心理學系
104752022 |
| Source URI: | http://thesis.lib.nccu.edu.tw/record/#G1047520222 |
| Data Type: | thesis |
| DOI: | 10.6814/NCCU201900517 |
| Appears in Collections: | [心理學系] 學位論文
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