[[abstract]]台灣地區乳癌發生率逐漸升高,好發年齡亦逐漸年輕化,此現象已嚴重衝擊到中年婦女的健康與生活。本研究目的為探討初診斷乳癌婦女之壓力感受,收集某醫學中心乳房外科病房之初診斷乳癌... more [[abstract]]台灣地區乳癌發生率逐漸升高,好發年齡亦逐漸年輕化,此現象已嚴重衝擊到中年婦女的健康與生活。本研究目的為探討初診斷乳癌婦女之壓力感受,收集某醫學中心乳房外科病房之初診斷乳癌婦女為樣本,以質性訪談法進行深度訪談,共訪談20位。結果萃取出無法操控、沉重負荷、面對挑戰與無法預期等四個主題。初罹患乳癌婦女感受到無法操控時,需要引導及提供正確資訊以增加其控制力;負荷沉重方面,親友與病友的支持非常重要;面對挑戰時,心理與認知上是需要給予時間重建,以提供病人做決策;此外在無法預期的感受方面,對罹癌婦女而言,從接納自己、接受疾病、面對新生活,及面對未來疾病的變化雖不可預期,但可建構一個新的更具有意義的生活世界。本研究建議初診斷乳癌婦女面臨壓力,需要整合醫療團隊如醫師、護理師、心理師、社工師或宗教者等,提供病人合適的照護計畫與措施。另研究者亦可將研究所萃取的主題發展成乳癌患者之壓力量表,提供醫護人員藉由此工具快速評估病人的壓力狀態,以提升乳癌照護品質。 In Taiwan, the incidence rate of breast cancer steadily increases, and the statistics also show that the onset age gets younger and younger. Both trends of incidence and onset age result in a serious impact on the health and life of middle-aged women. The purpose of this study was to explore the women's perception of stress, who were newly diagnosed as breast cancer. The subjects of this study were from a surgical ward of a medical center. Through in-depth interviews, 20 women were recriuted and interviewed. The results sugest that four themes including uncontrollable, overloaded, facing the challenges and unpredictable were extracted from the data collected. The research findings showed that the newly diagnosed breast cancer women perceive uncontrollable, these women may improve their abilities in making decisions when professional guidance and assistance were provided. When they perceive overloaded, supports from friends and families are important factors in helping these women go through the overloaded stress. When the women perceive facing the challenges, it indeed takes time to reconstruct the women's mental health and recognition to allow them to make a decision. Besides, when the women perceive unpredictable, they can further face their new life flexibly when they accept of themselves and the disease. The cancer itself grants different meaning to the life of these women. They may still be able to construct a meaningful life even they might be staging into the unpredictable future. This study suggested that the newly diagnosed breast cancer women should seek help from a medical care team to deal with the stress through appropriate care plans and interventions provided by doctors, nurses, psychologists, social workers and religionists. In the future, the researchers may develop a stress scale for breast cancer women, to help the clinicians quickly assess the patients' stress to improve the care efficiency and quality of breast cancer patients
When there is a child with cancer in the family, the entire family is affected. Childhood cancer ... more When there is a child with cancer in the family, the entire family is affected. Childhood cancer is a highly stressful experience that affects the adaptation of family member to psychosocial tasks. Many of the family stresses and changes that accompany childhood cancer have a severe impact on siblings. An understanding of the experiences and needs of such siblings is vital. The aim of this study was to understand the nature of the overall experiences of a child who has a brother or sister with cancer. Searches of CINAHL, MEDLINE/PubMed, Science Direct, Scopus, Eric, and Chinese electronic periodical services identified 10 qualitative studies that were published between 1960 and 2013. An appraisal of the primary studies was carried out using the Joanna Briggs Institute Qualitative Assessment and Review Instrument. Siblings of children with cancer were found to have experienced 4 themes: (1) the disintegration of life, (2) marginalization within their family relationships, (3) self-tr...
The purpose of this study was to use a phenomenological approach to explore the essential structu... more The purpose of this study was to use a phenomenological approach to explore the essential structure of mothers' life experience when helping their first- to third-grade children with Type 1 diabetes mellitus (T1DM) make life adjustments at school. Twelve mothers whose children had been diagnosed with T1DM participated in this study at a teaching hospital in Taipei, Taiwan. Study results revealed six themes and identified the presence of various dynamic relationships between T1DM symptoms, the children's development, and collaborative self-care.
In an attempt to redress the gap in Chinese nursing and military history, this study aims to prov... more In an attempt to redress the gap in Chinese nursing and military history, this study aims to provide an understanding of the nature of military nursing development from 1948 to 1970. The National Defense Medical Center (NDMC) was established in 1902 and is recognized as the first military medical school in Chinese history. In 1949, in order to continue her studies, Prof. Fu-I Chao followed the school, when it moved from mainland China to Taiwan. The school's move was a result of the defeat on mainland China of the nationalist government led by Generalissimo Chiang Kai-Shek. The researchers adopted an oral history approach. This consisted of a literature review, the collection of photographs, a review of formal documents and four face-to-face in-depth interviews with Prof. Chao. After data collection, content analysis was performed on the information collected. The study explored the development of the discipline of military nursing in its historical, social, and economic context. Four themes emerged. These were a personal history of experience and growth, the foundation phase of nursing, the developmental phase of nursing, and the historical developments and trends in nursing. Prof. Chao's comments reveal how the students missed their parents and families, the special friendships among them, and the love and care that they received from Chief Mei-Yu Chow and Director Chih-Teh Loo. Tribute is paid to their resilience in the face of hardship, and their industry during the initial development of the nursing profession. The results also provide the suggestions of creating a history of health-care that privileges new meanings about military nursing's past and worth.
[[abstract]]台灣地區乳癌發生率逐漸升高,好發年齡亦逐漸年輕化,此現象已嚴重衝擊到中年婦女的健康與生活。本研究目的為探討初診斷乳癌婦女之壓力感受,收集某醫學中心乳房外科病房之初診斷乳癌... more [[abstract]]台灣地區乳癌發生率逐漸升高,好發年齡亦逐漸年輕化,此現象已嚴重衝擊到中年婦女的健康與生活。本研究目的為探討初診斷乳癌婦女之壓力感受,收集某醫學中心乳房外科病房之初診斷乳癌婦女為樣本,以質性訪談法進行深度訪談,共訪談20位。結果萃取出無法操控、沉重負荷、面對挑戰與無法預期等四個主題。初罹患乳癌婦女感受到無法操控時,需要引導及提供正確資訊以增加其控制力;負荷沉重方面,親友與病友的支持非常重要;面對挑戰時,心理與認知上是需要給予時間重建,以提供病人做決策;此外在無法預期的感受方面,對罹癌婦女而言,從接納自己、接受疾病、面對新生活,及面對未來疾病的變化雖不可預期,但可建構一個新的更具有意義的生活世界。本研究建議初診斷乳癌婦女面臨壓力,需要整合醫療團隊如醫師、護理師、心理師、社工師或宗教者等,提供病人合適的照護計畫與措施。另研究者亦可將研究所萃取的主題發展成乳癌患者之壓力量表,提供醫護人員藉由此工具快速評估病人的壓力狀態,以提升乳癌照護品質。 In Taiwan, the incidence rate of breast cancer steadily increases, and the statistics also show that the onset age gets younger and younger. Both trends of incidence and onset age result in a serious impact on the health and life of middle-aged women. The purpose of this study was to explore the women's perception of stress, who were newly diagnosed as breast cancer. The subjects of this study were from a surgical ward of a medical center. Through in-depth interviews, 20 women were recriuted and interviewed. The results sugest that four themes including uncontrollable, overloaded, facing the challenges and unpredictable were extracted from the data collected. The research findings showed that the newly diagnosed breast cancer women perceive uncontrollable, these women may improve their abilities in making decisions when professional guidance and assistance were provided. When they perceive overloaded, supports from friends and families are important factors in helping these women go through the overloaded stress. When the women perceive facing the challenges, it indeed takes time to reconstruct the women's mental health and recognition to allow them to make a decision. Besides, when the women perceive unpredictable, they can further face their new life flexibly when they accept of themselves and the disease. The cancer itself grants different meaning to the life of these women. They may still be able to construct a meaningful life even they might be staging into the unpredictable future. This study suggested that the newly diagnosed breast cancer women should seek help from a medical care team to deal with the stress through appropriate care plans and interventions provided by doctors, nurses, psychologists, social workers and religionists. In the future, the researchers may develop a stress scale for breast cancer women, to help the clinicians quickly assess the patients' stress to improve the care efficiency and quality of breast cancer patients
When there is a child with cancer in the family, the entire family is affected. Childhood cancer ... more When there is a child with cancer in the family, the entire family is affected. Childhood cancer is a highly stressful experience that affects the adaptation of family member to psychosocial tasks. Many of the family stresses and changes that accompany childhood cancer have a severe impact on siblings. An understanding of the experiences and needs of such siblings is vital. The aim of this study was to understand the nature of the overall experiences of a child who has a brother or sister with cancer. Searches of CINAHL, MEDLINE/PubMed, Science Direct, Scopus, Eric, and Chinese electronic periodical services identified 10 qualitative studies that were published between 1960 and 2013. An appraisal of the primary studies was carried out using the Joanna Briggs Institute Qualitative Assessment and Review Instrument. Siblings of children with cancer were found to have experienced 4 themes: (1) the disintegration of life, (2) marginalization within their family relationships, (3) self-tr...
The purpose of this study was to use a phenomenological approach to explore the essential structu... more The purpose of this study was to use a phenomenological approach to explore the essential structure of mothers' life experience when helping their first- to third-grade children with Type 1 diabetes mellitus (T1DM) make life adjustments at school. Twelve mothers whose children had been diagnosed with T1DM participated in this study at a teaching hospital in Taipei, Taiwan. Study results revealed six themes and identified the presence of various dynamic relationships between T1DM symptoms, the children's development, and collaborative self-care.
In an attempt to redress the gap in Chinese nursing and military history, this study aims to prov... more In an attempt to redress the gap in Chinese nursing and military history, this study aims to provide an understanding of the nature of military nursing development from 1948 to 1970. The National Defense Medical Center (NDMC) was established in 1902 and is recognized as the first military medical school in Chinese history. In 1949, in order to continue her studies, Prof. Fu-I Chao followed the school, when it moved from mainland China to Taiwan. The school's move was a result of the defeat on mainland China of the nationalist government led by Generalissimo Chiang Kai-Shek. The researchers adopted an oral history approach. This consisted of a literature review, the collection of photographs, a review of formal documents and four face-to-face in-depth interviews with Prof. Chao. After data collection, content analysis was performed on the information collected. The study explored the development of the discipline of military nursing in its historical, social, and economic context. Four themes emerged. These were a personal history of experience and growth, the foundation phase of nursing, the developmental phase of nursing, and the historical developments and trends in nursing. Prof. Chao's comments reveal how the students missed their parents and families, the special friendships among them, and the love and care that they received from Chief Mei-Yu Chow and Director Chih-Teh Loo. Tribute is paid to their resilience in the face of hardship, and their industry during the initial development of the nursing profession. The results also provide the suggestions of creating a history of health-care that privileges new meanings about military nursing's past and worth.
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