乳癌婦女治療後婚姻調適及其相關因素探討

Factors Related to Post-Treatment Marital Adjustment in Women with Breast Cancer

10.7081/NR.200104.0137

鍾美玲(Mei-Ling Chung)；顧乃平(Nai-Ping Ku)；吳肖琪(Shiao-Chi Wu)；趙祖怡(Tsu-Yi Chao)；陽琪(Chi Yang)

乳癌 ； 婚姻調適 ； 治療後 ； 治療前 ； breast cancer ； marital adjustment ； post-treatment ； pre-treatment

護理研究

9卷2期（2001 / 04 / 01）

137 - 146

繁體中文

本研究目的在探討乳癌婦女治療後婚姻調適及其相關因素，研究變項包括疾病特性、治療前婚姻調適、憂鬱與治療後婚姻調適。研究採便利取樣，對象選自台北地區二所醫學中心及一所區域醫院門診。119位符合收案標准的乳癌已婚婦女，在獨立隱密的空診間，接受研究者以結構式問卷進行訪談。結果顯示乳癌婦女治療前、後婚姻調適沒有差異，但治療後婚姻生物面滿意明顯變差，心理面滿意及社會面滿意感受得分增加；逐步回歸分析發現治療前婚姻調適是最重要的預測變項，罹病時間、癌症期數與不同的輔助治療方式也是重要的預測變項。研究建議臨床醫護人員應有和研究結果，鼓勵乳癌婦女積極接受治療並以正向態度面對治療後婚姻；並筍籲請重視乳癌治療對婚姻生物面的衝擊，加強乳癌婦女的卵巢功能、性功能、憂鬱情緒及婚姻調適評估。

The purpose of this study was to explore post-treatment marital adjustment and related factors in women with breast cancer. The variables include characteristics of illness, pre-and post-treatment marital adjustment, as well as depression. Subjects were recruited by convenience sampling from two medical centers and one community hospital in the Taipei metropolitan area. A total of 119 married women who had received surgery for breast cancer were interviewed with structured questionnaires in a private space. The results showed no difference between marital adjustment pre-and post-treatment. A significant decrease in physical aspects of marriage satisfaction and a significant increase in both psychological and social aspects of marriage satisfaction post-treatment were demonstrated. However, stepwise regression analyses found that the most important predictor of post-treatment marital adjustment is pre-treatment adjustment. Such variables as post-morbid duration, stage of cancer, and different treatment modalities could also predict post-treatment marital adjustment. The results suggest that medical staff should encourage breast cancer patients to face their post-treatment marital status positively. The impact on physical aspects of marriage satisfaction of the breast cancer treatment should not be overlooked. Moreover, an assessment of ovarian function, sexual function, depression, and marital adjustment should be emphasized in women with breast cancer.

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