面對癌症病人之心理與靈性需求 林梅鳳

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面對癌症 病人之心理與靈性需求 國立成功大學護理學系 林梅鳳副教授 1

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2. 2 (Kwekkeboom, 2003) 3. 3 4. 4 5. 5 6. 23%6 20072001Badger, Braden, & Mishel, 2001 7. 7 (MacLeod & Cohen, 1993) 8. //82007 9. , 9 2007 10. 10 2007 11. / 11 2007 12. 122007 13. 132007 14. 142007 15. 15 16. 16 17. 10 1-5 5-10 17 Helgeson, Synydey, & Seltman, 2004; Mullen, 1985; Revenson& Pranikoff, 2005 18. 10-45 30-45 5 0 50 50% 44% 18Gallagher, Parle, & Cairns, 2002; Northouse, 1989 19. -1 1. 1. 2. 2. 3. 3. 1. 1. 2. 3. 2. 3. 19 20. -2 1. 1. 2. 2. 1. 1. 2. 2. 3. 4. 3. 5. 6. 20 21. -3 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. 6. 7. 21 22. 22 23. 1. 2. 3. 4. 5. 232005 24. -11234524Epstein & Street, 2007) 25. -2678925Epstein & Street, 2007 26. Presenting: Active Listening Responding 26 F or Pt 2000Stewart et al., 1999 27. // / :(touch)27 28. (instrumental touch) (Expressive touch) 28 29. 29 30. 30 Martsolf, 1997 31. 70% 31 32. / 32 1999 33. 33 34. 34 2004 35. 35 36. -1 36 37. -2 (6 33/61/2 )37 38. 38 39. 2005101103http://www.bhp.doh.gov.tw/download/cancertakecare/pdf/940812-2.pdf101103http://liver.org.tw/index.php?option=com_content&view=article&layout=liverarticle&catid=121&id=1602&COLUMNMODE=21999103-10(2004)8(1)664-6712007101103http://cisc.twbbs.org/lifetype/index.php?op=ViewArticle&articleId=672&blogId=1Epstein, R.M., & Street, R.L. (2007). Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering.Bethesda, M.D.: National Cancer Institute.Helgeson, V. S., Cohen, S., & Schulz, R. (2000). Group support intervention for women with breast cancer: Who benefits from what?Health Psychology, 19, 107-114.Gallagher, J., Parle, M., & Cairns, D. (2002). Appriasal and psychological distress six months after diagnosis of breast cancer.British Journal of Health Psychology, 7, 365-376.Martsolf, D. S. (1997) Culture aspects of spirituality in cancer care. Seminars in Oncology Nursing, 13(4), 36-41.Mullen, F. (1985). Seasons of survival: Reflections of a physician with cancer. New England Journal of Medicine, 313 (4). 270-273.Northouse, L. L. (1989). The impact of breast cancer on patients and husbands. Cancer Nursing, 12(5), 276-284.39