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COMPARATIVE STUDY THE EFFECTIVE!{855 OF TWO }dETHODS IN PROMOTION OF
SEIF-CARE ON THE O.UALITY OF LIFE AND VULNERABILITY IN
CERVICAL CANCER PATIENTS RECEIVINTI RADIOTHERAFY
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FI
Thesls Tlt-le conpanatlve study The Effectlvenegs of Two
Methods ln Pnonotlon of Self-eane on eualltyof Llfe end VulnenabtIlty In.CenvleaI CanceR
Pat lents Recelvtng Radlothenapy
Name
Degnee
Thesls Supenv{sony
Date of Onaduetlon
Sunlsa Wattanakttttsak
Masten of Selenee (Nunslng)
Csrnmlttee
Somchlf, Hsnuchanunnkul, B.Se. (NuRslng), H.S., ph.D.
Puangtong Kqatphtbul, H.0,, Cent. of pnoflcleney
(Radtothenapy and Nucleen Medlclne)
18 May B.E, 2535 (lg92)
ABSTRACT
Thls quesl-expenlmentel neseansh was destgned to test theeffeet {venesg of two nef,hods In pr.omotton of self-cane on quatttyof l lf'e and vulnenabl I tty In cenvlcat cancen pat lents necetvlngnadtotherapvr based on Orremfs and welsmanrs theonles.. punposlve
eempllng was used to select ?0 cenvlcel caneen patlents peeetvlngr
nadlptherepy at Ranath{bodt Hospltal, Facutty of Hedlelne,Hahtdol un,lvenslty, The flnst gs patlents who necelved
nadlothenapy fnom Augusf, to Octoben tggl sene asslgined Into thecontrol gnoup and the laten ss patlents who necelved the same
thenapy fnon Novenben l99l to Manch lg92.wene ln the expenlmentelgnoup. Pat lents ln both g'noups necleved the s I lde:tape pnoginern
and the manual of self-cane pnactlce dunlng nadlothenpy, but thepattents ln . expenlnental, gnoup necelved contlnully of suppontlveand educetlve fon self-cene fnpm *,he lnvestlgaton and a negesnch
asststent thnoughout nedlstlon tnestment ln adrjtiton. At the end
of the study thene sene Bt petlents left In each 'ginoup.
euattt,yCopyright by Mahidol University
of .Itfe and vulnenabtltty weFe measured 3 t{rnes; befone
the nadlatlon tneetment, dunlng the nlddle of tneatment, and on
the last week of the tneatmentr uslng t,he Qualtty of Llfe Index
developed by Pedllla snd Onant (1985) and the Onega VulnenabtlltyRat tng Scale developed by lVelsman ( l9?g) .
Results of the study lndlcated that the meane scones on
qualtty of llfe and vulnenebltlty dunlng nedletlon thenapy fonboth gipoups were not stgfntf lce'ntly dtffenent (p).0S). Howeven on
the las+, week befone the tneatment endedr patlents ln theexpenlmental. gfnoup neponted stgfnlftcantly htghen nean scone on
quallty of llfe (p(.05) and stgnlflcentty lowen mean scoFe on
vulneRabtltty (p=.05) then fon the conf,not gnofp . eualltetlvedata fnom the expenlnental gnoup nevesled that patlents had 6
sraess of eoncennEr; heelt,h, self-sppnalsal, sonk snd flnanclal,fanl ly and slgfnlf lcanL nelatlonshlp, fnlends and assoclatesrend
exlstentlsi concenns. The helplng noles by the lnvestlgaf,on and
a Reseanch asslstent for. the expenlnental gnoup wene; teaehlng,counsel t lng end guldlng, suppontlng, monltonlng, stlnulatlon,fsel lltatlon and coondlnatlsn.
Results of the study suggested the benlflclat ofpnomotlon patlents pantlclpatlon ln self-cane and the noles ofthe nunses ln hetptng when the patients hed self-cane deftclt.The eppllcatlon of both Onemfs genenal theonles of nunslng and
lVelsmen's theony of coplng wlth cencen ls eppenent.
Copyright by Mahidol University
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{s1s1il{ililrvniuaTrrrdfinmirl1tuarufl1:finaiauriarrdlfifiql,ild? $n{l-lA1'l ilg1g'llt?lltl?vnlUA r
nrrilsi'l{'l r,u?'lua1flrsdauru6fla1crfiorqrnarn, rfior r6uilro nrslqzirurn
t1gtf,1?a1fr1guavn1'lurO{rfirulcitrtttg, et e1. l98s: 57-60; stnohl 1988:
43?; Snrlth & Chemonno t98t: 133 ; Yasko l9B2c 6421
s.z r fraarurr drhanrr r fian{lrlsvnlrals"rsdaufrfrudr 01ua {ert
I r I o qur e r Qtloa I D qU!T$Un{FErqAlUauT4t'lfllla{f,',ltA1T1i rSA tSU"tTlltjfuil'lU t{lErrrsnr !1nrunil tfqt .at'qtfroarrlilasrn{udtun1ua1fi1?tfirfit (Dodd t98?: 9?-sB; Ketly & Ttnstey
1981t 942; Snlth & Chamonno t9?8: 133)
J qo a o 3 q u u a, u I
s . s nfiuldar r 6su r fioiltluuuuduirf,{nrruauf,uan r fia{u{ofrnrut
ul u aa J.{U a I u r d v uajll?etFll1nt[T1?tn'ltlt?Trn1a'lfllTnarldo'lleflt[ ldil nllflilrlfv?t'luilavl[08?[auorrD't
s-G nii firtruav tnfiauimnl nfinrfia ofronrrmdriurl:vn1ro'1fi1ril?o3on:ositq
Jo eluuc J vu r . J qu a <-iln1 luldnnau [da1 r eflll 6 0 r nna'ln'lTFlflr lf,a1 I Qflulro{nil r ad tofltl'l {?1Eto'le
Ia al t- 4 J ru ,J aa q u _ila'ln1?il'rnttrd?,{r111 tu0il11l1ilaflu?sn11ouanttta{t lurnil1ydil (Dodd 1987r
114-lt6; Kelly & Tlnsley l98t: 342i Snlth & Chamonno 1981: 133;
Klngr' et al, 1985: 57)
s.4 nr: r rjdnuurlarfrrrdru? r'lmfiloi{u{rf, rirhergrrs{nr1il? r ilr0
e.----e-d.q-r.-r---r-- q u.l,qu , a ; 4 r aallTll{il lfiua dafl l6ila ila 0flll l,$ lTnflud nuetflfllu?tljn?u [ ilatfi?a r iltlllfrJa Iou r aan,o0, 4 lt | {tqry 6 aQ o f o Jr{r, v q o ;fi?rrf,aH1finlililil l,il t{nTilg1d15rnil lo1n1frTa tfluxultil,?$n tfttllt$d sar-lraflr
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!? t'lss'BJrsritnn{t flrfrnrrfio r {onrr?lrlTnrr r drurirfifirdrn'l}r ( Dodd t eB? :q9
122-I24; Str.ohl 1988r 433; Vennlcchlo l981: 336; Kel ley & Tlnsley
1981: 338; Srntth & Chernonno 1978: 133; Welken 1982:2068-2069)Copyright by Mahidol University
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e. s alriliria0 1flfl ilrn?iar drlrerfl'lsqfrntdsonrs{udtunrtolrltJo o Ve. d a- J q -nt- t ri"-, re-. --,-^-! ,--dfrilnrnlrn ulnfrna,a[ild6] rildou! n'l riarn?a0flilniln1tuar uaanoaaa nlrflilv--.ratrrEa{urhufl1$a1srrdaudaildT flfilxfrtdas tfiafiarnrtfiatrfifltrnfiuuau{fin' A e r dof r!r - a- - a -q..-ri- -.-. -,---?-."0^.aoutuaflnlfliilrltuyt1ra1fi'l?ylil lilst6l{il$d{r?f}na?flsail il$d?{| tlrl ila'1u1tFltld vt u o 3 u- !, ' a
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a131f?d{naJdil
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a."'Uo ilrnuavrTutai
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san r afl $fl1?afl tuiilntfi?o lna',4
nrsfi ildr ilrn luav{nt1Fr?'l rdvalnxa {?'l nn1 fl
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rlJuuosr-uIfl1giA0flAAnilAfl1 riloilo{nlln1?fliilntIa01osnaafl (ul{Yla{
348; finflnfi fintunru: unu rsrrdnu{ trrufiarl 2533: t5-16;"!qu
2530: 279i u?rfinl ET?ili{d ?531: zoo-201; Dodd 198?:
dr fi rh u1 dfi a'rfi nr:1 d r fi au-[ tdr r
lnrfruad zsesr
1rl{t rnuil{na
t t8-r20)
to4-l05; Yasko 19821 646; Ktng, et a1. tg85: 59; S?nilatl lntfrUAri
zE33: sso-sst; finsnfi fin:ttrur uac rsrrfinurd trrufiarl 2533:l?-tB){q
e.6 nrvrilrurlddrrvdrrrdu airhanrtfitrlrlrnlJ o I q-.
0 ' t
?lluFr1s rnoirnanru rururJdarru H?n{1fl'llld rniotdluoanaaadJ a{
tnTa0tnpl UTnlnil (Dodd 1987: 99; Yagko l9B2: 646)
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drl'luT:nraaorfiaflrisr#r1qanfiu st nr uaoTrantaruilagraofitr?ait gz at flt'inrurnrufiinTerul{uuu{nrrrufrtr.ra1o1tfiin ( Ltfe sef, | sr'act tolr) uu'irlu
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r:iurfietrfittnl?frnu1tasal{la{nuotul? t?o{ ( Lebonde' & Powen
1985 ctted ln Hanuchanunnku[ 1988: 3?) 'ludrlrflTgnflguofluaudadnrAl
"troqqo-6gJ,:orfra{,1 rE0 flT yr}rln'rpl?'lrusuo rq tut?nil1nmrilailnrt{u{fitn1'rvdtnlufiuav
d'l$1innrunila1n1r1tifiTe,sfinrrr r6urleo:iaaoa r uavuildn!flv r fislir'[utrui6flq
larl{aarro{ tsro"khandt 1eB5: 1 t-ts) e'lnn1?dnnr#firhsTrfi{adnt6u e4
'Q ' { r, d J J.i vat ?ruu'ilrmnlufriofrfinrHrsnriT trsl6ia'lrin'1rfifl1'lilrdaililtiln?ra{n.$ a'1il'linCopyright by Mahidol University
22
U rlus u rta s u 6 d oJar fFl?lrnilnst a{fl'Itrdltfl1}r t6t6l til?n {ul idtudll$n1sa{nilfluaun1?il r Qflnfinofla tTa
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cir r luaunr u r dal trl,ort'ldt'l
||qr
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drudq'$ttfrfiarasianfln, u-tirrlu#ilrflilv r 4,rriu Taruaufin l na{dr ( Ho rmes
& Dtckenson l9B?: rs-zar r'd$a-i; n1'lvdilnlrl dfl1'tva'l?M{ arrlfi,rual.nr i.l q oo
edruunnn n'r'lrt?aljutunutat flr'lila'lil"lrrr'l$fl'lrd'rs'ls d"lrun'l{ rFtTrgfiQ
,lr"a'un.rs{oarorloir6a1ua6n n1i6flrrl?surfisufiufi6u firuToinrrsiarurnrilfiislr rrt d v o J t t , (tilllTlil?laSill|'lllilvtl{fl-A1flnilnt'lfln UilFlUOt{l,U5tl (Welch Mc-Caffney tg85:
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Copyright by Mahidol University
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Y I'Uu.fl u t-'t'l ? t glTilfl 'l I6luaa1 nHfl 1 il'ln
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{nrr sl Frur{il'i'l Fr?1ud'lillrnlunrrouanrla,rfinrrldrfitCnr{il?nfiilffEnrufiisl,ou"frrmv{u{of,:qrrnuavn'lasfi${rt{ofr{nrT Iui1voudtrvlunlt]rs1il"Ia'dfittdutu,auOu u.l J u - Q ot$Ft)'lilT IUfl',l5ouafrtIA0 rUAllflU1A)1il'd',Iil,Hr1 tUfl',l5e-luflnrlI A{fi',lilUtl?F101A{
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a'l5tE[rtnAel t ?A'l\{ t I f D4 r q rr{ u o q r{ r rq I stilu,$tl0illil{ lTFl n?'lilTdfl'l'lFl'lilflilgl$l On til t6l n'l tfi l,ilutl lq |'ilil-nta{rl"lTTflt'1ouc.vJ.laduaus16uea
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o. J r a I o u It trTdsfr nall r fr { n'l ?fi attdua 0n1 s a1 ?ufluau nr r r al^tX.rt^un r uillsi'l { lxa s
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25
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d t " d I s '1 tB o J 6 - q I
n?1ilr4tlil?g 9)n13nTu7t1d{n'r{'ltos lilsraorilaaflal']ilrft?80 l0)n1? ln?n??flAt;aaf'dJ{uluqr:rurnr { r aanil tTilludt t I ) fl1flaon?1il9r{ t n1fl6t loElflTvnld 'rn I illlalrfl?'lgfla
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rrJdaauurlnototnrudn# rda,,rqrnr1flFr?'1il{uaur'ilrlq'[un'rs{ntsr fiT'l#urosruTCopyright by Mahidol University
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rfflram,t{mr (ul{na{ lnsfiund 252oi as; at?d duana z52,2 ?03; Peck
& Botand te'tlz rBo-rs4r Tflflqrnnrrdtaru{firharor{oriauara{,1f, loo 11el
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reBG: 27 r-zlrt ttahfrrfi rf,uTrsrlot,{o:ruuu{slufl!fiuCuaua'rs{tfr,iurt soouq
nu q1nfll:fllnrurffirhgluflrler"''t{fi*fio aru firlerrdnnrfirslarnr:ars{tfl uncfl1n
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arru{rnittn1d (Dendenlan t986c z761 TersTntatuaun'lt1{d (cohen &Copyright by Mahidol University
29
Lazanus t9?9 ctted In Dendanlen lgBg: 266) tf,mdtnfgf ru^mfiUnffv
lFlggfil,ilo{la1nn?1ilt4il!1fl llailailt?fl t1lfl11il?iln'1fl1tfl'l?utn5fl6t loun 6nrmu-.__f___ Q u aao a s ue a tt d J - glas t?Fl lfrnEJalilfl1?fnH'l ?Bo1tiltln"ltfflt'l n11ilTdnfitAs,nr]10rdg$frrRfliiU
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q-.-Y-l- '.J-.f --- r cl d g . D d aotualilraflfun?lil?lstttiluruvritrit fl'lrud?ofilxailariluTdnrrrarBrurlruu'r,i,,lrouodf't*g :nrvdfrnrrilinndrrao{ru?"rurfiuiEnrmiiofiti.oltfl{rhurzufo.drunrldfi
in*.nunJuufiud, rJoo,,,"
teBGr zserltdrl'lsilur{0rdT rufi{trnfirflT fiEr fl1?uf,?rsrdaladlil'l#drhsrhurfiu
dn1 un'r?rdnnnl; r ir1 afi t fonrfir{rld r n?snuavdunrif; nrr urifum1 d Tns$sMa4 a ut olo 4 qu ,ri
r iluatilon:toila?ta1 1!il tTuflalil?Et
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o. B ({, ,n,-411iliIfr$rilnrtfnpr tfitfru aCIn'l1l?stflfl {?au,avn1?ua1?t$ lfldxdulg?i?ldldor9.
dtnrrrt-nt'ltat trt"n t Ratney lgBS: tos6-to6l ) 'ludrhflil, r{rfiiu{rfr{nyr,irteu 50 nt uritrf,tnaiila?ilnild'lr?r so nrrfilddara,fiastoerlei{lrfirfiarailrHn
d I J , -- o" I uarrrs r qr "u,nfrt taiu airundmoao{q1rrurfl1flu tonralarln loEr rsitualaeirnrluavltfi{undsfia
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u,av n1 1 v a 1 ?ilfB [ ild?tdll1 il ltafl fl ? 1 fl ailn t oi ttrata{afl
Copyright by Mahidol University
30
lanqrn{qa#udrua"rol, (Johnson, et al. 1988: 45-slI ldfinprq uD ,q. q t, t D4 t J .e-d -.- g-..e qu
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{sfi rus'irr{u{rfl uaulufirlerr#aErrtrilriuuduuo{0fl{nurrrirfiu Gs.ss' ?o. Eg
[nv E?.rt rrudrdn nuuutnl?ou.r*{nndTnn,ril,lo le,21 uav zl nru{rdl,v
o96u u Ul ad1 I Tnfl at?agnfl alil'l fl 7'l gtaafl ,
tuu oo.nnr l oTrn, u.".', ud oLiaurrnnr unlloi
930UA
naofl?ugu t'141n1lil'l gf na
II
9to$'l
!
ruf,drril{tfirrirriu 60,26 ltflu 51.5?o922 aav 25 n1ila1nil
rrr Jqo&fil?sr1grrfrnuu$tarsnru?inriat{uitf, [ac
tCC+redl lnu Ul|Un1 1 uA1 TulYlr'lll t6fl r n1nil
9
Copyright by Mahidol University
57
HAfl15?t$6aildililfi€1r
aililfiErrr{ad r nriryir drherlror{rilrnruoandr{l{rfl{nur fllufl{un.t6 -rt q u rrq I u q t"i I
fiflfirrud{ildruuavlqfll'lilT runlTfluafiur a $?lsflunr: rdfian'lr'dau( rr';irunnaor I fia
,onuurodsfi$nril-tir,arnd'r ndzufild{udun.ruuurfrsraeir o tfisr t nairnrmu, fio
'l ur n s''i r r {li r f, {n*. uu o, I ul n-ri{uasr{ r fl {r'rrrq9
Itll
snzrrfr g uavrdfi t udnrfirnrurdfisrurlatraonvuiltrafiflrwflrufiisl0q
. v v a I u v a Q u. I v , Xf e av J d , r ufrausilT sd?vfi'I1{Trlf {duflu t1[6rJo1sd6rYt1flnatdildflT sdtnE1 :ltqv tRl[?1flau1!
99v a J aa r t I rV rdv c e aaftdauutlllrilaflarufl"l!rd?nIa{flaililoaa{a0n?1nailn1iloil ufl tililufld1flnm1s6ngt
9909al I v v a u I I o , 3 u de at( 60) = -0. 89r p= 0. 19 lutvmtr{?il?sduaudilo1fidfln'}gflatdtrd6tf {6Tnt'1il
. , i 9o
n'lr r dfrflruila rdns$vrrr sfirfitr 6anairnr?ilnilfiflv ulru r sfisr$ntr?ina rfiudraoa rqaqttrftaJaar$ouete'd?tlflailfloraa$ilFluuuu t oflgFlt[fl1],dlnaoa{u,a?6'$ltust1ila1oil?uflc l,'1a10{na1? I ilaqqro
rdrrtdootvgg.rS-u4I UTllllt?ltlllFl'l1Aluflnn'l ttA{n'l I flAfltluutlilFT[fl']$l{ltrr5'u311{?tllsdUAvnAt[dtdnT {|'A
I
Covar lance )
9qI AU O V AA(M=7 2. 321 Ofl'l {illlfld1ffXn1 0dnn
qo,a
auoudl{ 0dt1ldtildilrn61 il?lauf nt!'l 061 tl
qo
{ntrta tndlnrlnlfiunaimoaa rTnan, si , "t'ro#".',luiltiltruiru
( Ane tys I s of,
d d aa ! u v au d u 1 |
ilpluu,tut aafltErnlfld?nnatlll5{d7n31 [ llrum']urlr5lil ( covan I ate,jaaruuaa,Joae
van I ab Ie ] utl't"lnuttuut ilafltrlr311ud-nn0t?tl? {-driuanafluu$ut ilafF[1fl-1]rtan tn,"il
iuwjltuaudaufrunn{tfl{nurad'lsfidsdrdru?I1tdfifi F( t,se)= 3?.48, P (.oota
( gt'l?"1{n(gr'1?"1{n 4l uau F(1r59)= 37.?8t P {.001 (n13'l$tl 5}fr1$:|16ttl tilatiltililorrutlroJaa{rruflr
tYldtliu$'l'lllflailnlafl1{lflsf,A0 ill|?"lr|nvUilUtilAgFulnlud?nlilUgrnn"l{fltllUfu$'l'10
E( n13',1$?l s ) fr1$d1dil rfiarrliau
",1 d | | s $ O. ( a I{u{ofl F(llse)= l.ss, p= o.t? (sr151rfi al usiunneirrfitludrlErrdaomrflfiarvrrlfimo{rf,{nr1 F( t,ss)= 6,02, p= o.oz (n'}i1rfi sl fitfionaimoaosfinvttxt9-q
J aa o s r ! u , X u au I r
r il6sffur1u-ti$'ludilorrfiaofirsriarfitaof rfi{nrr ( M=B t .20 ) d$fl'i1nailn?ilFril
3 Ao t J aa v Iuafla"lflutlrilar{al?f[lFlltilagnuu,rluFulrfllHd?nl"lfl1a (fl"Ioil12n {)ull'l'l,9r
! s U 4O I I r o d.6 V a u IflallTUT Sfl? nnflilFllltFtilU,AunflilnflAO € ilFtuU.t[$l OagFuBrllljt.lne11tlPl'l',til1flir]t-l{1A Itqqrg--q
dr;;aar!rr.a6vn?1il riililrseirafl firnvuurmnruiirria-unvuu{asudo{'j'lfin'l''tilinnns'}ail'ln
9ri,
rufi'i1t{u{.rfl{rrt'rnuuur r afisrmnrutiyrefrrafl drn{unailfl?ilnilfra6i1Bn'l1iladaer'lr.qgqqu | | a a) | a 0 u I I I t t u qu
n1T5ltl5un'luuauflailnflfla 0nafl1tln11rJoattuafl ttdllo1l8dCIYl1snatdil66r3 0d?fiH1u a | |ulaq6aol,t6n $na d naililFlu uull I aa fl ffLn1ud1 rtnl do6l'l ltn? 1 iloau t un fl
Copyright by Mahidol University
58
aE
n'lf'l0n 3
luflu l'la']fl1fdt
rnllllailao
nailnlllFltl(n =31Fltl)qEa
flailnflaan (n^=31011)q4
Range MSD
tl. 6u r d t a 6o,- .- ^-!^t---ririldc ri1 I Ahfluavnl t lltl{l l, rttt'rl'lglld1trnuuil1[Fu[fl11t1?fli14 0Hil?tl{qll
d , ! - q ..-- 1
iluri,gil1flilflanfltl g lvztv lunalntlniluavnAilflflAa{(N=62 fltl)6tls
Range MSD
riau{uirfi
?ur"j"l t{u{tfls. I adll0l't$f,gln'1fl
43,68-99.47 75.04
49.47-98.95 78.45
4?. 1t-r00 72.32
15. 50
t4.7 6
14,97
50.26-100
44.21-LOO
s6.84-r00
78.39 19.52
76.44 14.54
8 1. ?0 19,29
I
flffirI
r U td | | d q-o l,ln?1{ r drns 0u60{n'l3l ilastBila$Ia {n'l I ilasflvutlllFEllfll]ld?n?lo{Bfll?tl
d , Jq,- u atu ' l-.---r1--.-q--9ilu r I n !1fliloaflil rd{u{ofliner usiav:vtlc sl { unfl atrffi ofr ?ut'j'l n uau
,9uvdilordaotir fl riatf, ran{ tfr {nrr fi tnailnr lniluaurl6iilnfl aa { ( N= 6 2oil )
q
JFlv uuu I ilafl 10 .{r Ftmfl 1!"ti gl
Inailnllnx
qlI
narmnao!i
85
80
75
70
llriat
t P=. oz
t wt ( tlvB't1{ drlolTdflnlAq
Copyright by Mahidol University
5S
a
n'l?'l!fr a r rJ?ng tfisttflrrilus,nsir {ta{nuu,tttl afiaarunrt^tirrq
aarairharo t$cdrn
rue,anlurosdrt{l{sfl{nrrtvn'irtnailarlaruuaonaiilflnaa{ TeranrtAn(r*'9'i1 r Frrlusclrrruuu:rl:rtirru finvuutr adflffunril'tislfiauiilitfiinur r ftdrurlrirzu( N=Ezgrr)
usairn'luurlnh'lr df ss Ms F P
9rlfrruils:rl I 4925.08 4925.08 37.43 0.00
rrairu 1 956. ss 956. ss t . ss 0. 1?9,
rn'11ilna10[n6at[ 59 7762.61 131.57
sjai'?tJ 61 12944.24
It
".r. od t r rl?flil r fiflunrrilunneir tra {nu u,nu l adflffrrrta?in larfidrail" r E rilrn
Q crr (- D t 3 v q. " I I o
,
SFI'AII tll'dtl6l'lT'f,flfl14t14S'du-delT S-dTflt'l7ufi'11 0flailFl')ilnilUAvflAilnflAo{t0e,rle1falrrldsaaruv4lflfln']1'1 t nf 1ufiFtl1illtilTrl?1u11s 8JOyU,$t I ilagFEAl1'.lil{'.lfliflaT51l5 {t-d
{rrsr r fi ucir uft i'rs ( N= EgFlll )
lll
usa{fi't'lsu$l. tl5tu df 5s Ms F p
grln'rurl51'Iil 1 4630, B8 4630. 88 37. 28 0. O0
I
flnil | 748.38 748.38 5.02 0.O2i,
qn?1raa1o t aaau 59 7 329 .7 | tZ4 .Zg
il-d3'ttl 61 LZ?AA.97
Copyright by Mahidol University
60
aruHfis1u{ud r nai.rrir drlrnilor4,rrlrnrnarrfis{u{sfr{nur fildiunrt
finnruafirnoouar'lninrrHflrnrroourut, asirufiiln'''t'[ddnn.i6au( naimetaat t fi, i -.''-- -- n , 0 -l- --. -l
q
'a C dr-,--i---'^ ' Jq-u-'f-i-- d r- -E I
Ftvuur! aaetrt,l,luarsrsfinnt]flneirniT naiffilofu6anrt6outtltl0otll 0 t 618? ( flail
J q , ]r, -"-erc--.^..- ,^,-]-{-^r^-..t^^ 3 ,-t-et-q--.-Ft?rtnil) frt-[ttvrirtildtflintruav'fitln1*doYl1snarnttdot{drfltl
qqq
t t "
q1flsl1r'lrd e uavtdfi z udorsfi{nrrlrrlfiaurlattatauutiltilfiflflllun.a
C (q I u v q I u !l.q 9r --{-' -q, -..' a e qw d '4ttra1?rdnfltlotnriat{uirfirvs'jT 'riuis6uavdrlon*aon1flflardildsl? {drnE1 lfi1r to?'l
9 , t t- '9
|dll+-rrtaeqlol
ffu utr t a6gnrruaT rufinnilFinta',tnailnlrtptiluauflatJnoaa sflat l ftlt, sdufl nnl {fl tlusl
.,t rd u o u .6a . :- - 6l ^.--.*i^ oJ.,J oE'o.,,, o,o, , J
tililttlf,1rTun1tanfi t(60)= 0'e4, p= o' t7 lurou'i'rtil{tfinrvuilulil6sn'l'lu, ,i t ,tt__.(-_-rl--.-,--.3 ---rf -ers--.--.-^-,
atrufinn{lnnlarfioda{naiilaoa{ uavddor$dflfr1flflaudtdfliodiflt1xa$flaila'}ilFltlqlq.Ecq
rAar{tr$n,flaelrffrvdnainnnaaraora{ r$ndoo rdotrl?flilIfiflilorrruuenei1{xat,oo 4 lq.
Fru u$T I S6fl fl 1 ? v O1?rrtnnt l, 6nq
5u?'j'r o{u{ tfi uaodrlo'rdnofir sriatdunEr{ tfi {nur
ro{ntiilFtlunlfirmaitfloaa{ tosnrzi tFll'lu#nllluilzrhruiu ( Ana lvs I s ofqq9r
covan r ance ) Toflfinruuur adflnrrual?#nndTondot{u{tfi{ntl fltdrurltdrlI ( d+- , v vr 6 6 6q, r l2-.ll qa I
( Covan I ate ' Van I ab 1e ) illd1nvUtttl[ il6flfl1?v01?r$tnnx lFinflau5il5 {tf,il0,ano
d 6 df- q u v €lnu ur[l[ t il6fl n1 1 c A1f tff[nflx t em t ilTuT?'l 07117 {a{(
q
q
u. I a , a
ua v drlo rddnfr r etd at3 uaeri I flqq
{ng1aeirofrdildrdfln1s6fiA F( 1'ss)= 21,e9, P ('001 (sl1l'ttfr rl UAU,r,
aOurlr4.---llF( t r 59)= 18.08, P <,001 (n"111{n 8) n1ilA10! ttJOtlJTgUtngI?ufil1tnnil
I
v | 3 r o d t l+.- r4-t I s Q ) v v qdrad,r sfrrna rilil'rt-tnvuurr ahfln'lrua1Trfifnnt lfln lilunnor sflt lu5Yfi?1{5111{ld
,Q
F( r,5s)= 0.04r p= 0.84 (st1r1td zl usiuflneirsdrodrtfrfiarirfonr,ra'nfi'lt,-t
t -- ,t d u g I
firlcrrriaorirsfiailSMo{tfr{nur F( 1,se)= 4.0o, P= o.0s (et"lr1{R 8)dunanali J " c --c-t- q rfr t, v,,,:- !) " -"
nnaosilnuurrr ilnsfl1lva't?lrBnnr tgln tuAilerrudnnlflnaufiuaor{tfiint1( M=20. 23 )iq
f, t l I dv e u -6o
{aflnrrnatJ6l'tilnil ( M=23 . 00 ) Afl'l {ilU8d1F[l|.n1 0doglqq
!,illl.t{f,')1r
ronaln{ r dafrq'ls$rrir r adenu urrn'l ?vartlr(nndTdn:r fl da ( nlelaru?flq
, u v qu 3 t r o d ' - -^,!.-- d+
{. ) riatiuirH{nmtirnaiilFt'mrtiluauflailflnaa cqtrtuutt$ t ilAflrl11valTlfiltllrlll tr1flf, t' ,
-- ,- - , q to t
' -t -l-"!f- ---:^.--^.^^.g^ ^d-,^^o- -^.j-l6ooirrnruifrnndonat lo Ir:ugrr rifi rdrnH'lnailn?lFliltlFlvutlut AaSl'11?va1?illusqq'r
d+ u uan qul I u U4 -.---l,-.el- ..- q rlr 4
nrtdT6fl6{aorsirunrrHifrnlipir rtaiil?lflaanpitrurrtrsffintraonail lq uau I'1[6tl6l'1s.i'--- - o ; 0 q , 0 e
D I E| u lrs r d q d d+ u
aerrirafiar3tdoir6{nsr naiilfi'}ttrrrtrtavuttttilaflrl'l'lu015M[nfll lF1fi6sAflFl'luFl'l1lli-.qqirqotO- 3- u ! | V Vq e V ua \4 U I
{finiltt{t 6'ttn6iilnflao$6i1$Fl11ilif,fl tfillaHnluaYfl?1Al1dn ITFl1oqDo
I6uaU{ { 6illrdtrlldililnd1 1r1l4f, o s
q{
Copyright by Mahidol University
,j
61
; I J | 6i ( dt. ---u.t--st'lf1€fr 6 n1[ilafl [nunl rilgir r,1lilil1fi56'lrlF]vutttfl'l')va1?ffilnn{ tflnla{0{ll'tlloq!
6lrl3 lyuv Itrtalnttniluaunailnflaa{ ( N=62Flll)qqgrrv r{t:lrnlsranfit
1vfla114',lfl'lfdulllaila
0
I
nailFl']ile]tJ ( n =3 lFllI)rql
Ran$e M SD
ndrunoraat (n-=S lFrttqz
Range M SD
dat{u{rf,
ivri'ltiu{,,rfiddor#asrr{ra
t5-41 25. g t
t4-37 21.71
I 5-38 ?3.00
8.7 |
5. 71
5. 09
t4-37
r4-29
t4-26
24,26 6.19
20.81 4,96
20,23 9.24
a
ztfr zt
rV,Jrra/-dtr-t5'ltlt'dufi10 u'set {fl15 r, ilafliluila { Ia {e11 ['ilaflF]u u,lltfl11ui]-tTtft'E?lfill lFlr-i
u I d , JV ir. v 4v , 3 t t a. u ar " ,
Bjll',tflilu IT'3tl',lflilnarln tflTltT{-d5fltr',]U,mnu5vfly n{USirlAtSrT{-d ivg't'l{te0
vr ( u . 3 u au 3 t I
u-dvdtlfl1tf6Ft7t1flflatldlldFrT{d5ftE't ntnailnl1J6liluavnallnoaa0(N=5201a).lqq
LI
Iold+Flv u,uu l, ilnfl Ia { fl ') ? u alTM[?tfl 1 tFln
30
z5
20
15
t
narolllolf!ia
nnilnna0'tt
I
r1A1lt u. ( a
Tvlfi?1d drlo1fid6ln1flq
---:-_______tF
P=. O5
Copyright by Mahidol University
n1r.|sd ?
62
,o d r | ; ( t+. rrlr rhsn tYtguol''liluglflgl1'1110{n1t ilnflauuttlfl'l1ua1t$llfln?l 16flto0ilI?elqg
d , q I u o €lu | | I
ssr.isil'lflflxonn lutvrtt€7rl?{tdlntl ?uT?1tna$o?ilnilununar+ a ( , I I or 6 - -4 -d^a--floaos Losnrtl t n3'lufin11suilTll1?il1?ililn'l I il49fl1?va1?fftnflI tFlfl
e
riau{uf sfl{nur r f,udrurlsir$
usaisaruudtdtru df M55S
UlIsllutH?1tl
I
nail .9t
g
nl'lrna'l6ttaaoll
464.92
o. 8g
1258.06
t
I
59
468.92
o.69
zl,gz
21.99 0.00
o.ott o,84
sa??s 6t 1727.87
arrr{d 0 r rJisulfisunrlsusrfisi'l lxa{d'l radsnuuuul'llsa1?#ondTnnla sfirhsig
d , || rr. 6 a I { - u Gru | |ilu r rnd'lflrflafl ltdrJsrr#aorirsriardudni sarnsl ?vst1 {na$atilRs,3
.l
u,auna$ilflaatI
Toanrst, nt.ud*..ilurldgr udril
fl'lrra1?${nndTnn riau{uisf,{rur r f,udrurlriu
lqar asn"l lilaflncu,utl
q
lrl
ura{n?1$ut|fll??tl FHSs5df
vrlgtluil??1il
flailq
Ic
n11InA10tnaatl
t
I
59
345,"9 t
76, 33
I12?.O',|
t8.08 0,oo
4.OO 0.05
345. 3 I
75. 39
19. to
sas?il 6t 1549,?t
Copyright by Mahidol University
I
I
63
6 do ogafil?-l I fi?'l cBfl a$a t t €fi{nfl 1H
*unr uasn?Trti ma?a o ddesD
q ul | uau rll ou tuo u I u 6 ,- - dlratil'lgnalnoaad andetuaurut?g?Qfl [oulclfl1iliJll1fluaullllY|fl?aila tfla?oqcsDe
u r, u I q . Ul u u su o
nurlugrnrlsn0?atl{ [flfl1 {lIa'iilil?flfiaaoTuflv tln1fl11i,il?{dfnt1 n1ilFl'lllofl,
- a t ul
0 otr1 Jro!, ut qu ,g , (
r a'luauilflnnt:runr { 1xasB,illa rylslBJil?fl 7ril?4flU,auilt',lfl14fl61S1-ltrldtltl1}ilr ! s o E lc' qu o Y d
T?ildiln1?dt rnn uav{'Iil'l? tFlllvli Loe l,{nntnIo.0 [?duilil (}yei srnan' 1979:'dl
d o 6 da I72-80) [i]ltult]ll'1{ tThe I I lustnatlve Model) ( tlglQ'l etaflnl[llt-uannflq,vv u !
lr1Tf,1fl ) LO6'4fl{il
e v t,l a u 5l JI . rl'l1tlr]€ )nO']11611fl1t1 iltlltl?lflFlllllFl'l1$l-l { 1A t t t lA SnlTolUAnU I A {
ql|{ etl
ffuuil'rfl{{fl Tfinr:ffiro:snrrei'r..r1 a,an1r{nrl nlrvdtnlufirrlfratlurJatlrl, 'n t ,
f qq a' s a | ! d I s a d J f t,lotarurlruutn sla I r-lg'1nua1fl1?n1 { '16l su a'al[r },afl I f illYlrll"}El r laa1fi1f nau Ld
arr6au ts r'ra tTa{rfifl ta r1s uarldndl ? 11; r4n?ofiErr$n')'lruavratrv
r?a1d1flaee1ru 4 51a $ana1fififialn1i tiaorun flaarruuau{o dnfirntt,9tD
O 6 I d ; U I U r q OO O O I
1t5r?mnil1fl5{f, il?flna{ il'lflfiair iltrrr1ftv illl1fiTalaaolaalln'l{{a{flaag]ul 6 u u J u fl t , J o 4 q t d ,
ttavatulflnnnll?flfln {?ana? t nfl?niln1? LduT r, ilaa1fl? irdFlTlr Fro?1 r qil!?flil1nn"'rilt,ql
rirrarrrrirtactiilraf;t erro'irprtdfrnn*nueiar-l'rrilail6ltTtrunnra 2 s {r
t
z. Fr?1ilfi$raoirm, trlrurfiilnura{ rirhsritrarfrsrfirnrtdnu{aarur{rpara,oJaJ.ooJ{rdJo
fl$I a sll1 { u.flr lilTf,r]Bto]ilnrlt ila{41nllT t'ltsnil1a1{'dlrflfl-nautD n lil rfiu t ilail9Eo a E J J.,tv d u q o Qur
a']n'lT1l1{ LFlil{il1fllllr l,ilaa']T'll nntJ lf,a'lIoflu fla{ raa n1 tfit'l$n'lElI d $ . rl ut Jo y lyu v a J u'ao$ltrJa?J u'lsutlan 0aila{ u.flu t latil'tflnfl.1$'}1[ Hr t6l ft'l531tf t flfllfllloou + v.C u4 a r q a4 ,t av q D q Daflai IwlFlsu'dvFl-]'1ilT-dflilFu,1Fn Lugltlt a{aflas 1l1{T'1il1-sll?lau?luafl leil']r'lail?Dn lfi
uq0
e A o Ul oe U o3 . Fl"r'1ilfl$lnfl'lrmr{'luuaun"lt t {T a,il"lsilrtnuilLEttg'tgl'llln'l? I {ru
ogl, a I u qit 6 OU
uilu'l sylrl t 1flfl1?ntl to fiia t diltfll?d{nild 0 r Fr?1v# usi.ir r fluda rfi r truxtq
d ot qut J d JV t o !u | | .lirt qr,'rEr1r uavilo1 [da']fla['lanil1nil1fln tild1il']Tn [ !n to I dtr a1 l{a1fl liln1?e | , J- rf r qq, Q o 'alU, ! e utiflH11r"10'dl1[ n1nflnillv3r-lH1 n1 [da',lfl l,lrf]'l5rot?]1'r a1t{a1fl'fl?rc]'t ililrfl
tlCopyright by Mahidol University
aaq-gelut|,avrxlfrTa1fl1',l fl fr A {A'l S 1 UUSAAvfl 0n',lfl 'lT'd? Ugll
u n a " 4 -t-qq-J---r u I
TA1flt',lelstasn ITtu'l]11 t iluFl"l Iila']flm1{1fl $na1'tU
tu'uuauil1q1flgl'l{Q 0RlSl
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1'ld. 3l (slqEn'lFlal 252?) : ?O3-? rg ]
lunrnanfr r,ot. Hanlr'ldatfinurirufiunrtrfirnrriluandr"endeianrtaoqtrnv6salragdl
?uollFl1'1il?gtflfin?a n?1il1iltFlT1 uau IHiln11gailT!f,fl1HFl?']il!Qilill8r c 6l u Q Ul d , {ru u otu a 6 I
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ftifrsrinsr$er au'ringrdsilfrern, zssr.
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Cancen NuTslng. l?(Apntl 1989): 58-94.
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Methodologlcal Aspects, s OncoloEly. 4(lfay 1990): 29-98.
Dendanlan, A.K. nInfonmat,lonal Needs of Recently Dtagnosed Cancen
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. 'Effects of InformaLlon on Recently Diaghosed Cancer
Patients' and Spouses'Sat{sfactlon with Csne.' Cancen
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tgBZ) t 447-451.
Copyright by Mahidol University
go
. oself-Cane fon Slde Effects ln Cancen Chenothenapy! An
Assessnent of Nuns ing Int,ervent I on-Pant I I . 'f Cancen
Nurslng. 6(Febnuery f983): 63-67.
, ItMeegunlng lnfonmgt{onal Intenventlon fon Cheroothenepy
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. Maneg{ng Slde Et'l'ect,s of ChenothenapS and Radlatlon
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Dodd, M,J. and Ahmed, N. oPnefeRence fon Type of Infonmatlon ln
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of Cancen: Age.-Related Companlslons' d OncoloEly Nuns{ngr
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Ness letten on Pat lents. " Oncologi'y Nuns lng| Fonum. 18
(July 199llr 1199-1203.
Copyright by Mahidol University
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ln Cancen Patlents Recelvlng Radlothenapy ln Thalland.n
Doctonal Dtssentatlon of Nunslng, Wayne State Unlvenslty,
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Copyright by Mahidol University
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46-57.
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Functlonel Status,
Negatlve Impact of Radlatlon
n CanceR. 5l(JanuanY 1988):
Ke1ly, P.P. and TlnsleYr C'
Recelvlng Extennal
Hunslng' 8l(FebnuanY
t(nause, K. c0ontnact lng Csncen
14(lggl) t 24O-245.
tgBl.): 338-342.
and Coplng wlth lt'nCsncen nunslnEl.
nLeannIng Needs of
Nunse and Petlent
3 t ( Januany/Februany
Contnol and Qualtty ot' Llfe Inr NunglnEi Reseaneh. 3t(Manch/
'Plennlng Cane fon
Redlatlon. r Arnenlcan
The Patlent
Jounnal of
Knouse, H.J. oA Psychoto$lcal l{odet of AdJustment ln Oynecologilc
cancen Patlents.H oncoLo$y Nunsln$ Fonum, 12(Novenben/
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Apnll 19821: 113-119.Copyright by Mahidol University
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(December. l9g0) : 25-38.
Nunslng Tlme.
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Pad{11.a, tl.V,, et gl. IO.uallty' of Llf"e lndex t'on PatlenLs wltFr
CstfEeR. f' Reseench ln NunslnEl snd Hbalth. 6(June 1983):
lL7 -126.pedl lls, r:1.V. and Qnant, M.M. nilual{ty of Llfe Be A Cancep
Nunslng Outcomeg Vanlable.ts Advances ln NunslnEl Sclence.
B(0ctohen 1985) : 45-60.
Peck, A. and Boland, J. fEmotlongt Reactlons to Radlatlon
Tnea+,nent.6 Csncen. 40(July 19771: t8O-184.
Pol,lt, D.F. and Hunglen, B.P. Nunslngl Reseanch: Pnlnclples and
Methods. g'o ed. Phlladelphta: J.B. Lipplncott Company,
3ro ed. New Yonkl
1987,
Ratney, L.C. trEffects of
Radlatlon OncologY
1985): lO56-lOGt.
Pnepanetony Patlent
Patlents. Cancen
Educatlon for
56 ( Septernben
Sllbenfsnb' P.td. and Oneen, 3' sPsycholo$lcal Conconltants of
Cancen: C I lnl cs I Aspects . rf Arnen I can
thenapy. )txrvl (Oetoben 1982) t 470-478.
JouRna I of-Psycho-
Copyright by Mahidol University
Smlth, D,S. and Chamonnor T.P' rNunslng Cene of Patlents
golng Comblnatlon Chemothenepy and Radlothenapy. n
Nunsingi. (Apni I 1978) r 129-134.
StnohL, R.A, 'rThe Nunslng Bole In Badlatlon OneoloEV:
Management of Acute and Chnonlc Reacttong. ff
Nunstngl Fonurn. t5(July/August 1988) ; 42D-434.
Vannlcchlor C.G. 'f The Patlent on Radlatlon Thenapy. "
g4
Unden-
Cencen
Sympton
0nco logly
Arnen I can
JounnaI of Nurslngi. 81(Febnueny l98l): 334-337.
Vfelch-McCeffneyr D' nCancen, Anxlety and Qualtty of Ltfe.n Caneen
NunslnEl. 8(June 1985) 3 151-158.
. rf Role Penfonmance Issues fon 0ncol.ogy Cl lnlcal Nunslng
Speclal lst . s Cancen Nunslng. 9(June 1986) t 287-294.
Walkenr V,A. {Skln Cane Dunlng Radlothenapy.n Nunglngi Tlmes.
78(Decernben 1982) z 2A68-2O7O.
Welntnaub, F.N. and Haglopalnr Cl.A' ilThe Effects of Nuns{ng
Consultatlon on Anxletyr Slde Effects, and Self-Cane of
Patlents Recelvlng Redlatlon Thenapy.tr 0neoloEU NdnslnEi
Fonum. t? ( Supp lernent to May/June l99O ) : 3 I -38.
lflelsman, A.D,"Eanly Dta8lnosls of Vulnenabtllty In Cancen Ps+,lent.n
The Arnenlcan Jounnal of the Medlcal Sclencee. 27L(Januany-
June t9?6): tB?-196.
. Cpplngi wlth Cancen. New Yonk: McOnsw-HILl Book Company.
1979,
. rtVulner.eblI{ty alrd The Psychologlcal D{stunbsnces of
Cancen Patlents.r Psychosonat{c, 30(}Yln{en 1989)l 80-85.
Welsman, A.D, and Wonden, J,W, f'The Exlstentlal PltEht ln Cancen;
Sigintf lcance fon t,he Flnst tOO Deys." @of Psychlat,ny ln ldedlclne. 7( t)1.976-19772 f-15.
Copyright by Mahidol University
Ylsko t
Yegko,
95
J.l{. iCane of Pattent'Recelvlng Padlatton Thenepy.t
Nunslng' Cttntcs of Xonth Aneplca. l?(Deceroben 1902) s
631-648. .
J.l{. and DudJul; L.A. iThe Ener3lngl Eole of The 0ncology
Cllntcal llunse Specle-llEt." ln Thc llunsin$ Pnofegslon
Tutpffrg Pof?tp, p,340-348 llonnrn L. Cheata ed' Sf . Loulsl
The CV lorly Coupeny' l99O
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