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Author: 范潔汶
Fan, Chieh-Wen
Thesis Title: 友伴罹癌過世之同儕支持經歷
Peer Support in Young Adults Experiencing Bereavement of Close Friends to cancer
Advisor: 王永慈
Wang, Yeong-Tsyr
Committee: 陳君儀 莊登閔
Approval Date: 2021/07/28
Degree: 碩士
Master
Department: 社會工作學研究所
Graduate Institute of Social Work
Thesis Publication Year: 2021
Academic Year: 109
Language: 中文
Number of pages: 104
Keywords (in Chinese): 同儕支持同儕癌症死亡
Keywords (in English): Peer support, Peer cancer death
Research Methods: 深度訪談法半結構式訪談法
DOI URL: http://doi.org/10.6345/NTNU202101096
Thesis Type: Academic thesis/ dissertation
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  • 本研究為探討友伴罹癌過世之同儕支持經歷,發現到華人社會中很避諱談即死亡這個議題,不論在公領域或是私領域幾乎不會談論死亡,認為提及死亡議題是不好的甚至是禁忌,會比較傾向於迴避,且情緒不易表達的。因此,也更未能重視到青少年因面對同儕死亡後各種反應與適應歷程,而希望透過研究去瞭解到青少年同儕團體是如何面對死亡這樣的議題,如何發展出正向支持的能量。
    本研究採用質性研究,以深度訪談的方式,受訪五位受訪者,藉由受訪內容,透過研究分析並與相關文獻進行對話,回應研究問題及目的,而得出之研究發現及結論項目分別為:一、經歷陪伴抗癌過程之心境反應。二、經歷友伴癌末到過世,友誼失落的歷程。三、經歷友伴罹癌過世,同儕關係中支持的力量。四、經歷友伴罹癌過世正式與非正式之支持體系。五、經歷友伴罹癌過世對青少年階段的意義。藉由上述五個部分可以去瞭解受訪者在面對友伴罹癌過世後,同儕團體如何因應及發展正向支持的力量,彼此如何支持及面對。
    本研究的受訪對象是針對面對罹癌過世的青少年之同儕,將焦點放在同儕上(還在世的青少年),可以從文獻中發現在青少年階段是相當重視同儕的時期,而在此階段面對同儕死亡這樣重大的事件,可能因為其家庭、環境、社會文化、年齡、與同儕的熟識程度、支持系統多寡而有不同反應。本研究著重在青少年面對友伴因罹患癌症過世的經歷,去發現到在青少年階段,他們在面對同儕罹癌以及面對死亡的看法,以及同儕團體間彼此的支持,和其他之資源的協助,讓他們可以從事件中學習、反思,對於承諾或是死亡的看法及態度,並且從中找到新的意義去面對悲傷,以及面對未來的人生。

    This study is to explore the influence of peer support, which is analyzed from those people who experienced that their partners died from cancers. It is found that death is a taboo in Chinese society. Therefore, death, as a “bad” topic, is rarely discussed in the public or private spheres, which leads that this topic is more inclined to be avoided in people’s lives, and emotions relating to it are also not easy to be expressed. Consequently, in this kind of “avoiding” atmosphere, it is quite easy to ignore the group of young people who have just gone through the same kind of misery, and their various reactions and adaptations are also been neglected unconsciously. However, this essay tries to understand how young peer groups face their partners’ death and how to gain and rebuild positive supporting energy in reality.
    This research adopts qualitative research and in-depth interviews. Five interviewees were interviewed. Based on the content of the interviews, through analysis and research in relevant literature, the author has reached some research findings and conclusions. They are as follows: 1. Experience the mood response that accompanies the anti-cancer process. 2. Experience the journey from the end of cancer to the death of a friend, and the loss of friendship. 3. Experience the supporting power in their peer relationship after a friend died from cancer. 4. Formal and informal supporting systems for experiencing the death of a friend from cancer. 5. The significance to adolescence of experiencing their friends’ death from cancer. Through the above five parts, it can be understood that how the respondent's peer group responds to and develops the power of positive support, how to assist and face each other after facing the death of a friend from cancer.
    The interviewees of this study are the peers whose teenager friends have passed away from cancer. The focus is on their peers (adolescents who are still alive). It can be found from the literature that the adolescent stage is a period when peers are quite valued, and at this stage if they faced with such a major event as the death of a peer, there may be different kinds of reactions, due to the family, environment, social culture, age, familiarity with peers, and the number of supporting systems. This research lies in the experience of adolescents facing the death of their friends due to cancer, in order to discover, at the adolescent stage, their views to death after their peers suffering from cancer, and to discuss their mutual support between peer groups as well as other resources or assistance. As a result, the author attempts to find out how they can learn from the incident, reflect on their views and attitudes towards commitment or death, and find new meanings to face grief and face the future life.

    第一章 緒論 1 第一節 研究背景動機 1 第二節 研究目的 2 第三節 研究問題 2 第二章 文獻探討 3 第一節 疾病歷程及面對死亡情緒反應和預期性悲傷 3 第二節 失落、悲傷理論與歷程 15 第三節 同儕死亡與友伴罹癌的同儕支持 21 第三章 研究方法 29 第一節 研究取樣與方法 29 第二節 研究對象 31 第三節 研究工具 32 第四節 研究資料的處理與分析 34 第五節 研究嚴謹性 36 第六節 研究倫理 39 第四章 研究發現 41 第一節 經歷友伴抗癌過程之心境反應 43 第二節 經歷友伴癌末到過世,友誼失落的歷程 53 第三節 經歷友伴罹癌過世,同儕關係中支持的力量 67 第四節 經歷友伴罹癌過世正式與非正式之支持體系 73 第五節 經歷友伴罹癌過世對青少年階段的意義 80 第五章 研究結論與建議 85 第一節 研究結論 85 第二節 研究限制與困難及研究的建議 90 第三節 研究省思 93 參考文獻 95 附件一 訪談大綱 103 附件二 研究訪談同意書 104

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