簡易檢索 / 詳目顯示

研究生: 陳若旻
Chen, Jo-Min
論文名稱: 乳癌婦女性生活滿意度及其相關因素研究--以北部某病友支持團體為例
Study on the Related Factors of Sexual Life Satisfaction among Breast Cancer Women in A Patient Support Group, Northern Taiwan
指導教授: 胡益進
Hu, Yih-Jin
李子奇
Lee, Tzu-Chi
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2020
畢業學年度: 108
語文別: 中文
論文頁數: 140
中文關鍵詞: 乳癌活動式義乳疾病特性症狀經驗身體心像性伴侶親密關係性生活滿意度
英文關鍵詞: breast cancer, breast prosathesis, disease characteristics, symptom experience, body images, intimacy with sexual partner, sexual life satisfaction
DOI URL: http://doi.org/10.6345/NTNU202000960
論文種類: 學術論文
相關次數: 點閱:209下載:60
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 本研究主要目的在探討乳癌婦女性生活現況及影響性生活滿意度的相關因素。研究方法以立意取樣(purposively sampling),採橫斷性研究設計,以台灣北部某乳癌病友支持團體成員為對象,收案時間為2020年3月17日至3月31日,有效樣本數101份。採結構式問卷進行調查,收集乳癌婦女社會人口學、乳癌疾病特性、症狀經驗、身體心像、性伴侶親密關係及性生活滿意度等相關資料,使用SPSS for Window 23.0版統計套裝軟體進行描述性及推論性統計分析,以了解各變項之現況以及影響性生活滿意度的相關因素,並探討性生活滿意度的預測因子。本研究結果歸納如下:
    一、 研究對象的身體心像滿意程度屬於中等偏上,以「滿意自己身體外觀」為最高分。性伴侶親密關係程度屬於中等偏低,以「我們倆嘗試一起參加社交活動」為最高分。性生活滿意度是中等略偏低,以反向題「你感覺性吸引力減少是因為疾病造成的外觀改變」為最高分。
    二、 研究對象的社會人口學變項,年齡和性生活滿意度是顯著負相關;社經地位指數和性生活滿意度是顯著正相關;已婚較其他婚姻狀況的性生活滿意度為差。
    三、 研究對象的乳癌疾病特性,以「有使用活動式義乳」較「無使用活動式義乳」的性生活滿意度為高,其他變項則不顯著。
    四、 研究對象的症狀經驗,以「有月經」較「已停經」、以「自覺月經週期有受到治療的影響」較「自覺月經週期無受到治療的影響」的性生活滿意度高;「自覺心理症狀數」和性生活滿意度是顯著負相關。「身體心像」及「性伴侶親密關係」和性生活滿意度是顯著正相關。
    五、 預測乳癌婦女性生活滿意度的因素為婚姻狀況、使用活動式義乳及性伴侶親密關係。
    六、 研究對象之社會人口學、乳癌疾病特性、症狀經驗、身體心像、性伴侶親密關係對預測性生活滿意度,可解釋的總變異量為71.8%。

    The primary aims of this study are to explore the sexual life of women with breast cancer, and the factors that affect those women’s sexual satisfaction. This research adopted purposive sampling and cross-sectional study on a patient supporting group for women with breast cancer in northern Taiwan from March 17 to March 31, 2020. In total, 101 effective questionnaires were collected. These were structured questionnaires that collect data on the socio-demography of the women with breast cancer, the disease characteristics of breast cancer, the symptom experience, the body image, the sexual intimacy with their partners, and the satisfaction with their sexual life. This research used SPSS for Window 23.0 statistical package software to present descriptive and inferential statistical analyses. By doing so, this research seeks to understand the variables mentioned above and the relational factors that affect the sexual life satisfaction of women with breast cancer, and to explore the predictors of their satisfaction with sexual life. The results of this study are summarized as follows:

    1. The research subjects’ satisfaction of their body image is above average, and the "satisfaction with their body appearance" has the highest scores. The degree of intimacy with their sexual partners is medium to low, and the "couples trying to participate in social activities together" has the highest score. Their satisfaction with sexual life is moderately low, and the question: "You feel that your sexual attraction is reduced due to the changes in appearance caused by the disease" has the highest score.
    2. Regarding the sociodemographic variables of the research subjects, it is found that the correlation between age and sexual life satisfaction is significantly negative. However, there is a significantly positive correlation between socioeconomic status index and sexual life satisfaction. The responses show that married couples are less satisfied with their sexual life than other relationship statuses.
    3. In relation to the disease characteristics of breast cancer among the research subjects, the sexual life satisfaction of the women "with breast prosathesis" is higher than the ones "without breast prosathesis". However, other variables do not show significance.
    4. When responding to the question of symptom experience, the respondents who have "menstruation" show higher sexual life satisfaction than the ones who have experienced "menopause". It is also found that the respondents whose menstrual cycles have been affected by the treatments feels higher sexual life satisfaction than those who feel their menstrual cycles are not affected by the treatments. The correlation between "number of psychological symptoms" and sexual life satisfaction is significantly negative. But, there are positive correlations between "body image" and sexual life satisfaction, and between " intimacy with sexual partner" and sexual life satisfaction.
    5. The factors to predict the sexual life satisfaction of women with breast cancer include marital status, the use of breast prosathesis and intimacy with sexual partner.
    6. The sociodemographic, disease characteristics of breast cancer, symptom experience, body image, and intimacy with sexual partners for the research subjects can be the factors to predict the sexual life satisfaction of breast cancer women. The explained variation is 71.8%.

    摘要 I Abstract III 目次 V 表目次 VII 圖目次 IX 第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 5 第三節 研究問題 5 第四節 研究假設 6 第五節 名詞操作型界定 7 第六節 研究限制 11 第二章 文獻探討 13 第一節 乳癌流行病學及疾病治療 13 第二節 乳癌疾病治療對乳癌婦女性生活之影響 23 第三節 乳癌婦女症狀經驗對性生活之影響 27 第四節 乳癌婦女性生活滿意度之相關研究 32 第三章 研究方法 41 第一節 研究架構 41 第二節 研究對象 42 第三節 研究工具 43 第四節 研究步驟 53 第五節 資料處理與分析 54 第四章 研究結果與討論 57 第一節 研究對象社會人口學屬性、乳癌疾病特性、症狀經驗、身體心像、性伴侶親密關係及性生活滿意度現況之描述 57 第二節 研究對象社會人口學變項、乳癌疾病特性、症狀經驗、身體心像、性伴侶親密關係與性生活滿意度之關係 78 第三節 研究對象社會人口學變項、乳癌疾病特性、症狀經驗、身體心像、性伴侶親密關係對性生活滿意度之預期 85 第四節 討論 90 第五章 結論與建議 107 第一節 結論 107 第二節 建議 109 參考文獻 113 中文部分 113 英文部分 118 附錄一 問卷內容效度考驗專家名單 129 附錄二 研究說明書 130 附錄三 乳癌婦女性生活滿意度及其相關因素研究問卷 131 附錄四 問卷量表授權使用同意書 137

    中文部分

    于博芮(1986)。特殊手術病人的性問題及其調適方法-乳房切除術及結腸造廔。護理雜誌,33(2),71-74。

    中央通訊社(2019年5月11日)。台北市女性吃得好篩檢少 乳癌發生率全國最高。取自https://www.cna.com.tw/news/firstnews/201905110099.aspx

    王琨、陳敏(2008)。心理干預對乳腺癌根治術後患者性生活質量影響的研究。華西醫學,23(4),881-882。

    江佳錡、陳建志、林光洋(2004)。女性更年期。基層醫學,19(1),2-7。

    行政院性別平等會(2019年10月21日)。重要性別統計資料庫:女性乳癌死亡率—主要癌症死因順位(死亡數、死亡率)年齡性別順位。取自https://www.gender.ey.gov.tw/gecdb/Stat_Statistics_DetailData.aspx?sn=qEcoQyET4I9Cg%2blhWvJ9BQ%3d%3d&d=194q2o4%2botzoYO%2b8OAMYew%3d%3d

    李玉嬋、王雪蓮、梁惠君、李佩怡(2013)。「親密關係團體諮商」對促進乳癌患者及配偶之夫妻親密關係成效研究。教育心理學報,44(S)537-559。

    李昕宜、許玉娟、陳佳慧(2014)。癌症生存者之困擾症狀。台灣醫學,18(3)。355-360。

    李麗紅、賴鈺萍、楊政議(2017)。運用認知行為促進乳癌病人心理健康。護理雜誌,64(2),28-33。

    李麗燕(2001)。化學治療後乳癌婦女的性功能影響因素探討(未發表的碩士論文)。台北醫學大學護理學研究所,臺北市。

    李霞、強萬敏(2016)。青年乳腺癌患者根治術後真實體驗的質性研究。護士進修雜誌,23。

    阮芳賦、林燕卿(2003)。人類性學。臺北:華騰文化。

    林生傳(2005)。教育社會學。臺北:巨流。

    林純正(2006)。談乳房原位癌與侵犯性乳癌正聊方式的不同。癌症新探,38,36-37。

    邱皓政 (2010)。量化研究與統計分析-SPSS資料分析範例。臺北:五南。

    胡至家(2005)。憂鬱傾性、親密關係與乳癌術後婦女身體意象關係之探討(未發表的碩士論文)。高雄醫學大學行為科學研究所,高雄市。

    侯明鋒、陳芳銘、歐陽賦(2008)。乳癌手術的沿革。中華民國癌症醫學會雜誌,24(2),102-107。

    姚聰、姚晚俠、陳九霞(2012)。乳腺癌改良根治術後患者性生活教育需求調查分析。中國醫學倫理學,25(1),35-37。

    財團法人台灣癌症臨床研究發展基金會:台灣癌症防治網(2019年6月23日)。認識乳癌—乳癌的分類。取自http://web.tccf.org.tw/lib/addon.php?act=post&id=4383

    許伯陽、張鐿鐘、盧俊宏(2003)。盤斯心情量表之再修訂。大學體育學刊,5(1),85-95。

    郭文宏、張金堅(2006)。乳癌。台灣醫學,10(4),475-481。

    郭萍麗、付秋玲、王玉霞、孫靜嵐(2009)。乳腺癌手術方式對女性性功能影響的初步對照分析。現代腫瘤醫學,12。

    連珮如(2017)。乳癌新標靶藥物治療之自我照護。臺北:臺北榮民總醫院乳房醫學中心,取自https://wd.vghtpe.gov.tw/cbhc/Fpage.action?muid=8526&fid=9371

    國家圖書館期刊文獻資訊網中文期刊編目索引。取自http://readopac1.ncl.edu.tw/nclserialFront/search/search.jsp?search_type=sim&la=ch。

    國家衛生研究院(2004)。乳癌診斷與治療共識。臺北:國家衛生研究院癌症研究組台灣癌症臨床研究合作組織,取自:http://www.nhri.org.tw/b5/cancer/resebr.html

    國家圖書館全國博碩士論文資訊網。取自http://etds.ncl.edu.tw/theabs/index.html。

    莊岳泉、趙祖怡(2008)。乳癌的輔助性化療。中華民國癌症醫學會雜誌,24(2),112-120。

    陳海焦(1996)。乳癌婦女接受乳房切除手術後身體改變的經驗(未發表的碩士論文)。國防醫學院護理學研究所,臺北市。

    陳婉瑜(2005)。乳癌婦女性功能及其相關因素之探討(未發表的碩士論文)。長庚大學護理學習研究所,高雄市。

    陳淑貞(2008)。乳房切除後接受乳房重建手術之經驗歷程(未發表的碩士論文)。長庚大學護理學習研究所,高雄市。

    陳美端(2008)。女性乳癌患者婚姻中親密關係轉變之研究—以曾接受乳房切除手術者為例(未發表的碩士論文)。暨南國際大學輔導與諮商研究所,雲林縣。

    陳鳳鈴(2011)。探討術後乳癌婦女與配偶身體心像與性生活滿意度(未發表的碩士論文)。長榮大學護理學系碩士班,台南市。

    陳靖苹、黃寬仁、萬國華、涂儷燕、李絳桃(2013)。乳癌婦女性生活滿意度及其相關因子研究。護理雜誌,60(2),61-70。

    陳姿君、林儀貞、陳姿吟、董婉君、黃秀美、方素瓔(2015)。乳癌存活婦女之性生活及相關因素探討。護理暨健康照護研究,11(1),13-22。

    彭心怡(2017)。乳癌術後重建手術對患者身體心像與性生活滿意度之影響(未發表的碩士論文)。國立臺灣師範大學健康促進與衛生教育學系,臺北市。

    曾文志(1996)。成年早期婚姻親密量表之編制及影響婚姻親密之因素探討(未發表的碩士論文)。國立高雄師範大學輔導學系,高雄市。

    張鐿鐘、盧俊宏(2001)。盤斯心情量表(POMS)之修訂報告。大專體育學刊,3(2),47-55。

    黃正宜、黃秀梨(1998)。心肌梗塞病人之性功能障礙與護理。護理雜誌,45(5),34-39。

    黃品逸、顏上惠(2008)。放射線治療在乳癌的使用。中華民國癌症醫學會雜誌,24(2),121-126。

    張金堅(2006)。乳癌化學治療新趨勢:標靶療法和免疫療法。健康世界,228,85-88。

    張金堅(2019年7月5日)。乳癌標靶治療的新進展。取自https://www.ntuh.gov.tw/BC/Lecture/DocLib1/%E4%B9%B3%E7%99%8C%E6%A8%99%E9%9D%B6%E6%B2%BB%E7%99%82%E7%9A%84%E6%96%B0%E9%80%B2%E5%B1%95.aspx

    路燕燕(2014)。乳腺癌患者術後性生活質量的研究進展。上海護理,14(4),69-72。

    詹宗晃(2009)。乳癌賀爾蒙治療常見的副作用與處理。癌症新探,50,37-40。

    趙大中(2006)。乳癌分期與分類的新觀念。癌症新探,38,30-33。

    臺安醫院乳癌治療團隊(2017)。臺安醫院乳癌治療照護手冊。臺北市:臺北市溫馨協會。

    衛生福利部國民健康署(2016年5月21日)。經濟學人智庫評比,我國乳癌防治為亞洲九國第一。取自https://www.mohw.gov.tw/cp-2627-19192-1.html

    衛生福利部國民健康署(2018年1月3日)。乳癌防治。取自https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=205&pid=1124

    衛生福利部國民健康署(2018年3月31日)。與乳癌的親密對話~台灣乳癌防治概況。取自https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=205&pid=1121

    劉瑞靈、丘周萍(2002)。協助一位接受乳癌切除手術婦女心理衝擊之護理經驗。護理雜誌,49(5),96-102。

    鄭丞傑(2004)。癌症治療對於女性性慾望及性反應的影響。癌症新探,30,25-29。

    鄭淑華(2006)。乳癌存活者身體心像、憂鬱狀態與性生活調適之探討(未發表的碩士論文)。國立台灣大學護理學研究所,臺北市。

    賴裕和(1998)。門診接受化學治療病人知症狀困擾及居家護理需求探討。護理研究,6(4),279-289。

    歐陽賦(2008)。談年青人的乳癌。癌症新探,46,32-35。

    鍾美玲、顧乃平、吳肖琪、趙祖怡、陽琪(2001)。乳癌婦女治療後婚姻調適及其相關因素探討。護理研究,9(2),137-146。

    蕭君平(2018)。乳癌治療新進展。高醫醫訊「醫療新進展」專刊,38(6)。取自http://www.kmuh.org.tw/www/kmcj/data/10711/18.htm。

    羅琦、廖芳姿、陳淑齡(2017)。乳癌病人的症狀經驗。護理雜誌,64(2),19-27。

    饒坤銘(2007)。標靶藥物Lapatinib於乳癌治療的近況。癌症新探,42,26-29。

    饒坤銘(2008)。乳癌治療的賀爾蒙治療。中華民國癌症醫學會雜誌,24(2),127-131。

    英文部分

    Anllo, L. M. (2000). Sexual life after Breast cancer. Journal of Sex & Marital Therapy. 26, 241-248.


    Arman, M., Rehnsfeldt, A., Lindholm, L., Hamrin, E. (2002). The face of suffering among women with breast cancer—Being in a field of force. Cancer Nursing, 25(2), 96-103.

    Armstrong, T. S. (2003). Symptoms experience: A concept analysis. Oncology Nursing Forum, 30(4), 601–606. doi:10 .1188/03.ONF.601-606

    Avis, N. E., Crawford, S., Manuel, J. (2004). Psychosocial problems among younger women with breast cancer. Psycho-oncology, 13, 295-308.


    Basson, R., Rucker, B. M., Laird, P. G., & Conry, R. (2001). Sexuality of women with diabetes. Journal Sex Reproduction Medicine, 1(1), 11-20.


    Begovic-Juhant, A., Chmielewski, A., Iwuagwu, S., & Chapman, L. A. (2012). Impact of body image on depression and quality of life among women with breast cancer. Journal of Psychosocial Oncology, 30(4), 446-460.

    Biglia, N., Moggio, G., Peano, E., Sgandurra, P., Ponzone, R., Nappi, R. E., & Sismondi, P. (2010). Effects of surgical and adjuvant therapies for breast cancer on sexuality, cognitive functions, and body weight. The Journal of Sexual Medicine, 7(5), 1891−1900. doi:10.1111/j.1743- 6109.2010.01725.x

    Bloom, J. R., Stewart, S. L., Chang, S., & Banks, P. J. (2004). Then and now: Quality of life of young breast cancer survivors. Psycho-Oncology, 13(3), 147−160. doi:10.1002/ pon.794

    Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 68(6), 394-424.

    Burwell, S. R., Case, L. D., Kaelin, C., & Avis, N. E. (2006). Sexual problems in younger women after breast cancer surgery. Journal of Clinical Oncology, 24(18), 2815−2821. doi:10.1200/jco.2005.04.2499

    Chilcot, J., Norton, S., & Hunter, M. (2014). Cognitive behaviour therapy for menopausal symptoms following breast cancer treatment: Who benefits and how does it work? Maturitas, 78(1), 56-61.

    Coleman, E. (2002). Promoting sexual health and responsible sexual behavior:An Introduction. The Journal of Sex Research, 39(1), 3-6.

    Cuzick, J., Sestak, I., Cella, D., & Fallowfield, L. (2008). Treatment-emergent endocrine symptoms and the risk of breast cancer recurrence: a retrospective analysis of the ATAC trial. Lancet Oncol, 9(12), 1143-1148. doi:10.1016/s1470-2045(08)70259-6

    Denieffe, S., & Gooney, M. (2011). A meta-synthesis of women’s symptoms experience and breast cancer. European Journal of Cancer Care, 20(4), 424-435.

    Didier, F., Radice, D., Gandini, S., Bedolis, R., Rotmensz, N., Maldifassi, A., . . . Petit, J. Y. (2009). Does nipple preservation in mastectomy improve satisfaction with cosmetic results, psychological adjustment, body image and sexuality? Breast Cancer Res Treat, 118(3), 623-633. doi:10.1007/s10549-008-0238-4

    Dorval, M., Maunsell, E., Deschenes, L., & Brisson, J. (1998). Type of mastectomy and quality of life for long term breast carcinoma survivors. Cancer, 83(10), 2130-2138.

    Ehlke, G. (1988). Symptom distress in breast cancer patients receiving chemotherapy in the outpatient setting. Oncology Nursing Forum, 15(3), 343-346.

    Engel, J., Kerr, J., Schlesinger-Raab, A., Sauer, H., & Holzel, D. (2004). Quality of life following breast-conserving therapy or mastectomy: results of a 5-year prospective study. Breast Journal, 10(3), 223-231.

    Falk Dahl, Christian A., Reinertsen Kristin V., Fosså, Sophie D., & Dahl, Alv A. (2010). A study of body image in long‐term breast cancer survivors. Cancer,116(15),3549-3557.

    Ferrell, B. R., Dow, K. H., Leigh, S., Ly, J., & Gulasekaram, P. (1995). Quality of life in long-term cancer survivors. Oncology Nursing Forum, 22, 915-922.

    Ferrell, B. R., Grant, M., Dean, G. E., Funk, B., & Ly, J. (1996). “Bone tired”: The experience of fatigue and its impact on quality of life. Oncology Nursing Forum, 23, 1539-1547.

    Fleming, M. P., Kleinbart, E. (2001). Breast cancer and sexuality. Journal of Sex Education and Therapy, 26(3), 215-224.


    Fobair, P., Stewart, S. L., Chang, S., D'Onofrio, C., Banks, P. J., & Bloom, J. R. (2006). Body image and sexual problems in young women with breast cancer. Psycho-Oncology, 15(7), 579-594. https://doi.org/10.1002/pon.991

    Fobair, P., & Spiegel, D. (2009). Concerns about sexuality after breast cancer. The Cancer Journal, 15(1), 19−26. doi:10. 1097/PPO.0b013e31819587bb

    Ganz, P. A., Schag, C. C., Lee, J. J., Polinsky, M. L., & Tan, S. J. (1992 ). Breast conservation versus mastectomy: Is there a difference in psychological adjustment or quality of life in the year after surgery? Cancer, 69, 1729-1738.

    Ganz, P. A., Rowland, J. H., Desmond, K. A., Meyerowitz, B. E., Wyatt, G. E. (1998). Life after breast cancer: understanding women's health-related quality of life and sexual functioning. Journal of Clinical Oncology, 16(2), 501-514.


    Ganz, P. A., Desmond, K. A., Belin, T. R., Meyerowitz, B. E. & Rowland, J. H. (1999). Predictors of sexual health in women after a breast cancer diagnosis. Journal of Clinical Oncology, 17(8), 2371-2380.


    Gilbert, E., Ussher, J. M., & Perz, J. (2010). Sexuality after breast cancer: a review. Maturitas, 66(4), 397-407. doi:10.1016/j.maturitas.2010.03.027

    Grove, J.R., & Prapavessis, H. (1992). Preliminary evidence for the reliability and validity of an abbreviated Profile of Mood States. International Journal of Sport Psychology, 23, 93-109.

    Hawkins Y, Ussher JM, Gilbert E, Perz J, Sandoval M, Sundquist K. (2009). Changes in sexuality and intimacy after the diagnosis and treatment of cancer: The experience of partners in a sexual relationship with a person with cancer . Cancer Nurs, 32(4), 271–98.

    Hickey, M., Peate, M., Saunders, C., & Friedlander, M. (2009). Breast cancer in young women and its impact on reproductive function. Human Reproduction Update, 15(3),323-339.

    Hordern, A. (2000). Intimacy and sexuality for the woman with breast cancer. Cancer Nursing, 23(3), 230-236.


    Hollingshead, A.B. (1957) Two factor index of social position. Yale University Press, New Haven.

    Huber, Ramnarace & McCaffrey. (2006). Sexuality and intimacy issues facing women with breast cancer. Oncology Nursing Forum, 33(1), 1163-1167.

    Hughes, M. K. (2000). Sexuality and the cancer survivor. Cancer nursing, 23(6), 477-482. 


    Hummel, S. B., van Lankveld, J., Oldenburg, H. S. A., Hahn, D. E. E., Kieffer, J. M., Gerritsma, M. A., . . . Aaronson, N. K. (2017). Efficacy of Internet-Based Cognitive Behavioral Therapy in Improving Sexual Functioning of Breast Cancer Survivors: Results of a Randomized Controlled Trial. J Clin Oncol, 35(12), 1328-1340. doi:10.1200/jco.2016.69.6021

    Kedde, H., van de Wiel, H. B. M., Weijmar Schultz, W. C. M., & Wijsen, C. (2013). Subjective sexual well-being and sexual behavior in young women with breast cancer. Supportive Care in Cancer, 21(7), 1993−2005. doi:10. 1007/s00520-013-1750-6

    Kim, H. J., Barsevick, A. M., Tulman, L., & McDermott, P. A. (2008). Treatment-related symptom clusters in breast cancer: A secondary analysis. Journal of Pain and Symptom Management, 36(5), 468–479. doi:10.1016/ j.jpainsymman.2007.11.011

    Levin, A., Carpenter, K. M., Fowler, J. M., Brothers, B. M., Andersen, B. L., & Maxwell, G. L. (2010). Sexual morbidity associated with poorer psychological adjustment among gynecological cancer survivors. International Journal of Gynecological Cancer, 20(3), 461−470. doi:10.1111/IGC. 0b013e3181d24ce0

    Lin, C. C., & Ward, S. E. (1995). Patient-related barriers to cancer pain management in Taiwan. Cancer Nursing, 18(1), 16-22.

    Lindley, C., Vasa, S., Sawyer, W. T., & Winer, E. P. (1998). Quality of life and preferences for treatment following systemic adjuvant therapy for early-stage breast cancer. Journal of Clinical Oncology, 16(4), 1380-1387.

    Manganiello, A., Hoga, L. A., Reberte, L. M., Miranda, C. M., & Rocha, C. A. (2011). Sexuality and quality of life of breast cancer patients post mastectomy. European Journal of Oncology Nursing, 15(2), 167−172. doi:10.1016/j.ejon. 2010.07.008

    Matthews, E. E., Schmiege, S. J., Cook, P. F., & Sousa, K. H. (2012). Breast cancer and symptom clusters during radiotherapy. Cancer Nursing, 35(2), E1–E11.

    McCorkle, R., & Quint-Benoliel, J. (1983). Symptom distress, current concerns and mood disturbance after diagnosis of life-threatening disease. Social Science and Medicine, 17(7), 431-438.

    McCorkle, R. (1987). The measurement of symptom distress. Seminars in Oncology Nursing, 3(4),248-256.

    McNair, D. M., Lorr, M., & Droppleman, L. F. (1971) Manual for the Profile of Mood States. San Diego, CA: Educational and Industrial Testing Service.

    Meyerowitz, B. E, Sparks F. C., & Spears I. K. (1979). Adjuvant chemotherapy for breast carcinoma: Psychosocial implications. Cancer, 43, 1613-1618.

    Meyerowitz, B. E., Desmond, K. A., Rowland, J. H., Wyatt, G. E., & Ganz, P. A. (1999). Sexuality following breast cancer. Journal of Sex & Marital Therapy. 25, 237-250.

    Meirow, D., Biederman, H., Anderson, R. A., & Wallace, W. H. B. (2010). Toxicity of chemotherapy and radiation on female reproduction. Clinical obstetrics and gynecology, 53(4), 727-739. DOI: 10.1097/GRF.0b013e3181f96b54

    Monga, Uma. (2002). Sexual functioning in cancer patients. Sexuality and Disability, 20(4), 277-295.


    Moravac, C. C. (2018). Reflections of Homeless Women and Women with Mental Health Challenges on Breast and Cervical Cancer Screening Decisions: Power, Trust, and Communication with Care Providers. Front Public Health, 6, 30. doi:10.3389/fpubh.2018.00030

    Moyer, A. (1997). Psychosocial outcome of breast-conserving surgery versus mastectomy: A meta-analytic review. Health psychology, 16, 284-298.


    Krejcie, R.V., & Morgan, D.W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement, 30, 607-610.

    National Comprehensive Cancer Network. (2013). NCCN Clinical Practice Guidelines in Oncology: Survivorship. Version 1. http://www.nccn.org/professionals/physician_gls/pdf/survivorship.pdf

    Nguyen, J., Cramarossa, G., Bruner, D., Chen, E., Khan, L., Leung, A., ... Chow, E. (2011). A literature review of symptom clusters in patients with breast cancer. Expert Review of Pharmacoeconomics & Outcomes Research, 11(5), 533–539.

    Panjari, M., Bell, R. J., & Davis, S. R. (2011). Sexual function after breast cancer. The Journal of Sexual Medicine, 8(1), 294−302. doi:10.1111/j.1743-6109.2010.02034.x

    Park, J. H., Chun, M., Jung, Y. S., & Bae, S. H. (2017). Predictors of Psychological Distress Trajectories in the First Year After a Breast Cancer Diagnosis. Asian Nurs Res (Korean Soc Nurs Sci), 11(4), 268-275. doi:10.1016/j.anr.2017.10.003

    Phillips, R. L., Slacghter, J. R. (2000). Depression and sexual desire. American Family Physician, 62(4), 782-786.

    Pila, E., Sabiston, C. M., Castonguay, A. L., Arbour-Nicitopoulos, K., & Taylor, V. H. (2018). Mental health consequences of weight cycling in the first-year post-treatment for breast cancer. Psychol Health, 33(8), 995-1013. doi:10.1080/08870446.2018.1453510

    Rashidi, Sanaz., Dashti, Forouzandeh. (2015). Sexual Behavior Pattern and Related Factors in Women with Breast Cancer in Iran. Glob J Health Science, 8(7), 266-272.

    Rhodes, V. A., & Watson, P. M. (1987). Symptom distress—The concept: Past and present. Seminars. Oncology Nursing, 3(4), 242–247. doi:10.1016/S0749-2081(87)80014-1

    Rosenberg, S. M., Tamimi, R. M., Gelber, S., Ruddy, K. J., Bober, S. L., Kereakoglow, S., ... Partridge, A. H. (2014). Treatment-related amenorrhea and sexual functioning in young breast cancer survivors. Cancer, 120(15), 2264− 2271. doi:10.1002/cncr.28738

    Rowland, J. H., Dioso, J., Holland, J.C., Chaglassian, T. & Kinne, D. (1995). Breast reconstruction after mastectomy: who seeks it, who refuses? Plastic and Reconstructive Surgery, 95(5), 812–822.

    Rowland, J. H., Desmond, K. A., Meyerowitz, B. E., Belin, T. R., Wyatt, G. E., Ganz, P. A. (2000). Role of breast reconstructive surgery in physical and emotional outcomes among breast cancer survivors. Journal of the National Cancer Institute, 92(17), 1422-1429.

    Schain, W. S., Wellisch, D. K., Pasnau, R. O. & Landsverk, J. (1985). The sooner the better: a study of psychological factors in women undergoing immediate versus delayed breast reconstruction. American Journal of Psychiatry, 142, 40–46.


    Schover, L. R. (1991). The impact of breast cancer on sexuality, body image, and intimate relationship. Cancer, 41, 112–121.

    Sherer, M., Maddux, J. E., Mercandante, B., Prentice-dunn, S., Jacobs, B., & Rogers, R. W. (1982). The Self-efficacy Scale: Construction and validation. Psychological Reports, 51(2), 663–671. https://doi.org/10.2466/pr0.1982.51.2.663

    Speer, J. J., Hillenberg, B., Sugrue, D. P., Blacker, C., Kresge, C. L., Decker, V. B., ... Decker, D. A. (2005). Study of sexual functioning determinants in breast cancer survivors. The Breast Journal, 11(6), 440−447. doi:10.1111/j.1075- 122X.2005.00131.x

    Sterren, P. G. S., & Verheij, M. J.W. (2009). The importance of sexual self-disclosure and perceived partner responsiveness in sexual intimacy: The proposition of an interpersonal process model (Unpublished master's thesis). University of Utrecht, The Netherlands.

    Tabrizi, F. M. (2015). Health promoting behavior and influencing factors in Iranian breast cancer survivors. Asian Pacific Journal of Cancer Prevention, 16(5), 1729-1736.

    Takahashi, M., Ohno, S., Inoue, H., Kataoka, A., Yamaguchi, H., Uchida, Y., ... Kai, I. (2008). Impact of breast cancer diagnosis and treatment on women’s sexuality: A survey of Japanese patients. Psycho-Oncology, 17(9), 901−907. doi:10.1002/pon.1297

    Taylor-Brown, J., Kilpatrick, M., Maunsell, E., & Dorval, M. (2000). Partner abandonment of women with breast cancer: Myth or reality? Cancer Practice, 8(4), 160−164. doi:10. 1046/j.1523-5394.2000.84004.x

    The Global Cancer Observatory - All Rights Reserved.(March, 2019). International Agency for Research on Cancer 2018. Retrieved from https://gco.iarc.fr/today/data/factsheets/cancers/20-Breast-fact-sheet.pdf

    Ussher, J. M., Perz, J., & Gilbert, E. (2012). Changes to sexual well-being and intimacy after breast cancer. Cancer Nursing, 35(6), 456−465. doi:10.1097/NCC.0b013e3182395401

    Walsh, S. R., Manuel, J. C., & Avis, N. E. (2005). The impact of breast cancer on younger women’s relationships with their partner and children. Families, Systems and Health, 23, 80-93. doi:10.1037/1091-7527.23.1.80

    Whipple, B., & Komisaruk, B. R. (1999). Beyond the G spot: recent research on female sexuality. Psychiatry Ann, 29(1), 34-37.

    World Health Organization & Meeting on Education and Treatment in Human Sexuality (‎‎‎1974 : Geneva)‎‎‎. (‎1975)‎. Education and treatment in human sexuality : the training of health professionals, report of a WHO meeting [‎‎‎held in Geneva from 6 to 12 February 1974]‎‎‎. World Health Organization. http://www.who.int/iris/handle/10665/38247

    Woods, N.F. (1984). Human sexuality in health and illness. 3rd edn. C.V. Mosby. St. Louis.

    Yang, E. J., Kim, S. W., Heo, C. Y., & Lim, J. Y. (2011). Longitudinal changes in sexual problems related to cancer treatment in Korean breast cancer survivors: A prospective cohort study. Supportive Care in Cancer, 19(7), 909−918. doi:10.1007/s00520-010-0885-y

    Zeng, Y. C., Li, Q., Wang, N., Ching, S. S. Y., & Loke, A. Y. (2011). Chinese nurses’ attitudes and beliefs toward sexuality care in cancer patients. Cancer Nursing, 34(2), E14−E20. doi:10.1097/NCC.1090b1013e3181f1004b1002

    下載圖示
    QR CODE