The Experiences of Psychological Resilience for Female Patients with Breast Cancer

• Main Authors: Shin-ChiChen, 陳幸琪
• Other Authors: Mei-Feng Lin
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/45073385658159277106

碩士 === 國立成功大學 === 護理學系碩博士班 === 98 === Drawing on the method of narrative inquiry, this study has focused on the psychological resilience of the female patients suffering from the breast cancer. The participants were selected by the medical center located at the southern Taiwan. Following the theoretical sampling, 8 breast cancers patients were invited to join in the in-depth qualitative interviewing. With regard to the data collection and analysis, qualitative interviewing was designed as semi-structure, and narrative analysis was conducted as the data form of “unity-contents” and “unity-forms”, proposed by Lieblich, Tuval-Mashiach and Zilber (1998/2008). The result showed that female breast cancer patients as participants were intended to be younger. The sprout, forming and progressing of the psychological resilience were mainly influenced by participants’ personality, characteristics, self belief, emotional status, religion, and social support. The onset time of the psychological resilience located at the period between the diagnosis and the surgery. The center of the sprout was the belief of “keep surviving”. The psychological resilience sources were originated from four aspects: personal belief, family system, social support, and the religion. Emotional and informational supports encourage them to not only confront with the obstacles and effects accompanied by the breast cancer, but also find the motivation to survive. The psychological resilience sprout based largely on the personal belief, of which the core concepts were staying alive, inappropriate pathologically reasoning, finding the origins of disease, and the reconsideration. Moreover, the duration of the psychological resilience was longer than the duration of the chemotherapy because participants might sprout the new personal belief as well as the coping strategies in order to take charge of their own bodies based on their internal-attributed reasons. The performance of participants’ psychological resilience was revealed in three dimensions including helping people, changing themselves, and the future prospect forming. In addition, this study performed the time axis of the transformation on participants’ psychological resilience process, which was further divided into three categories based on the positive emotional curves as follows: slowly changes, persistent changes, and the intermittent changes. The fluctuation of the curves showed the sprout and the forming of patients’ psychological resilience. The research result would benefit the future understanding of the treatment process which at the same time offers the reference for the nursing estimation as well as the intervention planning under the clinical contexts.