| Summary: | 碩士 === 中山醫學大學 === 心理學系暨臨床心理學碩士班 === 104 === This research is aimed to the patients with breast cancer, exploring their relationship between Sleep Disturbances、Stress (including pressure perception and fear of recurrence)、Demoralization and the Psychological Well-Being. Regarding the Psychological Well-Being as the outcome variable, and understand the influential pathway of Sleep Disturbances、Stress and Demoralization. This research was design for Cross-Sectional survery, collecting data by questionnaire. Sleep Disturbance was assessed by Pittsburg Sleep Quality Inventory (Taiwan form version). Stress were assessed by Scale of Newly Diagnosed Breast Cancer Stress and Fear of Progression Questionnaire (short form version). Demoralization was assessed by Demoralization Scale (Chinese, Mandarin version). Psychological Well- Being was assessed by Ryff’s Psychological Well-Being Scale (Chinese, short form version). The 208 subjects mainly are outpatients, and the rest of them came from the supporting group. The average age of the subjects were 52-years old, post-diagnosed by 2 years and with I、II stages breast cancer. This research using the bivariate correlation, hierarchical regression and structural equation modeling for statistics and analysis, and the results show: (1) Negative correlation between Psychological Well-Being and Sleep Disturbance、Stress and Demoralization; (2) Sleep Disturbance affect the Psychological Well-Being, while Stress and Demoralization plays the role as mediator; (3) Stress and Sleep Disturbance simultaneously affect the Demoralization, then influence the Psychological Well-Being. This discovery suggest that clinical staffs must keep an eye on the influence for psychological health affected by stress and sleep disturbance of breast cancer patients, applying the emotional support and other psychological therapies if necessary.
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