碩士 / 國立臺灣大學 / 護理學研究所 / 96 / Aims：The aims of this study were to understand (1) the effects of body-mind-spirit empowerment and education group on reducing the sense of anxiety and status of stagnation for women with breast cancer, and to examine (2) what aspects of group therapy worked to contribute to the therapeutic effects in the views of women with breast cancer.
Methods：This study was a randomized controlled trail design. The subjects were recruited from outpatient department of breast cancer surgery of medical centre in Taipei and Foundation of Breast Cancer Prevention and Treatment from October 2007 to April 2008. The subjects were randomly assigned to the experimental or the control group by using simple random method. The eleven subjects in the experimental group and the ten subjects in the control group completed this study. The subjects in the experimental group received both the physician’s usual care of the outpatient department and the eight-session group therapy, with each session lasting for 120 minutes weekly. The group therapy was provided by one psychiatric nurse and one oncology nurse. The subjects in the control group received physician’s usual care of the outpatient department only. The outcome measures included State Anxiety Inventory and Stagnation Scale and they were assessed at pre and post treatments. In the last session of group therapy, the subjects in the experimental group were invited to participate in a semi-structured interview regarding their views on the therapeutic mechanisms of group therapy.
Results：The scores of the scale of State Anxiety Inventory and Stagnation Scale after 8-week trial were reduced in the both the experimental and control groups. According to Mann-Whitney U test, the results indicated that there were no significant differences in changing the scores of Stagnation Scale (Z = -.353, p=.756) and State Anxiety Inventory (Z= -.388, p= .705) after treatment between the experimental group and the control group. In the views of women with breast cancer, their physical distress included fatigue, insomnia, pain and decreased activity function of hands. The psychological distress included the senses of anxiety, depression, and hopelessness. The spirits distress included self-blame, doubt about the meanings of life, and sense of being alone. There were seven domains of the therapeutic factors of the body-mind-spirit empowerment and education group: imparting of information, instillation of hope, university, catharsis, interpersonal learning, existential factors and self-understanding. The results indicated that through emerged therapeutic factors, the group effectively reduced the senses of anxiety, depression, and uncertainty, increased the confidence about illness recovery, improved the sense of hope toward the future life, established social support network, and discovered the meanings and the purposes of life.
Conclusion: By the psychiatric nurse’s cooperation with oncology nurse in the body-mind-spirit empowerment and education group, the psychiatric nurse’s knowledge about group therapy and empowerment skills help breast cancer women to obtain supports from group members and to strengthen their inner self positive power. The oncology nurse’s knowledge about cancer care helps to decrease body-mind-spirit distress. The future may enlarge the size of sample in order to demonstrate the effects of the body-mind-spirit empowerment and education group.
| Identifer | oai:union.ndltd.org:TW/096NTU05563024 |
| Date | January 2008 |
| Creators | Mei-Ya Su, 蘇美雅 |
| Contributors | 熊秉荃 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 92 |
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