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題名 早期乳癌婦女的治療決策後悔之初探
A clinical investigation of treatment-related regret in women with early-stage breast cancer
作者 張素美
Chang, Su Mei
貢獻者 許文耀
張素美
Chang, Su Mei
關鍵詞 乳癌
外科手術
後悔
決策不一致行為
乳癌治療相關之困擾
日期 2009
上傳時間 9-May-2016 15:25:24 (UTC+8)
摘要 本研究目的在驗證國人早期乳癌婦女是否存有手術決策後悔的現象，並探討決策不一致行為及乳癌治療相關之困擾與決策後悔的關聯。本研究以問卷的施測方式收集47位經歷手術治療後2年半以內的乳房外科門診及民間團體之早期乳癌婦女。研究結果顯示，部分早期乳癌婦女對於手術決策的後悔是存於的，但其後悔的程度如同國外的研究是偏低的。接受乳房切除手術的乳癌婦女其決策後悔程度顯著高於接受乳房保留手術的乳癌婦女。階層迴歸分析指出，決策不一致行為及乳癌治療相關之困擾可以顯著預測早期乳癌婦女的決策後悔，其中以決策偏好不一致對決策後悔的預測最為顯著。本研究根據上述結果提出研究限制與建議。
參考文獻 壹、中文部分
     中華民國癌症希望協會（2008）。希望之路～面對乳癌。台北市：中華民國癌症希望協會。
     行政院衛生署國民健康局（2008）。健康統計-台灣癌症登記系統-統計分析。
     朱博湧（2007）。麥可．波特來台的啟發 目的與手段的迷思。載於遠見雜誌（頁252）。天下遠見出版社：台北市。
     林耀盛（1999）。疾病意義、身體意象與認同形式：糖尿病患者社會心理因應歷程。台灣大學心理研究所博士論文，未出版，台北市。
     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。高雄醫學大學行為科學研究所碩士論文，未出版，高雄市。
     陳海焦（1995）。乳癌婦女接受乳房切除手術後身體改變的經驗。國防醫學院護理研究所碩士論文，未出版，台北市。
     許文耀、鍾瑞玫、陳秀卿（1997）。醫病互動與醫矚遵循。公共衛生，24(1)，41-45。
     TCOG乳癌研究委員會（2004）。乳癌診斷與治療共識。台北市：國家衛生研究院癌症研究組臺灣癌症臨床研究合作組織 (TCOG)。
     簡靜慧（2006）。前列腺癌病患於確立癌症診斷後與接受治療期間之決策相關困擾及其相關因素之探討。長庚大學護理學研究所碩士論文，未出版，台北縣。
     
     貳、西文部分
     Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., et al. (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute, 85(5), 365-376.
     Affeck, G., Tennen, H., & Fifiled. (1987). Appraisal of control and predictitability in adapting to chronic disease. Journal of Personality and Social Psychology, 53,273-279.
     American Joint Committee on Cancer (2003). AJCC Cancer Staging Manual (6th Ed.). Chicago: Springer.
     Anderson, M. R., Bowen, D. J., Stein, K. D., & Baker, F.(2009). Involvement in decision-making and breast cancer surviveor quality of life. Health Psychology, 28(1),29-37.
     Ashing-Giwa, T. A., Padilla, G., Tejero, J., Kraemer, J., Wright, K., Coscarelli, A., et al. (2004). Understanding the breast cancer experience of woman: A qualitative study of African American, Asian American, Latina and Caucasian cancer survivors. Psycho-Oncology, 13, 408-428.
     Brehaut , J. C., O`Connor, A. M., Wood, T. J., Hack , T. F., Siminoff, L., Gordon, E., et al. (2003). Validation of a decision regret scale. Medical Decision Marking, 23, 281-292.
     Charles, C., Gafni, A., & Whelan, T. (1999). Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model. Social Sciences & Medicine. 49(5):651-61.
     Clark, J. A., Inui, T. S., Silliman, R. A., Bokhour, B. G., Krasnow, S. H., Robison, R. A., et al. (2003). Patients` perceptions of quality of life after treatment for early prostate cancer. Journal of Clinical Oncology, 21, 3777-3784.
     Clark, J. A., Wray, N. P., & Ashton, C. M. (2001). Living with treatment decision: Regrets and quality of life among men treated for metastatic prostate cancer. Journal of Clinical Oncology, 19, 72-80.
     Connolly, T., Ordonez, L. D., & Coughlan, R. (1997). Regret and responsibility in the evaluation of decision outcome. Organizational and Behavior and Human Decision Processes, 70, 73-85.
     Connolly, T., & Reb, J. (2005). Regret in cancer-related decisions. Health Psychology, 24(4(suppl.)), S29- S34.
     Connolly, T., & Zeelenberg, M. (2002). Regret in decision making. Current Diredctions in Psychological Science, 11(6), 212-216.
     Davison, B. J., & Goldenberg, S. L. (2003). Decisional regret and quality of life after participating in medical decision making for early-stage prostate cancer. BJU International, 91, 14-17.
     Degner, L. F., Kristjanson, L.J., Bowman,D., Sloan, J. A ., Carriere, K.C., O`Neil, J et al. (1997). Information needs and decisional preferences in women with breast. The Journal of the American Medical Association, 277(18), 1485-1492.
     Fallowfield, L. (1997). Offering choice of surgical treatment to women with breast cancer. Patient Education and Counseling, 30, 209-214.
     Gilovich, T., & Medvec, V. H. (1995). The experience of regret: what, when, and why. Psychological Review, 102, 379-395.
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     Hu, J. C., Kean, L., Saigal, C. S., & Litwin, M. S. (2003). Regret in men treated for localized prostate cancer. Journal of Urology, 169, 2279-2283.
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     Jokisari, M. (2003). Regret appraisal, age, and subjective well-being. Journal of Research in personality, 37, 487-530.
     Kahneman, D., & Miller, D. T. (1986). Norm theory: Comparing reality to its alternatives. Psychological Review, 93(2), 136-153.
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     Lam, W. W., Fielding, R., Chan, M., Chow, L., & Or, A. (2005). Gambling with your life: The process of breast cancer treatment decision making in chinese women. Psycho-Oncology, 14, 1-15.
     Landman, J. (1993). Regret: persistence of the possible. New York: Oxford University Press.
     Lantz, P. M., Janz, N. K., Fagerlin, A., Schwartz, K., Liu, L., Lakhani, I., et al. (2005). Satisfaction with surgery outcome and the decision process in a population-based sample of woman with breast cancer. Health Services Research, 40(3), 745-767.
     Lee, S.-Y. C. K. (2003). Treatment decision-making for treatment among Chinese American women with early-stage breast cancer. Unpublished doctoral dissertation. Yale University.
     Levine, E. G., Eckhardt, J., & Trag, E. (2005). Change in post-traumatic stress symptoms following psychosocial treatment for breast cancer. Psycho-Oncology, 14, 618-635.
     Love, S. (2000/2002). Dr. Susan Love’s breast book. 楊雅婷、郭雅君（譯）：《乳房聖經：下冊》。台北：天下雜誌。
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     McVea, K. L. S. P., Minier, W. C., & Palensiky, J. F. J. (Writer) (2001). Low-income women with early-stage breast cancer: physician and patient decision-making styles [Article], Psycho-Oncology: John Wiley & Sons Ltd. 1996.
     Miller, D. T., & Taylor, B. R.(1995). Counterfactual thinking, regret, and superstition: How to avoid kicking yourself. In N. J. Rose & J. M. olson (Eds). What might have been: The social psychology of counterfactual thinking (pp.305-331). Mahwah, N.J: Lawrence Erlbaum Associates.
     Montgomery, L. L., Tran, K. N., Heelan, M. C., Van Zee, K. J., Massie, M. J., & Payne, D. K. (1999). Issue of the regret in woman with contralateral prophylactic mastectomies. Annals of Surgical Oncology, 6, 546-442.
     Moyer, A. (1997). Psychosocial outcomes of breast-conserving surgery versus mastectomy: A meta-analytic review. Health Psychology, 16(3), 284-298.
     National institutes of health (1990).Treatment of early-stage breast cancer. NIH Consens Statement 1990 Jun 18-21,8(6), 1-19.
     N`gbala, A., & Branscombe, N. R. (1997). When does action elicit more regret than inaction and is counterfactual thinking the mediator of this effect? Journal of Experimental Social Psychology, 33, 324-343.
     Ordonez, L. D., & Connolly, T. (2000). Regret and responsibility: A reply to Zeelenberg et al. Organizational Behavior and Human Decision Processes, 81, 132-142.
     Payne, D. K., Biggs, C., Tran, K. N., Borgen, P. I., & Massie, M. J. (2000). Women`s regret after bilateral prophylactic mastectomy. Annuals of Surgical Oncology, 7(150-154).
     Pieters, R., & Zeelenberg, M. (2005). On bad decisions and deciding badly: What intention-behavior inconsistency is regrettable. Organizational Behavior and Human Decision Processes, 97, 18-30.
     Pressman, P., & Hirshaut, Y. (1992/2001). Breast cancer: The complete guide. 廖舜茹（譯）：《乳癌全書》。台北：原水文化。
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     Zeelenberg, M. (1998). Emotional reactions to the outcomes of decision: The role of counterfactual thought in the experience of regret and disappointment. Organizational Behavior and Human Decision Processes, 75(2), 117-141.
     Zeelenberg, M., & Pieters, R. (1999). Comparing services delivery to what might have been: Behavioral response to disappointment and regret. Journal of Service Research, 2, 86-97.
     Zeelenberg, M., & Pieters, R. (2007). A theory of regret regulation 1.1. Journal of Consumber Psychology, 17(1), 29-35.
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描述 碩士
國立政治大學
心理學系
94752004
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0094752004
資料類型 thesis
dc.contributor.advisor 許文耀zh_TW
dc.contributor.author (Authors) 張素美zh_TW
dc.contributor.author (Authors) Chang, Su Meien_US
dc.creator (作者) 張素美zh_TW
dc.creator (作者) Chang, Su Meien_US
dc.date (日期) 2009en_US
dc.date.accessioned 9-May-2016 15:25:24 (UTC+8)-
dc.date.available 9-May-2016 15:25:24 (UTC+8)-
dc.date.issued (上傳時間) 9-May-2016 15:25:24 (UTC+8)-
dc.identifier (Other Identifiers) G0094752004en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/95250-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 心理學系zh_TW
dc.description (描述) 94752004zh_TW
dc.description.abstract (摘要) 本研究目的在驗證國人早期乳癌婦女是否存有手術決策後悔的現象，並探討決策不一致行為及乳癌治療相關之困擾與決策後悔的關聯。本研究以問卷的施測方式收集47位經歷手術治療後2年半以內的乳房外科門診及民間團體之早期乳癌婦女。研究結果顯示，部分早期乳癌婦女對於手術決策的後悔是存於的，但其後悔的程度如同國外的研究是偏低的。接受乳房切除手術的乳癌婦女其決策後悔程度顯著高於接受乳房保留手術的乳癌婦女。階層迴歸分析指出，決策不一致行為及乳癌治療相關之困擾可以顯著預測早期乳癌婦女的決策後悔，其中以決策偏好不一致對決策後悔的預測最為顯著。本研究根據上述結果提出研究限制與建議。zh_TW
dc.description.tableofcontents 第一章 緒論 1
      第一節 乳癌的簡介 4
      第二節 決策後悔 10
      第三節 後悔在乳癌婦女的治療決策 19
      第四節 研究目的與架構 27
     第二章 研究方法 29
      第一節 研究對象 29
      第二節 研究程序 34
      第三節 研究工具 34
      第四節 研究分析 39
     第三章 研究結果 40
      第一節 決策後悔的結果 40
      第二節 主要研究變項與決策後悔的相關分析 46
      第三節 決策後悔變項之迴歸分析 50
     第四章 綜合討論 54
      第一節 決策後悔議題 54
      第二節 預測變項與決策後悔之關聯性 57
     第五章 研究限制與建議 61		zh_TW
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0094752004en_US
dc.subject (關鍵詞) 乳癌zh_TW
dc.subject (關鍵詞) 外科手術zh_TW
dc.subject (關鍵詞) 後悔zh_TW
dc.subject (關鍵詞) 決策不一致行為zh_TW
dc.subject (關鍵詞) 乳癌治療相關之困擾zh_TW
dc.title (題名) 早期乳癌婦女的治療決策後悔之初探zh_TW
dc.title (題名) A clinical investigation of treatment-related regret in women with early-stage breast canceren_US
dc.type (資料類型) thesisen_US
dc.relation.reference (參考文獻) 壹、中文部分
     中華民國癌症希望協會（2008）。希望之路～面對乳癌。台北市：中華民國癌症希望協會。
     行政院衛生署國民健康局（2008）。健康統計-台灣癌症登記系統-統計分析。
     朱博湧（2007）。麥可．波特來台的啟發 目的與手段的迷思。載於遠見雜誌（頁252）。天下遠見出版社：台北市。
     林耀盛（1999）。疾病意義、身體意象與認同形式：糖尿病患者社會心理因應歷程。台灣大學心理研究所博士論文，未出版，台北市。
     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。高雄醫學大學行為科學研究所碩士論文，未出版，高雄市。
     陳海焦（1995）。乳癌婦女接受乳房切除手術後身體改變的經驗。國防醫學院護理研究所碩士論文，未出版，台北市。
     許文耀、鍾瑞玫、陳秀卿（1997）。醫病互動與醫矚遵循。公共衛生，24(1)，41-45。
     TCOG乳癌研究委員會（2004）。乳癌診斷與治療共識。台北市：國家衛生研究院癌症研究組臺灣癌症臨床研究合作組織 (TCOG)。
     簡靜慧（2006）。前列腺癌病患於確立癌症診斷後與接受治療期間之決策相關困擾及其相關因素之探討。長庚大學護理學研究所碩士論文，未出版，台北縣。
     
     貳、西文部分
     Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., et al. (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute, 85(5), 365-376.
     Affeck, G., Tennen, H., & Fifiled. (1987). Appraisal of control and predictitability in adapting to chronic disease. Journal of Personality and Social Psychology, 53,273-279.
     American Joint Committee on Cancer (2003). AJCC Cancer Staging Manual (6th Ed.). Chicago: Springer.
     Anderson, M. R., Bowen, D. J., Stein, K. D., & Baker, F.(2009). Involvement in decision-making and breast cancer surviveor quality of life. Health Psychology, 28(1),29-37.
     Ashing-Giwa, T. A., Padilla, G., Tejero, J., Kraemer, J., Wright, K., Coscarelli, A., et al. (2004). Understanding the breast cancer experience of woman: A qualitative study of African American, Asian American, Latina and Caucasian cancer survivors. Psycho-Oncology, 13, 408-428.
     Brehaut , J. C., O`Connor, A. M., Wood, T. J., Hack , T. F., Siminoff, L., Gordon, E., et al. (2003). Validation of a decision regret scale. Medical Decision Marking, 23, 281-292.
     Charles, C., Gafni, A., & Whelan, T. (1999). Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model. Social Sciences & Medicine. 49(5):651-61.
     Clark, J. A., Inui, T. S., Silliman, R. A., Bokhour, B. G., Krasnow, S. H., Robison, R. A., et al. (2003). Patients` perceptions of quality of life after treatment for early prostate cancer. Journal of Clinical Oncology, 21, 3777-3784.
     Clark, J. A., Wray, N. P., & Ashton, C. M. (2001). Living with treatment decision: Regrets and quality of life among men treated for metastatic prostate cancer. Journal of Clinical Oncology, 19, 72-80.
     Connolly, T., Ordonez, L. D., & Coughlan, R. (1997). Regret and responsibility in the evaluation of decision outcome. Organizational and Behavior and Human Decision Processes, 70, 73-85.
     Connolly, T., & Reb, J. (2005). Regret in cancer-related decisions. Health Psychology, 24(4(suppl.)), S29- S34.
     Connolly, T., & Zeelenberg, M. (2002). Regret in decision making. Current Diredctions in Psychological Science, 11(6), 212-216.
     Davison, B. J., & Goldenberg, S. L. (2003). Decisional regret and quality of life after participating in medical decision making for early-stage prostate cancer. BJU International, 91, 14-17.
     Degner, L. F., Kristjanson, L.J., Bowman,D., Sloan, J. A ., Carriere, K.C., O`Neil, J et al. (1997). Information needs and decisional preferences in women with breast. The Journal of the American Medical Association, 277(18), 1485-1492.
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     Gilovich, T., & Medvec, V. H. (1995). The experience of regret: what, when, and why. Psychological Review, 102, 379-395.
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