| Summary: | 碩士 === 國立臺灣大學 === 護理研究所 === 78 === The purpose of the qualitative study was to explore the behaviors in treatment experience of ovarian cancer persons who had to receive surgery and chemotherapy. Field method of "observer as participant" is undertaken in this study. The nurse-researcher had taken part in nursing care after surgery to the third course chemotherapy. All of the four ovarian cancer women''s data were recorded by way of process-recording, and then the verbal behaviors were systemically analyzed, categorized, coded, and statistically made by using content analysis.
After quantifying the qualitative data, 2671 behavior units were inductively coded. Results of the study showed that these women''s behaviors are classified into three types, including cognitive behavior(62.8%), emotion response(19.5%), and intervening behavior(17.7%) respectively. The cognitive behavior covers that orienting (affirmation, inquiry, speculation and expectation) , evaluating and comparing, sadness and self-reproach were more prevalent than positive response that includes satisfaction and thanksgiving. The intervening behavior includes self-help, help-searching, avoidance behaviors, regulatory and maintenance behaviors (self-defense and self-encouragement) , and compliance behaviors in the descending order by frequency. Patients'' treatment experiences were also induced to three parts, namely, body experience (48.8%) , medicogenous experience (33.5%) and social experienced (17.7%) . Among those three items under body experience, body sensation was the most concerned one, and body function and body structure would be the next. Medicogenous experiences were addressing to disease characteristics, medical management and medical circumstance. Social experience involved four areas: self role, family role and relationship, social interaction and occupation problem.
This research also found that the behaviors and the areas of treatment periods.Most of cognitive and intervening behaviors are committed to react with body experience. On the other side, medicogenous experience predominately induced to emotional response. Besides, during the period of surgery treatment and chemotherapy, the frequencies of cognitive behaviors emerge more often than the others. Emotion response exceeds intervening behavior during surgery treatment period. As to the intervening behavior, it increases significantly during chemotherapy period. Social experience shows very little during surgery treatment period, and increases a lot during chemotherapy period. Furthermore, this research also found the whole treatment experience that derive from contexts of behavioral responses, including 1. uncertainty 2. impact of loss 3. re-orient self in time and space 4. efforts to reaching for re-equilibrium in self. This indicates that the treatment experience and their behavior responses all vary from different treatment period and various situations.
The results of this research may serve as a guideline for nurses in nursing women with ovarian cancer. It is thus hopeful that the finding of this study will be helpful for the nursing staffs in a more sensitive way to the behaviors of these women in the various treatment stages and situations, and provide relevant information and support in tine and in a suitable way to those patients in need. It is believed that sensitive nurse would en power patients'' ability to cope with illness in a more positive way to reach the goal of better physical and psychosocial adjustment.
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