| Summary: | 碩士 === 國立臺北護理健康大學 === 生死教育與輔導研究所 === 101 === Abstract
A Case Study of the Family’s stress and Adjustment Process of a Child with Osteosarcoma
The purpose of this study is to explore and to describe the experiences of a family with a child with Osteosarcoma when they faced periods of diagnosis, treatment, amputation and life re-building, including the changes of life of a family ,the coping and the adjustment process. The study is a case study of a family, the primary caregiver and the party with Osteosarcom was interviewed. Total of two interview data were analyzed and interpreted. The main finding of this study is to show their process of adjustment and the interaction between them. The main findings of this study are as follows:
(1) When the mother facing her child got Osteosarcoma, the stressors are: life-threaten disease, changes of family’s role anticipation during treatment, family member’s emotional impact, the pressure of medical decision-making, the amputation may make the child low self-esteem, sibling interaction, fear of death, lose of future.
(2) Although cancer impacts the life of whole family, they may help the family cope through cognitive construction and intergration of resources in reponse to emotional and physical changes. Family function better than the event before because they gain positive attitude to rebuild self-esteem, reforming family organization and learning independent living.
(3) Ways of coping strategies the primary caregiverand clients with cancer adapted were:with the medical treatment opportunities for the best, informed the family with honest and created respectful communication, eliminatetThe stigma of cancer, transformed beliefs and attitudes into positiv. To change the attitude is of the most critical of the events.
The finding of this study could be used as a reference aiming at parents and the staff of school, and the future approach, raised suggestions.
for developin a plan for parenting and related peoplefor children suffering from osteosarcoma fibromatosis amputation
key words：children with cancer、family stress、adjustment process 、case study
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