| Summary: | 碩士 === 國立臺灣師範大學 === 健康促進與衛生教育學系 === 105 === The needs of patients with breast cancer in recent years has been gradually being valued and talked about. However, previous studies emphasized more on the expression of feelings and distress. In order to be more reflective of the needs of breast cancer patients at the initial stage of diagnosis, focus group interviews were conducted with patients at the first course or at the end of treatments. Retrospective experiences were shared to explore their needs for the time the illness was diagnosed.
This study was completed with the assistance of the China Association of Breast Cancer Patients. A total of 117 patients from northern, central and southern Taiwan were recruited to conduct 14 focus group interviews. The purposes were as following. First, to understand the feelings and the needs of breast cancer patients at the early stage of diagnosis. The second part was regarding the nature of the concerns. The third part was regarding the experience of the fulfillment of the needs of physical, mental, spiritual and social aspects. All interviews were tape-recorded and the transcripts were content analyzed. The inter-coder reliability reached 0.95.
Findings of the themes extracted from this study were as following: (1).From the discovery of symptoms to the diagnosis and suffering, (2).facing the impact of the disease, (3). physiological needs, (4)social needs, (5).psychological needs, (6).spiritual needs, (7).patient groups involved, (8).need for health education-attitude of informing disease, (9). Need for health education –contents of information. The needs of breast cancer patients began before the disease diagnosed. It is not appropriate to ignore the effects of family and social relationships. Medical care providers should implement the needs assessment right after the disease was diagnosed and the patients was informed. Also, they should provide tailed message through appropriate channels. Only after these measures were taken, doctor-patient relationship can be improved with medical intervention and support from treatment groups. In addition, the formation of the care networks can effectively encourage breast cancer patients to receive treatment and complete the treatment.
assessment right after the disease was diagnosed and the patients was informed. Also, they should provide tailed message through appropriate channels. Only after these measures were taken, doctor-patient relationship can be improved with medical intervention and support from treatment groups. In addition, the formation of the care networks can effectively encourage breast cancer patients to receive treatment and complete the treatment.
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