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  1. NTU Theses and Dissertations Repository
  2. 公共衛生學院
  3. 健康政策與管理研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/23033
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor鍾國彪
dc.contributor.authorHui-Ju Luen
dc.contributor.author呂蕙如zh_TW
dc.date.accessioned2021-06-08T04:38:40Z-
dc.date.copyright2009-09-16
dc.date.issued2009
dc.date.submitted2009-08-17
dc.identifier.citation參考文獻
一、中文文獻
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Barkley, T. W., Jr., & Burns, J. L. (2000). Factor analysis of the Condom Use Self-Efficacy Scale among multicultural college students. [Comparative Study
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Holden, G. (1991). The relationship of self-efficacy appraisals to subsequent health related outcomes: a meta-analysis. [Meta-Analysis]. Social Work in Health Care, 16(1), 53-93.
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Manne, S. L., Ostroff, J. S., Norton, T. R., Fox, K., Grana, G., & Goldstein, L. (2006). Cancer-specific self-efficacy and psychosocial and functional adaptation to early stage breast cancer. Annals of Behavioral Medicine, 31(2), 145-154.
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Mayne, T. J. (1999). Negative affect and health: The importance of being earnest. [Review]. Cognition & Emotion, 13(5), 601-635.
Nabi, R. L. (1999). A cognitive-functional model for the effects of discrete negative emotions on information processing, attitude change, and recall. [Review]. Communication Theory, 9(3), 292-320.
Oskay-Ozcelik, G., Lehmacher, W., Konsgen, D., Christ, H., Kaufmann, M., Lichtenegger, W., et al. (2007). Breast cancer patients' expectations in respect of the physician-patient relationship and treatment management results of a survey of 617 patients. [Research Support, Non-U.S. Gov't]. Annals of Oncology, 18(3), 479-484.
Pearson, S. D., & Raeke, L. H. (2000). Patients' trust in physicians: Many theories, few measures, and little data. Journal of General Internal Medicine, 15(7), 509-513.
Rees, C. E., & Bath, P. A. (2001). Information-seeking behaviors of women with breast cancer. Oncology Nursing Forum 28(5), 899-907.
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Ross, L., Kohler, C. L., Grimley, D. M., Green, B. L., & Anderson-Lewis, C. (2007). Toward a model of prostate cancer information seeking: Identifying salient behavioral and normative beliefs among African American men. Health Education & Behavior, 34(3), 422-440.
Schwarzer, R., & Renner, B. (2000). Social-cognitive predictors of health behavior: Action self-efficacy and coping self-efficacy. [Article]. Health Psychology, 19(5), 487-495.
Talosig-Garcia, M., & Davis, S. W. (2005). Information-seeking behavior of minority breast cancer patients: An exploratory study. Journal of Health Communication, 10, 53-64.
Taylor, S. E., Lichtman, R. R., & Wood, J. V. (1984). Attributions, beliefs about control, and adjustment to breast - cancer. [Article]. Journal of Personality and Social Psychology, 46(3), 489-502.
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Vadaparampil, S. T., Champion, V. L., Miller, T. K., Menon, U., & Skinner, C. S. (2004). Using the Health Belief Model to Examine Differences in Adherence to Mammography Among African-American and Caucasian Women. Journal of Psychosocial Oncology, 21(4), 59-79.
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/23033-
dc.description.abstract研究目的:了解國內乳癌病患之情緒、自我效能與資訊尋求行為間的關係,並檢定自我效能在女性乳癌病患之情緒與資訊尋求行為間,究竟扮演著中介因子或調節因子的角色。
研究方法:本研究包含量性資料和質性資料兩部份。量性研究部份:本研究採用橫斷性研究,經徵詢院方同意與倫理委員會審查後,最後以四家醫院作為個案醫院,以其一般外科(乳房外科)、血液暨腫瘤內科與放射腫瘤科門診之乳癌病人為研究對象,此外同時以採立意取樣選取國內之乳癌病友團體,郵寄問卷調查。於98年5月15日至6月30日收案期間,共發放765份問卷,總共蒐集292位乳癌病人有效樣本。質性資料則透過焦點團體座談會,了解女性乳癌病患情緒、自我效能與資訊尋求行為之相關影響因素。
研究結果與建議:女性乳癌病患之情緒透過自我效能的調節作用後對其資訊尋求行為有顯著影響。量性結果顯示,女性乳癌病患之資訊尋求行為會受到教育程度和目前癌症狀況影響,病患之情緒和其資訊尋求行為高度個體化;質性結果顯示,病友及病友團體的協助對乳癌病患之正面影響,包括穩定病患情緒,滿足病患資訊需求,更進一步影響病患就醫治療等相關決策,提升病患對疾病之了解與照護信心。對於後續研究之建議包括:1.同時將環境因素、文化因素及病患人格特質納入考量2.以病患整體的治療過程為分析單位3.以不同疾病的病患為研究對象,以獲得關於病患之情緒、自我效能與資訊尋求行為的影響
關鍵字:乳癌病患、情緒、自我效能、資訊尋求行為
zh_TW
dc.description.abstractPurposes:
The purposes of this study were to find out Taiwanese women’s emotion, self-efficacy and information seeking behavior in breast cancer, and to explore if the variable of self-efficacy between emotion and information seeking behavior is a mediator or moderator.
Methods:
This study including the quantitive and qualitative data. This is a cross-sectional study. After searching for cooperation from hospitals and approved by the Institutional Review Board procedure, four hospitals in Taipei agreed to join this study. The participants of this study include breast cancer patients of breast surgery, hematology, radiology oncology clinics. All samples came from convenient sampling. There were 292 patients valid samples with collection period from May 15 to June 30, year 2009.
And the qualitative data collected by focus group to explore the relationship among emotion, self-efficacy and the information seeking behavior in women with breast cancer.
Results and Recommendations:
The relationship between emotion and information seeking behavior will be moderated by self-efficacy. The information seeking behavior in women with breast cancer will be influenced by education and current cancer situation, and patients’ emotion and information seeking behavior are highly individualized. According to the qualitative study, cancer patients’ and support groups will positively influence breast cancer patients including stablizing patients’ emotion and satisfying patients’ needs for information, arising patients’ confidence in self-care about their disease. Recommendations to further researches are to consider environmental, cultural and patients’ personality factors, take patients’ whole course of treatment as unit of analysis, and focus on different types of cancer in order to obtain more comprehensive understanding about patients’ emotion, self-efficacy and information seeking behavior.
Key words: breast cancer, emotion, self-efficacy, information seeking behavior
en
dc.description.provenanceMade available in DSpace on 2021-06-08T04:38:40Z (GMT). No. of bitstreams: 1
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Previous issue date: 2009
en
dc.description.tableofcontents目錄
論文口試委員審定書 I
致謝 II
摘要 IV
Abstract V
目錄 VII
表目錄 IX
圖目錄 XI
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的 3
第二章 文獻探討 4
第一節 情緒 4
第二節 自我效能 6
第三節 資訊尋求行為 11
第四節 情緒、自我效能與資訊尋求行為的關係 16
第五節 文獻小結 18
第三章 研究方法 19
第一節 研究流程 20
第二節 研究架構與假說 21
第三節 研究設計與資料來源 23
第四節 研究工具 25
第五節 研究變項與操作型定義 27
第六節 資料處理與分析方法 35
第四章 研究結果 37
第一節 樣本組成特性 37
第二節 描述性統計 54
第三節 雙變項分析 59
第四節 多變項分析 78
第五節 質性研究結果 90
第五章 討論 104
第一節 研究資料品質 104
第二節 研究假說驗證結果 105
第三節 研究結果討論 107
第四節 研究限制 113
第六章 結論與建議 115
第一節 結論 115
第二節 建議 117
參考文獻 120
一、中文文獻 120
二、英文文獻 122
附錄 126
附錄一 訪談大綱 126
附錄二 問卷專家效度名單 129
附錄三 問卷專家效度彙整整理 130
附錄四 調查問卷 135
附錄五 合作醫院回函暨倫理委員會審查同意書 140
附錄六 質性訪談內容摘錄 144
表目錄
表3- 1自變項及其操作型定義 27
表3- 2中介變項及其操作型定義 28
表3- 3依變項及其操作型定義 31
表3-4 控制變項及其操作型定義 32
表4- 1問卷回收分佈 37
表4- 2回收樣本特性(n=292) 40
表4- 3 情緒之因素分析與信度分析 46
表4- 4自我效能原始量表之因素分析 47
表4- 5自我效能原始量表經因素分析修正後之量表信度檢定 48
表4- 6自我效能原始量表之信度分析 49
表4-7自我效能量表之因素分析二(刪除Q9) 50
表4-8自我效能量表之因素分析三(刪除Q9及Q6) 51
表4-9自我效能量表之信度分析(刪除Q9及Q6) 52
表4-10研究假說修正 53
表4- 11女性乳癌病患「情緒」之描述性統計(N=292) 56
表4- 12女性乳癌病患自我效能之描述性統計(N=292) 57
表4- 13女性乳癌病患之資訊尋求行為之描述性統計(N=292) 58
表4- 14 控制變項合併一覽表 62
表4- 15樣本個人基本特性對「資訊尋求行為」之雙變項分析 63
表4- 16樣本疾病相關資料特性對「資訊尋求行為」之雙變項分析 64
表4- 17個人基本資料與疾病相關資料之控制變項與情緒之雙變項分析 66
表4- 18個人基本資料與疾病相關資料之控制變項與總自我效能之雙變項分析 69
表4-19個人與疾病相關資料之控制變項與了解疾病及參與照護之雙變項分析 72
表4-20個人與疾病相關資料之控制變項與正面處理情緒與疾病之能力之雙變項分析 75
表4-21納入變項整理 78
表4-22虛擬變數轉換 78
表4- 23情緒對資訊尋求行為的迴歸式 81
表4- 24自我效能對資訊尋求行為的迴歸式 82
表4- 25情緒、控制變項與自我效能之複迴歸分 83
表4- 26資訊尋求行為--主動尋求資訊各階段之描述 84
表4- 27情緒與總自我效能對資訊尋求行為的迴歸式 85
表4- 28情緒與自我效能對資訊尋求行為之多項式邏輯斯迴歸 87
表4- 29焦點團體受訪者之社會人口學特質分析 91
表4- 30焦點團體受訪者之疾病相關資訊 91
表4- 31影響女性乳癌病患正面與負面情緒之因素 101
表4- 32影響女性乳癌病患自我效能之因素 102
表4- 33影響女性乳癌病患資訊尋求之因素 103
表5-1研究假說驗證結果 106





圖目錄
圖2- 1 The Comprehensive Model of Information seeking. 12
圖2-2 The Information Management Process as proposed in the Theory of motivated information-management seeking. 13
圖3- 1 研究流程圖 20
圖3- 2 研究架構圖 21
圖4-1 原始研究架構修正 80
dc.language.isozh-TW
dc.subject自我效能zh_TW
dc.subject乳癌病患zh_TW
dc.subject情緒zh_TW
dc.subject資訊尋求行為zh_TW
dc.subjectbreast canceren
dc.subjectinformation seeking behavioren
dc.subjectself-efficacyen
dc.subjectemotionen
dc.title探討女性乳癌病患之情緒、自我效能與資訊尋求行為的關係zh_TW
dc.titleExploring the Relationship among Emotion, Self-Efficacy and the Information Seeking Behavior In Women With Breast Canceren
dc.typeThesis
dc.date.schoolyear97-2
dc.description.degree碩士
dc.contributor.oralexamcommittee謝碧晴,陳清祥,胡文郁
dc.subject.keyword乳癌病患,情緒,自我效能,資訊尋求行為,zh_TW
dc.subject.keywordbreast cancer,emotion,self-efficacy,information seeking behavior,en
dc.relation.page173
dc.rights.note未授權
dc.date.accepted2009-08-17
dc.contributor.author-college公共衛生學院zh_TW
dc.contributor.author-dept醫療機構管理研究所zh_TW
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