五十五歲以上乳癌婦女化學治療期間的生活經驗

This Lived Experience of Women with Breast Cancer Aged of Fifty-Five During Chemotherapy

目的：本研究的目的在探討55歲以上乳癌手術後婦女接受化學治療期間的生活經驗。方法：本研究屬質性研究，以非結構式面對面訪談法收集資料，訪談的資料撰寫為逐字稿後，使用Giorgi心理現象學方法分析資料。結果：共訪談25位參與者後資料達到飽和，乳癌手術後接受化學治療婦女的年齡分布由55歲至71歲。疾病診斷分期由第二期到第四期，已經完成的化學治療次數由4次到30次。訪談資料分析的結果得到三個主題：（1）在痛苦與死亡中找到生命意義，（2）在人生事件中發現愛，（3）與神明連結。結論：本研究為國內樂齡（55歲以上）乳癌婦女化療期間生活經驗的研究。參與者認為靈性串起了她們治療期間生活經驗，家人及上天╱神明提供她們靈性關懷。本研究的結果可以提供臨床實務、醫護教育及文化背景的參考。

Purposes: This study investigated the experience of women aged over 55 years with breast cancer during chemotherapy. Methods: Qualitative research methods were used. Faceto- face unstructured interviews were used for data collection conducted between May 1, 2012 and Oct 31, 2012. The data were analyzed according to the Giorgi psychological phenomenological method. Results: A total of 25 women with breast cancer undergoing chemotherapy were included from the age of 55 to 71 years. They were diagnosed with stage II, III, or IV breast cancer and received 4 to 30 rounds of chemotherapy. Three main themes of the data were (1) finding the meaning of life under suffering and death, (2) finding love in the events of life, and (3) sensing connectedness with a higher being. Conclusions: This study investigated the life experience during chemotherapy of women aged 55 years or more. The participants reported that spirituality upheld their spirit during the treatment period. Their family and deities provided them with spiritual care. This study provided evidence for enhancing clinical practice, education, and cultural sensitivity.