研究生: |
朱怡儒 Yi-Ju Chu |
---|---|
論文名稱: |
乳癌病患的社會支持及生活品質之研究-以臺北市某跨院性乳癌病友支持團體為例 A Study of the Association of Social Support and Quality of Life among Breast Cancer Patients- A Case Study of A Supporting Group in Northern Taiwan |
指導教授: |
姜逸群
Chiang, I-Chyun |
學位類別: |
碩士 Master |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2010 |
畢業學年度: | 98 |
語文別: | 中文 |
論文頁數: | 208 |
中文關鍵詞: | 乳癌 、社會支持 、生活品質 、病友支持團體 |
英文關鍵詞: | breast cancer, social support, life quality, patient support group |
論文種類: | 學術論文 |
相關次數: | 點閱:209 下載:53 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本論文研究目的主要探討乳癌病友之參與病友支持團體、社會支持及生活品質之關係,以北部某乳癌病友支持團體之病友為對象,採橫斷面問卷調查收得154份有效問卷。結果發現:
(1)乳癌病友的生活品質屬中等程度;感受最好的是生理安適感,而心理安適感受最差。社會支持位居中上程度;感受以自尊支持最多,最少是情緒支持;家人在情緒、自尊、實質等支持功能中均高於病友支持團體及醫護人員,而病友支持團體在訊息支持明顯高於醫護人員及家人。參與病友支持團體之狀況:參與時間平均4.98年,互動頻率介於四至七成左右,以及近四成四成的病友網絡數量在1-5位,自覺互動關係及溝通狀況均在普通以上居多。
(2)在個人基本屬性及疾病特性與參與病友支持團體之狀況間的關係方面:最初乳癌確診時間愈久、目前接受治療種類數目愈少、有擔任幹部者,則參與團體的時間愈長。有擔任幹部者,在病友間自行聚會次數就愈多、自覺團體中的互動關係也愈佳,另,亦與目前無職業者,同時在參與團體活動次數,以及使用或接受團體電話服務次數等變項也愈多。
(3)乳癌病友參與病友支持團體程度愈顯頻繁,其得到來自病友支持團體社會支持也愈多。
(4)研究對象的整體社會支持與整體生活品質兩者之間並無相關。
(5)本研究發現醫護人員情緒支持是影響靈性安適感的主要因素。而家人的社會支持,以及家人的自尊支持是影響整體生活品質與心理安適感共同的顯著預測因素。
本研究有助於暸解乳癌病友參與病友支持團體、社會支持,以及生活品質之狀況,提供相關支持系統評估及妥適的支持照護,作為提升乳癌病友社會支持及生活品質之參考依據。
The main purpose of this study is to discuss the relations between breast cancer patients, fellow patient supporting group, and the social support and life quality of the breast cancer patients. The survey was taken from a group of fellow patients that is working with a supporting group in northern Taiwan, with 154 valid effective questionnaires. Result indicated:
(1) Breast cancer fellow patient's life quality falls the medium degree; they feel best in the physical comfort, but the psychological peacefulness and comfortable feeling is worst. The patients also feel the social supports are above average. In general, the emotional support mostly comes from the self-respect support, but the emotional support is found lacking. Family members associated with emotional, self-respect and all the actual supports is higher patient support groups and the medical care personnel; the fellow patient support groups have stronger ability in communicating and providing medical information than the family members and medical care personnel. The surveyed result for patients attending the fellow patient support groups as follows: average participation time is 4.98 years, the interactive frequency is between about 40 to 70 %, and about 44% of the fellow patient networks have 1 to 5 patients. The self-motivated interactions and communications between patients and the fellow patient supporting groups are above average.
(2) In terms of relationship between individual essential attribute, disease characteristics with participate in the fellow patient supporting groups: the initial breast cancer diagnosis time is long, with the least present treatment types. If the patients work as management level in their job, they tend to participate in the group activities longer, and also the patients are more likely to have more frequent and better voluntary interactions between the patients. If the patients are currently without occupation, they prefer to attend group activities, as well as accept the support groups’ service via telephone.
(3) The more frequent the breast cancer patients participate in the fellow patient supporting program, the more social support the patients can get the support group.
(4) The surveyed patients’ overall social support and life quality are not related.
(5) This research discovered that medical care personnel’s emotional support is the primary factor to affect patient’s comfort level. However, family member's social and self-respect supports have significant impact on the patient’s overall life quality and emotional peacefulness.
Though this research, we’ve gained more knowledge in how the breast cancer patients attend the patient support group, how well they receive social support, and the quality of patients’ life. Further, this research provides evaluations in the patient support system and medical care, which is a valuable reference to improve the breast cancer patients’ social support and life quality.
【參考書目】
中文部分
內政部(2000)‧社會工作辭典‧台北:內政部社區發展雜誌社。
王秀紅、吳淑如(2001)‧利用統合分析預測社會支持對健康的影響成效‧行政院國家科學委員會補助專題研究計畫成果報告‧(計畫編號:NSC89-2314-B-037-165)‧台北。
朱月英、郭碧照(2006)‧食道癌患者生活品質及其相關因素研究‧實證護理,2(2),127-136。
江慧玲(2001)‧乳癌婦女之生活品質‧行政院國家科學委員會專題研究計畫成果報告‧(計畫編號:NSC89-2314-B-182-137)‧台北。
江慧玲(2004)‧乳癌病患之尋求幫助‧行政院國家科學委員會專題研究計畫成果報告‧(計畫編號:NSC91-2314-B-182-066)‧台北。
江慧玲(2005)‧乳癌婦女之婚姻調適‧行政院國家科學委員會專題研究計畫成果報告‧(計畫編號:NSC92-2314-B-182-055)‧台北。
呂桂雲、金繼春、黃惠萍(1993)‧乳癌婦女的因應行為‧護理研究,1(3),247-256。
李芳節(2002)‧乳癌患者支持團體的轉變與發展-台南市鳳凰關懷協會之分析‧中正大學社會福利系碩士論文‧未出版,嘉義。
汪素敏(1997)‧心臟移植術後病人症狀困擾、社會支持與自我照顧行為相關之探討‧國防醫學院護理學研究所碩士論文‧未出版,台北。
周玉慧、楊文山、莊義利(1998)‧「晚年生活壓力、社會支持與老人身心健康」,人文及社會科學集刊,10(2),227-265。
周繡玲、顧乃平、劉雪娥、白璐(1997)‧成人急性白血病病患生活品質及其相關因素之探討.護理研究,5(2),182-194。
林春香、劉雪娥、王正儀(1996)‧大腸直腸癌症病患生活品質及其相關因素之探討.護理研究,4(1),13-26。
邱淑卿(2002)‧探討壓力、社會支持、因應對乳癌返家婦女之健康狀態影響‧長庚大學護理學研究所碩士論文,未出版,台北。
姚開屏(2002)‧健康相關生活品質概念與測量原理之簡介‧台灣醫學,6(2),183-192
施敏雄、蕭新煌(1981)‧我國社會指標之回顧與檢討‧明德基金會,生活素質層面之探討-生活素質第一次研討會論文集‧台北:明德基金會。
胡文郁、戴玉慈、陳慶餘、陳月枝(2003)‧生活品質之概念分析-於探討癌末病人健康相關生活品質之應用‧安寧療護雜誌,8(1),45-60。
孫嘉玲、蔡仁貞與林佳靜(2006)‧膀胱癌病患的生活品質、社會支持及症狀困擾‧新臺北護理期刊,8(2),11-19。
秦燕(2000)‧乳癌病患參與自助團體的意願與滿意度研究‧中華醫務社會工作學刊,8,75-95。
馬雨沛(2001)‧與癌症共舞(增訂版):馬雨沛對抗乳癌歷程‧台北:原水文化。
高迪理(1991)‧社會支持體系概念之架構探討‧社區發展季刊,54,24-32。
國民健康局(2008,4月11日)‧國民健康局「93年及94年癌症登記報告」出爐!‧2008年10月1日‧取自:http://www.bhp.doh.gov.tw/bhpnet/portal/PressShow.aspx?No=200804110001。
國家衛生研究院(2004,10月再版)‧乳癌診斷與治療共識‧2008年9月8日‧取自:http://tcog.nhri.org.tw/。
張小桂(1999)‧『迢迢抗癌路,幽谷誰伴行?─台灣癌症病友團體與基金會現況之初探』‧台灣大學社會學研究所碩士論文,未出版,台北。
張玨、黃梅羹、林弘崇(1988)‧乳癌病人的壓力與調適初步探討‧中華衛誌,8(2),109-124。
張苙雲(1986)‧生活壓力的概念與測量‧中華心理衛生學刊,2(1),137-151。
陳秀美、張宏哲(2004)‧支持性團體對子宮頸癌婦女處遇成效之研究‧臺灣社會工作學刊,1,110-146。
陳秀勤、王秀紅(1997)‧血液腫瘤住院患者的希望、社會支持與人口學特性之相關性探討‧護理研究,5(6),487-498。
陳怡靜、陳彰惠(2006)‧婦癌患者身體心像、社會支持和憂鬱的相關性研究‧實證護理,2(4),293-300。
陳美芳、馬鳳歧(2004)‧乳癌手術後婦女症狀困擾與因應策略之相關性探討‧護理雜誌,51(4),37-44。
陳瓊瑤(2000)‧乳癌生存者生活品質及其相關因素的探討‧長庚大學護理學研究所碩士論文,未出版,桃園。
彭嘉玲(1995)‧病人互助團體對於紅斑性狼瘡患者其社會暨心理適應之影響性研究‧台灣大學社會學系碩士論文,未出版,台北。
黃人珍、顧乃平、毛新春、盧成皆(1996)‧乳癌婦女之希望狀態及相關因素探討‧護理研究,4(1),35-47。
黃淑貞、黃春雄、曾德運、黃彥芳、王春美(2003):台灣地區乳癌病友團體成員參與及滿意度研究‧衛生教育學報,19,41-56。
黃毅志(2002)‧社會階層、社會網絡與心理幸福‧社會階層、社會網絡與主觀意識,111-143‧台北:巨流。
楊國樞(1980)生活素質的心理學觀‧中華心理學刊,22(2),11-24。
楊語芸(1995)‧初探婦女自助團體對婚變婦女的社會支持功能‧中正大學心理學研究所碩士論文,未出版,嘉義。
虞秀紅、鍾信心(1999)‧接受導管肝動脈化學藥物栓塞術肝癌病患之生活品質‧新臺北護理期刊,1(1),21-29。
熊德筠(1990),如何運用支持性團體協助病人‧護理雜誌,37(2),91-96。
衛生署(2008,8月25日)‧民國96年衛生統計系列(一)死因統計‧2008年10月1日‧取自:http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=10326&class_no=440&level_no=3。
衛生署國民健康局(2009)‧95年癌症登記年度報告‧2009年10月22日‧取自:http://tcr.cph.ntu.edu.tw/main.php?Page=A5。
鄭素月(2000)‧探討乳癌病人的症狀困擾、自我效能、社會支持與生活品質之關係‧台北醫學院醫學研究所碩士論文,未出版,台北。
閰家慧(1986)‧乳癌患者自助團體之工作評估‧中華民國醫務社會服務協會年刊,9,57-67。
謝素真、徐畢卿(2004)‧從支持性團體歷程分析看自閉兒母親的轉變‧護理雜誌,51(3),34-41。
鍾美玲、顧乃平、吳肖琪、趙祖怡、陽琪(2001)‧乳癌婦女治療後婚姻調適及其相關因素探討‧護理研究,9(2),137-146。
顧乃平(1995)‧乳癌病人生活品質及其相關因素的探討‧行政院國家科學委員會研究成果報告‧(計畫編號:NSC No.83-0412-B 016-049)‧台北。
英文部分
Abbey, A., & Andrew, F.M. (1984). Modeling the psychological determinants of life quality. Social Indicator Research, 16, 1-34.
Alford, G. S. (1980). Alcoholics anonymous: an empirical outcome study. Addictive Behavior, 5, 359-370.
Ali, N. S., & Khalil, H. Z. (1991). Identification of stressors, level of stress coping strategies, and coping effectiveness among Egyptian mastectomy patients. Cancer Nursing, 14(5), 232-239
American Cancer Society. (2006). Cancer Facts & Figures-2006. Atlanta: Author.
Arnold, E. M. (1999).The Cessation of Cancer Treatment as a Crisis. Social Work in Health Care, 29(2), 21-37.
Ashbury, F. D., Cameron, C., Mercer, S. L., Fitch, M., & Nielsen, E. (1998). One - on - one peer support and quality of life for breast cancer patients. Patient Education and Counseling , 35, 89-100.
Barrera, M. (1981). Social support in the adjustment of pregnant adolescents: Assessment issues: In B.H. Gottlieb (Ed.), Social networks and social support (pp. 69-96). Beverley Hills, CA: Sage.
Barrera, M. (1986). Distinctions between social support concepts, measures, and models. American Journal of Community Psychology, 14, 413-445.
Beer, J. (1995). Body image of patients with ESRD and following renaltransplantation. British Journal of Nursing, 4, 591-598.
Belec, R. H. (1992). Quality of life: Perceptions of long-term survivors of bone marrow transplantation. Oncology Nursing Forum, 19(1), 31-37.
Berkman, L. F. (1985). The relationship of social networks and social support to morbidity and morality. In S. Cohen & S. L. Syme (Eds.), Social support and health. Orlando, FL: Academic Press.
Borkman, T. (1976). Experiential Knowledge: A New Concept for the Analysis of Self-Help Groups. Social Service Review, 50, 445-456.
Borkman, T. (1990). Self-help groups at the turning point: Emerging egalitarian alliances with the formal health care system? American journal of Community Psychology., 18(2), 321-32
Brandt, B. T. (1987). The relationship between hopelessness and selected variables in women receiving chemotherapy for breast cancer. Oncology Nursing Forum, 14(2), 35-39.
Bullinger, M., Schmidt, S., & Petersen, C. (2002). Assessing quality of life of children with chronc health condition and disabilities:a European approach. International Journal of Rehabilitation Research,25,197-206.
Callaghan, P., & Morrissey, J. (1993). Social support and health: A review. Journal of Advanced Nursing, 18(2), 203-210.
Campbell, A., Converse, P. E., & Rodgers, W. L. (1976). The Quality of American Life. New York: Russell Sage Foundation.
Caplan, G. (1974). Support system and Community Mental Health. New York: Behavioral.
Charlotte, R. E., & Peter, B. A. (2000). The information needs and source preferences of women with breast cancer and their family members: a review of the literature published between 1988 and 1998. Journal of Advanced Nursing, 31(4), 833-841.
Cobb, S. (1976). Social Support as a Moderator of Life Stress. Psychosomatic Medicine, 38(5), 300-314.
Cohen, S., & Syme, S. L. (1985). Issues in the study and application of social support. In Cohen, S., & Syme, S. L. (Eds.), Social Support and Health. (pp. 3-22). San Francisco: Academic Press.
Cohen, S., & Wills, T. A. (1985). Stress, social support and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357.
Cohen, S. R., Mount, B. M., Bruera, E, Provost, M, Rowe, J, Tong, K. (1997). Validity of the McGill quality of life questionnaire in the palliative care setting: a multi-center Canadian study demonstrating the importance of the existential domain. Palliative Medicine, 11(1), 3-20.
Courtens, A. M., Stevens, F. C. J., Crebolder, H. F. J. M., & Philipsen, H. (1996). Longitudinal study on quality of life and social support in cancer patients. Cancer Nursing, 19(3), 162-169.
Dean, H. E. (1990). Political and ethical implications of using quality of life as an outcome measure. Seminars on Oncology, 66(4), 303-308.
DiMatteo, M. R., & Hays, R. (1981). Social Support and Serious Illness. In B. H. Gottlieb (Ed.), Social Networks and Social Support (pp. 117-148). Beverly Hills, CA: Sage.
Drew, M. (1998). Where Do Young Adult Renal Transplant Recipients Fit In? ANNA Journal, 25(10), 57-58,79.
Edgar, L., Remmer, J., Rosberger, Z., & Fournier, M. A. (2000). Resource use in women completing treatment for breast cancer. Psycho-Oncology, 9, 423-438.
Emirbayer, M., & Goodwin, J. (1994). Network analysis, culture, and the problem of agency. American Journal of Sociology, 99, 1411-1454.
Epstein, J. B., Robertson, M., Emerton, S., Phillips, N., & Stevenson-Moore, P. (2001). Quality of life and oral function in pateients treated with radiotherapy for head and neck cancer. Head & Neck, 23(5), 389-398.
Ferrans, C. E., & Powers, M. J. (1985). Quality of life index: Development and psychometric properties. Advances in Nursing Science, 8(1), 15-24.
Ferrans, C. E. (1994 ). Quality of life through the eyes of surviors of breast cancer. Oncology Nursing Forum, 21(10), 1645-1651.
Ferrell, B. R, Hassey-Dow K, Leigh S, Ly J, & Gulasekaram P. (1995). Quality of Life in Long-Term Cancer Survivors. Oncology Nursing Forum, 22(6), 915-922.
Ferrell, B. R., Hassey-Dow, K., & Grant, M. (1995). Measurement of the quality in cancer survivors. Quality of Life Research, 4, 523-531.
Ferrell, B. R., & Grant, M. (1999). Quality of Life Instrument-Breast Cancer Patient Version. Retrieved: November 24, 2008, Avalialbe: http://prc.coh.org/
Ferrell, B. R. (1995). The impact of pain on quality of life: a decade of research. Nursing Clinics of North America, 30(4), 609-624.
Ferrell, B. R., Grant, M., Funk, B., Otis- Green, S., & Garcia, N. (1997). Quality of life in breast cancer: Part I: Physical and social well-being. Cancer Nursing, 20(6), 398-408.
Ferrell, B. R., Grant, M., Funk, B., Otis-Green, S., & Garcia, N. (1998a). Quality of life in breast cancer part II: Psychological and spiritual well being. Cancer Nursing, 21(1), 1-9.
Ferrell, B. R., Grant, M., Funk, B., Otis-Green, S., & Garcia, N. (1998b). Quality of life in breast cancer survivors: implications for developing support services. Oncology Nursing Forum, 25(5), 887-895.
Flanagan, J. C. (1982). Measurement of quality of Life: current state of the art. Archives of Physical Medicine Rehabilitation, 63, 56-59.
Fobair, P. (1997). Cancer Support Groups and Groups Therapies: Part I. Historical and Theoretical Background an Research on Effectiveness. Journal of Psychosocial Oncology, 15(10), 63-81.
Gage, M. J., & Kinney, J. M. (1995). They aren't for everyone: The impact of support group participation on caregiver's well-being. Clinical Gerontologist, 16(2), 21-34.
Gallo, J.J. (1990). The effect of social support on depression in caregivers of the elderly. The Journal of Family Practice. 30(4), 430-440.
Gans, P. A., Rowland, J. H., Desmond, K., Meyerowitz, B. E., & Wyatt, G. E.(1998). Life after breast cancer: Understanding women’s health-related quality of life and sexual functioning. Journal of Clinical Oncology, 16(2), 501-514.
Ganz, P. A., Desmond, K. A., Leedham, B., Rowland, J. H., Meyerowitz, B. E., & Belin, T. R. (2002). Quality of life in long- term, disease-free survivors of breast cancer: a follow-up study. Journal of the National Cancer Institute, 94(1), 39-49.
Gartner, A. (1985). A Typology of Women's Self-Help Groups. Social Policy, 15(3), 25-30.
Gay, L. R., Mills, G. E., & Airasian, P. (2006). Education research: Competencies for analysis and applications (8th ed.). Upper Saddle River, N. J.: Prentice Hall.
Gorynaki, L., & Knight, F. (1992). A Peer Support Group for Adolescent Dialysis Patient. ANNA Journal, 19(3), 262-364.
Gottlieb, B. H. (1983). Social support as a focus for integrative research in psychology. American Psychologist, 38(3), 278-287.
Griffiths, A. (2004). Making a support group work for patients. Professional Nurse, 19(12), 22-24.
Halstead, M. T., & Fernsler, J. I. (1994). Coping strategies of long-term cancer survivors. Cancer Nursing, 17(2), 94-100.
Helgeson, V. S., & Cohen, S. (1996). Social support and adjustment to cancer: Reconciling descriptive, correlation,and intervention research. Health Psychology, 15(2), 135-148.
Holahan, C. J., & Moos, R. H. (1981). Social support and psychological distress: A longitudinal analysis. Journal of Community Psychology, 8, 159-172.
House, J. S. (1981). Work Stress and Social Support. Reading, MA: Addison-Wesley.
House, J.S, Umberson, D., & Landis, K.R. (1988). Structures and processes of social support. Annual Review of Sociology, 14, 293-318.
Iwamitsu, Y., Shimoda, K., Abe, H., Tani, T., Okawa, M., & Buck, R. (2005). Anxiety, Emotional Suppression, and Psychological Distress Before and After Breast Cancer Diagnosis. Psychosomatics, 46(1), 19-24.
Jones, G. L., Ledger, W., Bonnett, T. J., Radley, S., Parkinson, N., & Kennedy, S. H. (2006). The impact of treatment for gynecological cancer on health-related quality of life (HRQOL): A systematic review. American Journal of Obstetrics and Gynecology, 194(1), 26-42.
Katz, & Bender. (1976). Self-Help Groups in Western Society: History and Prospects‧The Journal of Applied Behavioral Science.,12(3), 265-282.
Kinney, C. K., Mannetter, R., & Carpenier, M. A. (1992). Support Group In Nursing interventions: Essential nursing treatment. Philadelphia: W B sanders.
Knoke, D., & Kuklinski, J. H. (1982). Network analysis. Newbury park, Calif: Sage.
Kurtz, L. K. (1997). Self-help and Support Groups: A Handbook for Practitioners. Thousand Oaks: Sage.
Kutash, K., & Rivera, V. R. (1995). Effectiveness of children’s mental health service: A review of the literature. Education & Treatment of Children, 18(4), 443-478.
Lamb, M. A. (1995). Effects of cancer on the sexuality and fertility of women. Seminars in Oncology Nursing, 11(2), 120-127.
Lee, H.L., Ku, N.P., Dow, W.J., & Pai, L. (2001). Factors related to quality of life in breast cancer patients receiving chemotherapy. The Journal of Nursing Research (Taiwan), 9(3), 57-68.
Lieberman, M. A., & Videcka-Sherman, L. (1986). The impact of self-help groups on the mental health of widows and widowers. American Journal of Orthopsychiatry, 56, 435-449.
Lin, N., Dean, A., & Ensel, W. (1981). Social Support Scales: A Methodological Note. Schizophrenia Bulletin, 7(1), 73-89.
Lowenthal, M. F., & Haven, C.(1968). Interaction and Adaptation: Intimacy as a Critical Variable. American Sociological Review, 33(1), 20-30.
Lugton, J. (1997). The nature of social support as experienced by women treated for breast cancer. Journal of Advanced Nursing, 25(6), 1184-1191.
Manning-Walsh, J. K. (2005). Psychospiritual Well-Being and Symptom Distress in Women With Breast Cancer. Oncology Nursing Forum, 32(3), 56-62.
Maton, K. I. (1988). Social support, organizational characteristics, psychological well-being, and group apprisal in three self-help group populations. American journal of Community Psychology, 16(1), 53-77.
Meeberg, G. A. (1993). Quality of life: A concept analysis. Journal of Advanced Nursing, 18(1), 32-38.
Meredith, C., Symonds, P., Webster, L., Lamont, D., Pyper, E., Gillis, C. R., & Fallowfield, L. (1996). Information needs of cancer patients in west Scotland: cross sectional survey of patients' views. British Medical Journal, 313(7059), 724-726.
Mishel, M. H., & Braden, C. J. (1988). Finding meaning: Antecedents of uncertainty in illness. Nursing Research, 37(2), 98-103.
Mitchell, J. (1986).Measurement scales and statistics: A clash of paradigms. Psychological Bulletin, 100(2), 398-407.
Mitchell, J. C. (1969). (Ed.). Social Networks and Urban Situations. Manchester: Manchester University Press.
Montazeri, A., Jarvandi, S., Haghighat, S., Vahdani, M., Sajadian A., Ebrahimi M., & Haji-Mahmoodi, M. (2001). Anxiety and depression in breast cancer patients before and after participation in a cancer support group. Patient Education& Couseling, 45(3), 195-198.
Morris, T., Greer, S. H., & White, P. (1977). Psychological and social adjustment to mastectomy. Cancer, 40(5), 2381-2387.
Nelson, G., Griffin, J. O. K., & Lord, J. (1998). Nothing about me, without me: Participatory action research with self-help/mutual aid organization for psychiatric consumer/survivors. American Journal of Community Psychology, 26(6), 881-912.
Norbek, J. S.(1981). Social Support: A Model for Clinical Research and Application. Advances in Nursing Science, 3(4), 43-59.
Northouse, L. L. (1985). A study of the psychosocial adjustment of patients and spouses to breast cancer. Michigan: U.M.I. Dissertation Information Service.
Northouse, L. L. (1988). Social support in patients’ and husbands’ adjustment to breast cancer. Nursing Research, 37(2), 91-95.
Northouse, L. L. (1989). The impact of breast cancer on patients and husbands. Cancer Nursing,12(5), 276-284.
Oh, S., Heflin, L., Meyerowitz, B. E., Desmond, K. A., Rowland, J. H., & Ganz, P. A. (2004). Quality of life of breast cancer survivors after a recurrence: a follow-up study. Breast Cancer Research and Treatment, 87, 45-57.
Oleson, M. (1990). Subjectively perceived quality of life. Image, 22, 187-190.
Patrick DL, & Bergner M. (1990). Measurement of health status in the 1990s. Annual Review of Public Health, 11, 165-183
Pender, N. J. (1987). Social Support and Health. In N. J. Pender (eds), Health Promotion in Nursing Practice. (pp. 393-426). California: Appleton & Lange.
Perlin, L., Menaghan,E. G., Leiberman,M.A., & Mullan,J. T. (1981). The stress process. Journal of health and social behavior, 22, 337-356.
Price, B. (1998). Cancer: Altered body image. Nursing Standard, 12(21), 49-55.
Ragsdale, D., Yarbrough, S., & Lasher, A. T. (1993). Using Social Support theory to care for CVA patients. Rehabilitation Nursing, 18(3), 154-161.
Rendle, K. (1997). Survivorship and breast cancer: the psychosocial issues. Journal of Clinical Nursing 6, 403-410.
Sandstrom, K. L. (1996). Searchonh for Information, Understanding, and Self-Value: The Utilization of Peer Support Groups by Gay Men with HIV/AIDS. Social Work in Health Care, 23(4), 51-74.
Schiff, H. S. (1996). The support group manual: a session-by-session guide. New York: Penguin Books.
Schipper, H. (1990). Quality of life in cancer patients. Gan to Kagaku Ryoho, 17(4), 716-725.
Schopler, J. H., & Galinsky, M. J. (1995). Expanding our view of support groups as open system. Social Work with Groups, 18(1), 3-10.
Shields, C. G., & Rousseau, S. J. (2004). A Pilot Study of an Intervention for Breast Cancer Survivors and Their Spouses. Family Process, 43(1), 95-107.
Spiring, R. (1998). Support Groups for People Living With HIV/AIDS: A Review of Literature. Journal of The Association of Nurses in AIDS Care, 9(4), 43-55.
Stewart, M. J. (1989). Social support instruments created by nurse investigators. Nursing Research, 38(5), 268-275.
Thoits, P. A. (1986). Social support as an Assistance. Journal of Consulting and Clinical Psychology, 54(4), 416-423.
Tilden, K. C. (1986). New perspectives on social support. Nurse Practitioner, 11, 61-62.
Tolsdorf, C. C. (1976). Social Networks, Support, and Coping: An Exploratory Study. Family Process, 15(4), 407-417.
Turner, B. (1981). Some practical aspects of qualitative data analysis: one way of organizing the cognitive processes associated with generation of grounded theory. Quality and Quantity, 15, 225-247.
Turner, R. J. (1981). Social support as a contingency in psychological well-being . Journal of health and social behavior, 22, 357-367.
Vivar, C. G., McQueen, A. (2005). Informational and emotional needs of long-term survivors of breast cancer. Journal of Advanced Nursing, 51(5), 520-528.
Vugia, H. D. (1991). Support Group in Oncology: Building Hope Through the Human Bond. Journal of Psychosocial Oncology, 9(3), 89-107.
Walker, K. N., Macbride, A., & Vachon, M. L. S. (1977). Social Support Networks and the Crisis of Bereavement. Social Science and Medicine, 11(1), 35-41.
Wang, H. H. (1998). A meta-analysis of the relationship between social support and well-being. Kaohsiung Journal of Medical Sciences(Taiwan), 14(11), 717-726.
Wang, H. H., Wu, S. Z., & Liu, Y. Y. (2003). Association Between Social Support and Health Outcomes: A Meta-Analysis. Kaohsiung Journal of Medical Sciences(Taiwan), 19(7), 345-351.
Ward, R. A., Sherman, S.R., & LaGory, M. (1984). Subjective Network Assessments and Subjective Well-being. Journal of Gerontology, 39(1),93-101.
WHO (1948). CONSTITUTION OF THE WORLD HEALTH ORGANIZATION. Retrieved October 20, 2008, Avalialbe: http://www.who.int/governance/eb/constitution/en/index.html
Wingate, A. L., & Lackey, N, R. (1989). A description of the needs of noninstitutionalized cancer patients and their primary care givers. Cancer Nursing, 12(4), 216-225.
Wong, C. A., & Bramwell, L. (1992). Uncertainty and anxiety after mastectomy for breast cancer. Cancer Nursing, 15(5), 363-371.
Yang, M.H., Chen, Y.M., Kuo, B.I., & Wang,K.Y. (2003). Quality of Life and Related Factors for People Living with HIV/AIDS in Northern Taiwan. The Journal of Nursing Research, 11(2), 217-226.
Zhan, L. (1992). Quality of life: Conceptual and measurement issues. Journal of Advanced Nursing, 17(3), 795-800.