第五章 討論
第三節 研究限制與建議
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第三節 研究限制與建議 一、研究樣本
本研究搜集了 280 位中部某間醫院的乳癌患者為研究樣本。研究對象以女性為主，可 能有性別在心理適應與知覺的特殊性，以及其所扮演的社會角色與創傷所帶來的衝擊本質 有所關聯。建議未來研究應搜集不同區域以及其他癌症種類，如大腸癌，作為不同疾病、
不同性別的比較，讓結果更具代表性。
二、研究方法
因研究主題的限制，在本研究當中，並未以癌症診斷後的時間軸為患者的益處發現、
負向知覺與心理適應的發展軌跡進行探討。Frazier, Conlon & Glaser (2001)的研究中指出，
性侵受害者在創傷事件發生後的一年內，所知覺到的正向改變數量逐漸增加、負向改變逐 漸減少。未來研究若可以以發展軌跡的角度，為益處發現、負向知覺與各項心理適應指標 做探討比對，應該可以更清楚看到癌症患者在不同時間點中的心理狀態與適應，從中找到 臨床上針對不同治療與復原階段的個案最佳的介入方式。
三、研究工具
本研究是以國外翻譯之中文測量評估工具，為乳癌患者進行施測，特別是 Bower 等人 發展的正向意義與脆弱性感受知覺量表，是第一次在國內使用。雖然在本次的研究中獲得 良好的信效度，但仍屬於初期發展階段。建議應廣泛施測在不同的癌症類別，以建立更穩 定的信效度供日後研究工具之信效度參考。
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附錄
附錄一：研究工具
一、正向意義與脆弱性知覺量表
癌後變化評估
以下幾個問題主要想瞭解罹患癌症後對於您生活、對生命的觀感所
造成的變化。請您根據自己由罹癌到『現在』，在下列敘述的改變程度
來評分。
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二、醫院焦慮憂鬱量表
情緒狀態調查二 請根據你過去一個禮拜的感受來勾選你的答案
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