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題名 | 左右為難的決定:檳榔族的心理衝突--以男性有嚼食檳榔得口腔癌的患者為例=Avoidance-Avoidance Conflict: The Psychological Conflict of the Betel-Nut Chewer-Oral Cancer Patient Who Have Had the Experience of Chewing Betel-Nut |
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作者 | 吳淑真; 黎士鳴; 胡淑貞; 黃振勳; | 書刊名 | 人文社會學報. 世新大學 |
卷期 | 4 2003.05[民92.05] |
頁次 | 頁307-341 |
分類號 | 416.94 |
關鍵詞 | 認知失調論; 口腔癌; 開刀決定; 嚼檳榔者; 心理衝突; Cognitive dissonance theory; Oral cancer; Decision-making of operation; Betel-nut chewer; Psychological conflict; |
語文 | 中文(Chinese) |
中文摘要 | 研究中指出臺灣口腔癌的發生率與嚼檳榔有高相關,本研究目的以認知失調論闡釋嚼檳榔者被診斷為口腔癌面對下開刀決定時的心理衝突現象。 質性設計為期約8個月每週三天的醫院場域觀察,前後接觸約35人並紀錄場域筆記,深入訪談法8人;以不同資料來源性試圖達到可能產生不同研究發現的組織整理資料方法,並從理論及概念觀點詮釋資料。 研究發現在面對下開刀決定時面臨的衝突有:存活的考量、針對癌細胞存在或轉移擴散盡早有效的處理否、目前唯一可信度高方式、解除生理疼痛經驗、求助診治對象、風險的承擔、外觀的改變、耗時的復健。 而下開刀決定過程中的認知是從心理控制感與生理疼痛經驗脈絡中發展出來,心理控制感主要有尋求控制(主動、被動)、受剝奪感,而生理疼痛經驗內分為進食受限、黏膜的易刺激性、口乾、張口困難、說話困難、疼痛經驗。在下決定過程中的矛盾是種心理衝突現象,而決定終歸失調。 建議醫療人員在此扮演的角色,在給予對最佳治療建議時,體認到病人的矛盾心情,促使思考,提出需要改變、不改變需冒哪些風險,強化罹患口腔癌者對自我能力的信心,增加心理控制感。 |
英文摘要 | Betel-quid chewing is association with human oral cancer in Taiwan. The purpose of the study was tried to interpret the psychological conflict phenomenon by cognitive dissonance theory when participants were got oral cancer. The qualitative design was participant observation in hospital for three days each week during eight months, and record file note. There were 8 participants using semi-structured in-depth interviews among 35 participants. The method of organize data were come from different data recourse. Given meaning from the perspective of the theory and concept. Research finding are the conflict of being decision making of operation: considerate survival, oral cancer cells would be as soon as possible to deal with, the only trustworthy way, the change speed of the appearance, resolve the physical painful experience, the person who can help, the risk of disease, the possible change of the appearance, long-term rehabilitation. The process of decision-making cognition was from the contextual of psychological control and physical painful experience. The concept of psychological control is seeking control (active/passive), deprivation. The concept of physical painful experience is the limit of takes food, the vulnerability of mucous membrane, xerotomia, to talk was difficulty, pain experience. The contradiction of decision-making was the psychological conflict and decision resulting in dissonance. Health promoter can help patients who had no yet accept operation treatment to think each desirable and undersirable characteristics, to enhance patient's self-control. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。