子宮頸原位癌可百分之百治癒，但有些婦女初次診斷時疾病已發展至晚期。局部晚期子宮頸癌自1999年開始以同步化學放射線治療為標準治療，此新的治療方式改善患者的存活率，同時造成患者身心與生活上的衝擊。 研究目的為深入探討子宮頸癌婦女接受同步化學放射線治療期間的生活經驗，採質性研究設計，田野研究法，於台北市某醫學中心以立意取樣的方式，選取接受同步化學放射線治療之子宮頸癌婦女，共七位。研究者以參與式觀察，一面提供照護，一面以會談法，於個案接受治療約兩個月期間收集資料。資料參考現象學資料分析，呈現子宮頸癌患者於此期間的真實經驗與感受。研究結果發現子宮頸癌患者於接受同步化學放射線治療期間的生活經驗，括五個類目：一、面對確立診斷的複雜情緒，二、惶恐眼前即將進行一場硬仗，三、陷入第一段展開的苦戰，四、跨入第二段最嚴厲的苦戰，五、欣喜打完一場艱困硬戰卻心悸猶存。研究結果可提供照顧此類婦女之相關健康照顧者了解子宮頸癌婦女於接受同步化學放射線治療期間的生活經驗，做為醫療計畫與臨床護理指導之參考。 ; Cervical cancer could be totally healed if it is diagnosed in cervical carcinoma in situ stage. However, many patients did not obtain confirmed diagnosis until the cancer proceeds to its advance stage. Concurrent chemoradiotherapy has become the standard treatment of local advance cervical cancer since 1999. The new treatment improved patient’s survival but they therefore suffer from a series of concurrent chemoradiotherapy treatment procedures which cause them enormous physical and psychological impacts.he purpose of this study was to explore lived experiences of patients receiving concurrent chemoradiotherapy treatment in a medical center in Taipei City. Qualitative research methods were used to figure out patients’ profound experiences. Seven patients receiving concurrent chemoradiotherapy treatment were recruited by using purposive sampling strategy. As an observer-as-participant, the author took care of the subjects, observed the process while patients receiving treatments, and talked to patients in order to understand their explicit and implicit experiences. All the data were densely described and analyzed inductively.ive main themes were identified as the followings: （1）complicated emotions while the cancer diagnosis became apparent; （2） strong fear of the coming battles with cancer treatments; （3） suffering from the first stage treatment; （4） experiencing the most painful stage of the treatments; and （5） ongoing fright after the treatment procedures.he staged and anguished experiences among women with cervical cancer and receiving concurrent chemoradiotherapy treatment were uncovered in this study. Implications and suggestions for health professionals were made based on the findings to improve the quality of care for their patients. ; 誌謝.i文摘要.ii文摘要.iii目錄.vii目錄.viii一章緒論 1一節 研究動機 1二節 研究目的 4三節 研究問題 4四節 名詞界定 4二章文獻探討 6一節 子宮頸癌的病因與診斷 6二節 子宮頸癌疾病分期與對患者的影響 7三節 子宮頸癌的同步化學放射線治療 8四節 癌症患者面對疾病與治療之生活經驗的相關研究 17三章 研究方法 29一節 研究設計 29二節 研究情境 30三節 研究對象 34四節 研究工具 35五節 資料收集 36六節 研究資料的記錄 42七節 資料分析 42八節 資料收集與分析的嚴謹度 43九節 研究的倫理考量 45四章 研究結果 46一節 個案基本資料 46二節 子宮頸癌患者接受同步化學放射線治療期間的生活經驗 48五章 討論 126六章 結論 135錄一.151錄二.155 ; 學位:碩士 ; 學年度:97 ; 學號:R94426020 ; 護理學系 ; 醫學院 ; 博碩士論文