本研究採敘說探究方法，探討女性乳癌病人的心理復原力經驗。研究對象為南部某醫學中心的女性乳癌病人，採理論性選樣邀請八位女性乳癌病人進行深度訪談。資料收集以半結構式訪談大綱為指引，以Lieblich、Tuval-Mashiach與Zilber（1998/2008）學者所提出之敘事分析形式進行整體-內容與整體-形式之資料分析。
研究結果發現女性乳癌病人的年齡有年輕化傾向，女性乳癌病人的故事背景中人格特質、情緒狀態、社會支持、個人信念與宗教影響心理復原力萌發、成形與展現。心理復原力的初次萌發點在確診至開刀前，想要活下來的信念是初次萌發的主軸。而女性乳癌病人心理復原力的萌發來源主要是個人信念、家庭系統、社會支持與宗教等四大向度，情緒性支持與資訊性支持讓她們能闖過乳癌衝擊的第一門檻，找到活下來的動力。女性乳癌病人的心理復原力萌發佔最多的是個人信念，其核心概念為活著、不當病角、尋因與轉念等四部份。而心理復原力成形時間點多於化療期間，她們因內在歸因罹癌原因後，成形出新的個人信念或重新照顧身體的因應策略。在心理復原力展現則是為助人快樂、改變與展望、現身生命教育三大方向。
另本研究以時間軸看女性乳癌病人的心理復原力經驗過程的軸線變化，依其正向情緒曲線分出緩慢性改變、持續性改變與間歇性改變三種不同類型之改變。曲線起伏顯示女性乳癌病人心理復原力的萌發與成形，讓女性乳癌病人能從負向情緒反彈至正向情緒甚至是比罹患乳癌前更好的情緒狀態。因此，本研究結果未來可作為女性乳癌病人抗癌過程之借鏡，亦可提供臨床護理人員於照顧女性乳癌病人時的護理評估與計劃介入措施參考。

Drawing on the method of narrative inquiry, this study has focused on the psychological resilience of the female patients suffering from the breast cancer. The participants were selected by the medical center located at the southern Taiwan. Following the theoretical sampling, 8 breast cancers patients were invited to join in the in-depth qualitative interviewing. With regard to the data collection and analysis, qualitative interviewing was designed as semi-structure, and narrative analysis was conducted as the data form of “unity-contents” and “unity-forms”, proposed by Lieblich, Tuval-Mashiach and Zilber (1998/2008).
The result showed that female breast cancer patients as participants were intended to be younger. The sprout, forming and progressing of the psychological resilience were mainly influenced by participants’ personality, characteristics, self belief, emotional status, religion, and social support. The onset time of the psychological resilience located at the period between the diagnosis and the surgery. The center of the sprout was the belief of “keep surviving”. The psychological resilience sources were originated from four aspects: personal belief, family system, social support, and the religion. Emotional and informational supports encourage them to not only confront with the obstacles and effects accompanied by the breast cancer, but also find the motivation to survive. The psychological resilience sprout based largely on the personal belief, of which the core concepts were staying alive, inappropriate pathologically reasoning, finding the origins of disease, and the reconsideration. Moreover, the duration of the psychological resilience was longer than the duration of the chemotherapy because participants might sprout the new personal belief as well as the coping strategies in order to take charge of their own bodies based on their internal-attributed reasons. The performance of participants’ psychological resilience was revealed in three dimensions including helping people, changing themselves, and the future prospect forming.
In addition, this study performed the time axis of the transformation on participants’ psychological resilience process, which was further divided into three categories based on the positive emotional curves as follows: slowly changes, persistent changes, and the intermittent changes. The fluctuation of the curves showed the sprout and the forming of patients’ psychological resilience. The research result would benefit the future understanding of the treatment process which at the same time offers the reference for the nursing estimation as well as the intervention planning under the clinical contexts.

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