前言：乳癌家族史已被確定為高風險罹病因素之一，當母親罹病，女兒為一級直系親屬，女兒除在家中扮演照顧者的角色，也擔憂自己罹癌的可能性，文獻指出女兒其壓力比起同年齡未罹患乳癌母親的女兒壓力高。
目的：本研究欲探討乳癌婦女的成年女兒照護需求及影響照護需求的因素。
方法：採橫斷式研究，於南部某兩所醫學中心一般外科門診、血液腫瘤病房、院內支持團體以採立意取樣方式招募乳癌婦女的成年女兒為對象。研究對象納入條件為需年滿20歲或未滿20歲已婚具有行為能力者、意識清楚且能理解問卷者、母親診斷乳癌（任何期別）; 排除條件為女兒確診為精神疾病或其他重大傷病者、母親併有非乳癌轉移之其他癌症診斷。共納入102人，問卷內容包含個案與個案罹患乳癌母親的基本特性資料、訊息和支持需求問卷(Information and Support Needs Questionnaire, ISNQ)。統計將排序出前十名照護需求的重要程度與未滿足程度、以皮爾森相關、獨立樣本t檢定、one way ANOVA、線性多元迴歸、卡方檢定，分析與成年女兒照護需求重要性及其滿足程度之相關因素。
結果：(1) 照護需求排序在需求重要程度的前十名排序，訊息類需求高於支持類需求，在需求未滿足的排序前十項，則為支持類需求高於訊息類需求。(2)成年女兒是否有子女(t=2.392, p=.019)、是否有宗教信仰(t=2.38, p=.019)、是否參與照顧母親(t=2.294, p=.024)以及每週照顧母親的時間(r=.227, p=.022)，與照護需求重要程度顯著有關; 女兒獲得支持程度(r=.208, p=.037)，與需求被滿足程度有顯著相關。多元線性迴歸分析顯示，成年女兒有子女(β=.217, p=.030)、有參與照顧母親(β=.228, p=.039)、與有家族史（排除母親）(β=.240, p=0.14)為照護需求重要程度的預測因子。(3)成年女兒期望訊息與支持的來源前三名分別為公共衛生或居家護理師、腫瘤科醫師、地方診所醫師。
結論：乳癌婦女之成年女兒無論對母親、自身、或下一代子女都有乳癌相關的照護需求，臨床專業醫療照護人員除了需加強識別其照護需求外，應提供滿足其需求的介入措施，並建議未來國內能夠設置乳癌疾病相關的諮詢管道，使該族群獲得需求滿足。
關鍵字：乳癌婦女、成年女兒、照護需求

Family history of breast cancer has been confirmed as one high risk factor for morbidity. When one of family members has breast cancer, their first-degree relatives especially their daughters need support and care. This study was to investigate care needs of adult daughters with breast cancer women and understand the related factors of their care needs. A cross-sectional design was conducted to understand the care needs of adult daughters with breast cancer mother. There were 102 adult daughters from 2 medical centers in southern Taiwan in this study, Pearson’s correlation analysis, independent sample t-test, one-way ANOVA, multiple linear regression analysis and chi-square test was used. The most of top ten care needs ranked in terms of importance were the information needs. However, the top ten ranks of unmet need were related to supportive needs. Daughters that having children (t=2.392, p=.019), having religious belief (t=2.38, p=.019), and participating in caring of the mother (t=2.294, p=.024) were significantly correlated with the level of importance in care needs. And the more time for taking care for mother per week (r=.227, p=.022), the more importance of needs they perceived. Multiple linear regression analysis showed that having children (β=.217, p=.030), participating in caring of the mother (β=.228, p=.039) and having familial history of diseases (excluding mother) (β=.240, p=0.14) were predicting factors for the level of importance in care needs. And the top three sources for adult daughters desired of information and support needs included local medical clinics, home nurse, oncologist and local clinic physician. Adult daughters with breast cancer mothers had care needs related to how to care their mothers, their own children and themselves. The professional clinical nurses need to identify their care needs and refer to appropriate service to satisfy the care needs. It is also to recommend to establish counseling service for the daughters to support their needs.

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