近年來，罹癌者有逐漸年輕化的趨勢。許多父母被診斷為癌症時，家中正育有未成年的子女。當父母被診斷為癌症時，對其子女之生理、心理與社會適應等方面均會造成影響。但有關護理人員對協助罹癌父母與子女進行溝通之相關議題的研究卻付之闕如。本研究為「描述性研究」設計，共個別深入訪談十位曾經照顧過育有未成年子女的罹癌父母之資深護理人員，以內容分析法進行資料分析。研究結果共歸納分析而得四個範疇，包含：一、護理人員對「協助罹癌父母與子女溝通病情」議題之重要性的看法；二、護理人員於「協助罹癌父母與子女溝通病情」議題之自我角色功能認定；三、護理人員對「協助罹癌父母與子女溝通病情」議題於執行時的考量因素；四、護理人員於「協助罹癌父母與子女溝通病情」議題之需求等，當中各包含不同的主題與次主題。此研究結果不僅反映出我們對此議題目前的認知不足，同時反映出現行的護理工作環境與醫療政策制度限制。因此，期許藉此研究結果，喚起醫療人員對此議題重要性的共識與覺醒，並協助提升罹癌父母、家屬及大眾瞭解告知孩子父母罹癌事實的重要性。

Open and honest communication with their children can effectively reduce the impact of parental cancer on children. Compared with other healthcare professionals, the nursing staff plays an important role in promoting parent-child communication about parental cancer. However, we know very little about nurses’ perception of helping parents communicate about their illness to children. This study aimed to examine the nurses’ perceptions, difficulties and educational needs of parent-child communication about parental cancer. An exploratory, qualitative design was used with purposive sample of 10 nurses recruited through snowball sampling from a district teaching hospital in Hualien. Individual in-depth interview was applied. Data were analyzed using content analysis. Four parts with some themes and subthemes of nurses’ perception were emerged including: the first and secondary part is the importance of cancer care and the self-identified role and function in nurses’ perceptions of parent-child communication about parental cancer, the third part is the considered factors when nurses administered of parent-child communication about parental cancer, and the last part is the need in nurses’ perceptions of parent-child communication about parental cancer. The finding indicated that the knowledge and perceptions of nurses about the importance of parental communication with children was deficient. In addition, many problems existing in nursing system and medical policy made it difficult for nurses to help parents diagnosed with to communicate with their children. Therefore, it is essential to raise the awareness of the importance of communication between healthcare professionals and parents having cancer about this issue.

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class_no=440&level_no=3
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北：行政院衛生署國民健康局。
李引玉、劉向媛(1994)，護理專業的成長—從生手到臨床專家，護理
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林金定、嚴嘉楓、陳美花(2005)‧質性研究方法：訪談模式與實施步
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胡幼慧、姚美華(1996)‧一些質性方法上的思考‧於胡幼慧主編，質
性研究：理論、方法與本土女性研究實例(初版，141-158頁)‧
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徐木蘭(2002，10月)‧環境變遷下資訊業生態形成的軌跡—以開放性
組織觀點探討網路加值產業‧行政院國家科學委員會補助專題研
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袁萍芳(2001)‧父（母）罹患癌症對兒童的影響‧未發表的碩士論
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張純純(2004)‧促進學齡期兒童與罹患癌症母親之親子互動研究‧
未發表的碩士論文，台北：台灣大學護理學研究所。
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report- cnt.aspx?tid=300&nid=4513
黃哲(2004年，7月)‧質化研究的效度問題‧2009年12月31日取
自http://el.mdu.edu.tw/datacos//09710121058A.pdf
傅秀媚、沈芳榕(2009)，發展遲緩兒童隔代教養家庭親職教育方案
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廖育青(2006)‧成年前期子女經歷父母罹患癌症其家庭角色經驗與
個人發展任務之初探‧未發表的碩士論文，台北：臺灣大學社
會工作學研究所。
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291-332頁)‧台北：華杏。
行政院衛生署(2009，8月5日)‧97年度死因統計記者會發布資料-
死因統計結果分析‧2009年8月9日取自http://www.doh.gov.
tw/CHT2006/DM/DM22.aspx?nowfod_list_no=10642&
class_no=440&level_no=3
行政院衛生署國民健康局(2009)‧中華民國95年癌症登記報告‧台北：行政院衛生署國民健康局。
李引玉、劉向媛(1994)，護理專業的成長—從生手到臨床專家，護理
　　雜誌，41 (2)，72-76。
林金定、嚴嘉楓、陳美花(2005)‧質性研究方法：訪談模式與實施步
驟分析‧身心障礙研究，3(2)，122-136。
胡幼慧、姚美華(1996)‧一些質性方法上的思考‧於胡幼慧主編，質性研究：理論、方法與本土女性研究實例(初版，141-158頁)‧台北：巨流。
高敬文（1996）‧質化研究方法論‧台北：師大書苑。
徐木蘭(2002，10月)‧環境變遷下資訊業生態形成的軌跡—以開放性組織觀點探討網路加值產業‧行政院國家科學委員會補助專題研究計畫成果報告(編號﹕NSC90－2416－H－002－034），未出版。
翁寶美（2007）‧父母癌逝青少年之悲傷歷程研究－以正向影響為
焦點之探討，未發表的碩士論文，嘉義：南華大學生死學研究
所。
袁萍芳(2001)‧父（母）罹患癌症對兒童的影響‧未發表的碩士論文，
台北：中國文化大學兒童福利研究所。
陳向明(2002)‧社會科學質的研究‧台北﹕五南。
康百淑(1999)‧中年期‧於蔡欣玲總校閱，當代人類發展學(初版，
333-362頁)‧台北：華杏。
張純純(2004)‧促進學齡期兒童與罹患癌症母親之親子互動研究‧
未發表的碩士論文，台北：台灣大學護理學研究所。
梁銘志（2009年8月20日）‧父母雙罹癌小六童想打工維持家
計‧2009年9月14日取自http://video.chinatimes.com/video-
report- cnt.aspx?tid=300&nid=4513
黃哲(2004年，7月)‧質化研究的效度問題‧2009年12月31日取
自http://el.mdu.edu.tw/datacos//09710121058A.pdf
傅秀媚、沈芳榕(2009)，發展遲緩兒童隔代教養家庭親職教育方案之　　　　
　　建構，特殊教育與復健學報，20，1-24。
廖育青(2006)‧成年前期子女經歷父母罹患癌症其家庭角色經驗與
個人發展任務之初探‧未發表的碩士論文，台北：臺灣大學社
會工作學研究所。
蔡欣玲(1997)‧序論‧蔡欣玲總校閱，當代人類發展學(初版，1-22
頁)‧台北：匯華。
鄭維佳(2009)，由中美家庭教育的比較看中西文化差異，安順學院學
　　報，11(5)，23-25。
歐用生（1991）‧內容分析法，黃光雄、簡茂發主編，教育研究法(229-254頁)‧台北：師大書苑。
癌症希望協會(2002，2月)‧癌症資源網路‧2009年9月10日取自http://www.ecancer.org.tw/ActivitiesDetail.aspx?IDNo=148
魏祿卿（2006年3月3日）‧寒門孝子「一碗陽春麵」迴響大，魏家婉謝善款盼轉捐‧2009年9月14日取自http:// www.nownews.com /2006/03/03/329-1912059.htm

英文部分
Back, A. L., Arnold, R. M., Baile, W. F., Tulsky, J. A., & Fryer-Edwards, K. (2005). Approaching difficult communication tasks in oncology. A Cancer Journal for Clinicians, 55(3), 164-177.
Barnes, J., Kroll, L., Burke, O., Lee, J., Jones, A., & Stein, A. (2000). Qualitative interview study of communication between parents and children about maternal breast cancer. British Medical Journal, 321(7259), 479-482.
Barnes, J., Kroll, L., Lee, J., Jones, A., & Stein, A. (1998). Communication about parental illness with children who have learning disabilities and behavioural problems: three case studies. Child Care Health Development, 24(6), 441-456.
Bauer, W.M. & Gaskell, G.(2008)‧質性之料分析：文本、影像與聲音(羅世宏、蔡欣怡、薛丹琦譯)‧台北：五南。(原著出版於2000)
Billhult, A., & Segesten, K. (2003). Strength of motherhood: nonrecurrent breast cancer as experienced by mothers with dependent children. Scandinavian Journal of Caring Sciences, 17(2), 122-128.
Buxbaum, L., & Brant, J. M. (2001). When a parent dies from cancer. Clinical Journal of Oncology Nursing, 5(4), 135-140.
Christ, G. H., Siegel, K., Freund, B., Langosch, D., Hendersen, S., Sperber, D., et al. (1993). Impact of parental terminal cancer on latency-age children. American Journal of Orthopsychiatry, 63(3), 417-425.
Clemmens, D. A. (2009). The significance of motherhood for adolescents whose mothers have breast cancer. Oncology Nursing Forum, 36(5), 571-577.
Davey, M., Gulish, L., Askew, J., Godette, K., & Childs, N. (2005). Adolescents coping with mom's breast cancer: developing family intervention programs. Journal of Marital and Family Therapy, 31(2), 247-258.
Elmberger, E., Bolund, C., & Lutzen, K. (2000). Transforming the exhausting to energizing process of being a good parent in the face of cancer. Health Care for Women International, 21(6), 485-499.
Elmberger, E., Bolund, C., & Lutzen, K. (2002). Men with cancer. Changes in attempts to master the self-image as a man and as a parent. Cancer Nursing, 25(6), 477-485.
Fasciano, K. M., Berman, H., Moore, C., DeFrino, B., Jameson, R., Kennedy, V., et al. (2007). When a parent has cancer: a community based program for school personnel. Psycho-Oncology, 16(2), 158-167.
Faulkner, A. R., & Davey, M. (2002). Children and Adolescents of Cancer Patients: The Impact of Cancer on the Family. The American Journal of Family Therapy, 30(1), 63-72.
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