腫瘤身心照顧研究室 (Biopsycho-oncology Care Lab)

主持人:陳美伶教授

 

 

研究重點:


本研究室的研究重點在腫瘤病人及其家屬之身心問題與照顧。有興趣的主題包括各種癌症相關症狀如疼痛、憂鬱、疲憊、睡眠障礙等,以及症狀群集與症狀長期變化歷程的研究。同時,癌症病人其家屬照顧者的壓力與健康也是我們研究的主軸之。另外,本研究也致力於發展電子化的病人自述成果測量。

 

 

研究室成員

主持人:陳美伶 (Mei-Ling Chen)

共同主持人:陳訓徹、洪志宏、張東杰、張獻崑、林永昌、黃炳勝、劉劍英、楊政達、陳志弘、王智亮、枋岳甫、溫有汶

研究生:

博士班學生:楊嘉楨、陳佩英、黃寶樺、李家瑩、Yen Phi

碩士班學生:李佳凌、黃心瑜、謝芷郡、陳巧誼、詹文馨、郭怡彣、楊寧嬙、陳玠伊

研究助理:鄭珺方、陳麗婷畢業研究生:

畢業博士班學生:劉莉妮、劉英妹、黃湘萍

畢業碩士班學生:陳佩英、胡綾真、鄧秀蘭、林玲華、楊嘉玲、陳秀娟、朱立寧、林麗君、韓彤珍、廖淑貞、楊馨怡、呂佩佩、林佳蓉、胡敏媛、王鳳雲、曾和清、黃寶樺、戴麗藹、徐玉茹、湯雅琳、蔡秋蘭、吳佳蓁、張菁菁、楊千慧、林淑棻、鄭慧菁、蔡淑卿、簡黎卿、劉怡婷、李家瑩、黃佳如、顏廷璇、劉滿婷、郭俐妏、方楸雅、陳韋彤、陳怡婷、陳姿穎、劉希姮、楊于萱、丁貞紋、簡綺彣、張云光

 

 

國際合作教授:Christine Miaskowski

相關研究計畫案:

期間

計劃名稱

補助單位

2016/8/1-

執行中

晚期非小細胞肺癌病人症狀軌跡型態之探討:從不吸菸者與曾吸菸者之比較

Patters of symptom trajectory in patients with late stage

NSCLC: A

comparison between never smokers and ever smokers

科技部


2015/11/1-2016/10/31

整合型質子放射治療之效益:病人自述成果與成本效益分析之子計畫:接受質子放射治療或射頻燒灼治療之肝癌病人其生活品質與症狀經驗之比較:隨機控制試驗 Impact of proton radiotherapy: Analysis of patient-reported

outcomes and cost-effectiveness: Comparison of quality of life and symptom experiences in HCC patients receiving proton beam therapy or radiofrequency ablation: A

randomized control trial

長庚醫院

2014/8/1-

執行中

應用電腦輔助測量系統探討接受放射治療之肝癌病人其生活品質與症狀之變化

Applying a computer-assisted measurement system to

investigate change patterns of quality of life and symptoms in HCC patients receiving radiotherapy

科技部

2012/10/1-2014/12/31

癌末病患的疼痛處理品質:安寧與非安寧照顧之比較

Quality of cancer pain management in terminal cancer

patients: Comparison between hospice and non-hospice care

長庚醫院

2012/8/1-2015/10/31

乳癌婦女之熱潮紅、睡眠干擾、及對荷爾蒙治療之遵從性

Hot flash, sleep disturbance and adherence to hormonal

therapy in breast cancer women

國科會

2010/8/1-2013/11/30

運用「高敏感認知篩檢」評估乳癌婦女的認知功能: 可行性與心理計量研究

Assessing cognitive function of breast cancer women using

the High Sensitivity Cognitive Screen (HSCS): A feasibility and psychometric study

國科會

2009/9/1-2010/8/31

台灣癌症患者及醫護人員對另類與補充療法的觀點及使用情況之調查

Use of and attitude towards complementary and alternative

medicine by cancer patients and oncology health care professionals in Taiwan

長庚醫院

2008/8/1-2011/7/31

居家運動計畫對乳癌婦女睡眠困擾及相關症狀之成效

The effect of home-based exercise on sleep problem and

related symptoms in women with breast cancer

國科會

2007/8/1-2008/7/31

接受乳癌治療婦女之手臂不適症狀及淋巴水腫:發生率、危險因子、及不良影響

Arm morbidity and lymphedema in women treated for breast

cancer: Incidence, risk factor and impact.

國科會

2006/9/1-2008/8/31

慢性阻塞性肺疾病病人自我管理行為與量表發展

Self-management in COPD PatientsInstrument development

長庚醫院

2005/8/1-2008/10/31

肺癌病人的失眠問題:盛行率,特性,及對存活時間之衝擊

Insomnia in lung cancer patients: Prevalence, characteristics,

and impact on survival time

國科會

2005/2/1-2007/4/30

乳癌手術後症狀之盛行率、發生時間、衝擊與危險因子之探討--跨國合作研究

Prevalence, time course, impact and risk factors of symptoms

after breast cancer surgery--an international collaboration study

國科會

2003/8/1-2005/10/31

發展並評值減輕癌症病人憂鬱之措施:前瞻性隨機化臨

床試驗

國科會


 

(第二階段)

Development and evuation of a depression-reducing

intervention for cancer patients: A prospective randomized clinical trial

 

2002/8/1-2003/12/31

發展並評值減輕癌症病人憂鬱之措施:前瞻性隨機化臨床試驗(第一階段)

Development and evuation of a depression-reducing

intervention for cancer patients: A prospective randomized clinical trial

國科會

2001/4/1-2003/12/31

癌症家屬照顧者之照顧經驗及其對身心健康之影響

The caregiving experience and its effects on health among

family caregivers of cancer patients: A longitudinal study

長庚醫院

2000/8/1-2001/7/31

癌症疼痛與憂鬱焦慮之關係:統合分析研究

The relationship between cancer pain and anxiety/depression:

A meta-analysis study

國科會

1999/9/1-2000/12/31

癌患照顧者需求 Q-sort 量表之發展與測試.

The development and testing of cancer caregiver’s need

Q-sprt scale

長庚醫院

1999/8/1-2003/4/30

憂鬱對癌症病人長期健康結果之影響

The impact of depression on health outcomes among cancer

patients: A prospective study

國科會

 

相關研究著作:

 

1.            李家瑩、陳美伶*2016乳癌婦女化療引起閉經之現象及其更年期症狀表現護理雜誌,63(5)19-26

2.            Chen, P. Y., Liu, Y. M., Chen, M. L.* (2017). The effect of hypnosis on anxiety in patients with cancer: A meta-analysis. Worldviews on Evidence-Based Nursing, 14(3), 223-236.

3.            Liu, Y. M., Jaing, T. H., Chen, Y. C., Tang, S. T., Li, C. Y., Wen, Y. C., . . . Chen, M. L.* (2016). Quality of Life After Hematopoietic Stem Cell Transplantation in Pediatric Survivors: Comparison With Healthy Controls and Risk Factors. Cancer Nurs, 39(6), 502-509. doi:10.1097/NCC.0000000000000339

4.            Chen, M. L.*, Liu, L. N., Miaskowski, C., Chen, S. C., Lin, Y. C., & Wang, J. S. (2016). Presurgical symptom profiles predict quality of life 2 years after surgery in women with breast cancer. Support Care Cancer, 24(1), 243-251. doi:10.1007/s00520-015-2784-8

5.            Li, C. C., Chen, M. L., Chang, T. C., Chou, H. H., & Chen, M. Y. (2015). Social support buffers the effect of self-esteem on quality of life of early-stage cervical cancer survivors in Taiwan. Eur J Oncol Nurs, 19(5), 486-494. doi:10.1016/j.ejon.2015.02.008

6.            Huang, H. P., Wen, F. H., Tsai, J. C., Lin, Y. C., Shun, S. C., Chang, H. K., . . . Chen, M. L.* (2015). Adherence to prescribed exercise time and intensity declines as the exercise program proceeds: findings from women under treatment for breast cancer. Support Care Cancer, 23(7), 2061-2071. doi:10.1007/s00520-014-2567-7

7.            Yang, T. Y., Chen, M. L., & Li, C. C. (2015). Effects of an aerobic exercise programme on fatigue for patients with breast cancer undergoing radiotherapy. J Clin Nurs, 24(1-2), 202-211. doi:10.1111/jocn.12672

8.            Liu, L. N., Wen, F. H., Miaskowski, C., Lin, Y. C., Wang, J. S., Jeng, C., & Chen, M. L.* (2014). Weight change trajectory in women with breast cancer receiving chemotherapy and the effect of different regimens. J Clin Nurs, 23(19-20),

2757-2768. doi:10.1111/jocn.12521

9.            Huang, H. P., Chen, M. L.*, Liang, J., & Miaskowski, C. (2014). Changes in and predictors of severity of fatigue in women with breast cancer: A longitudinal study. Int J Nurs Stud, 51(4), 582-592. doi:10.1016/j.ijnurstu.2013.09.003

10.          Chen, M. L., Chen, Y. Y., & Tang, S. T. (2013). Latent class analysis identifies three subtypes of aggressive end-of-life


care: a population-based study in Taiwan. Eur J Cancer, 49(15), 3284-3291. doi:10.1016/j.ejca.2013.05.005

11.          Ling, S. F., Chen, M. L., Li, C. Y., Chang, W. C., Shen, W. C., & Tang, S. T. (2013). Trajectory and influencing factors of depressive symptoms in family caregivers before and after the death of terminally ill patients with cancer. Oncol Nurs Forum, 40(1), E32-40. doi:10.1188/13.ONF.E32-E40

12.          劉莉妮、陳美伶*2013乳癌婦女治療後體重與體脂肪之變化台灣癌症醫學雜誌,293113-121

13.          Chen, M. L.*, Miaskowski, C., Liu, L. N., & Chen, S. C. (2012). Changes in perceived attentional function in women following breast cancer surgery. Breast Cancer Res Treat, 131(2), 599-606. doi:10.1007/s10549-011-1760-3

14.          Chen, M. L.*, Chen, M. C., & Yu, C. T. (2011). Depressive symptoms during the first chemotherapy cycle predict mortality in patients with advanced non-small cell lung cancer. Support Care Cancer, 19(11), 1705-1711. doi:10.1007/s00520-010-1005-8

15.          Pan, L. H., Tsai, Y. F., Chen, M. L., Tang, R., & Chang, C. J. (2011). Symptom distress and self-care strategies of colorectal cancer patients with diarrhea up to 3 months after surgery. Cancer Nurs, 34(1), E1-9. doi:10.1097/NCC.0b013e3181e3ca21

16.          Liu, L. N., Miaskowski, C., Wang, J. S., Chen, S. C., & Chen, M. L.* (2010). Accuracy of body mass index to determine obesity in women with breast cancer: an observational study of Taiwanese sample. Int J Nurs Stud, 47(8), 994-1000. doi:10.1016/j.ijnurstu.2010.01.002

17.          Tsai, S. C., Liu, L. N., Tang, S. T., Chen, J. C., & Chen, M. L.* (2010). Cancer pain as the presenting problem in emergency departments: incidence and related factors. Supportive Care in Cancer, 18(1), 57-65. doi:10.1007/s00520-009-0630-6

18.          Lien, C. Y., Lin, H. R., Kuo, I. T., & Chen, M. L. (2009). Perceived uncertainty, social support and psychological adjustment in older patients with cancer being treated with surgery. J Clin Nurs, 18(16), 2311-2319. doi:10.1111/j.1365-2702.2008.02549.x

19.          Shyu, Y. I., Chen, M. L., Chen, M. C., Wu, C. C., & Su, J. Y. (2009). Postoperative pain and its impact on quality of life for hip-fractured older people over 12 months after hospital discharge. J Clin Nurs, 18(5), 755-764.

doi:10.1111/j.1365-2702.2008.02611.x

20.          劉英妹、陳美伶*2009護理研究之生理測量-正確性與精確度之探討護理雜誌,56560-68

21.          Chang, P. H., Lai, Y. H., Shun, S. C., Lin, L. Y., Chen, M. L., Yang, Y., . . . Cheng, S. Y. (2008). Effects of a walking intervention on fatigue-related experiences of hospitalized acute myelogenous leukemia patients undergoing chemotherapy: a randomized controlled trial. J Pain Symptom Manage, 35(5), 524-534. doi:10.1016/j.jpainsymman.2007.06.013

22.          Chen, K. H., Chen, M. L., Lee, S., Cho, H. Y., & Weng, L. C. (2008). Self-management behaviours for patients with chronic obstructive pulmonary disease: a qualitative study. J Adv Nurs, 64(6), 595-604.

doi:10.1111/j.1365-2648.2008.04821.x

23.          Chen, M. L.*, Yu, C. T., & Yang, C. H. (2008). Sleep disturbances and quality of life in lung cancer patients undergoing chemotherapy. Lung Cancer, 62(3), 391-400. doi:10.1016/j.lungcan.2008.03.016

24.          胡懷文、陳美伶、廖玟君2008大腸直腸癌病患口服化學治療服藥遵從性之初探性研究〃中山醫學雜誌,192),

159-173

25.          楊千慧、陳美伶*2008癌症病患之症狀群集護理雜誌,55222-28

26.          歐淑玲、李絳桃、陳美伶、曾旭民2008產婦性健康自我效能量表之發展實證護理,42138-148

27.          Chen, H. C., Chen, M. L.*, Lotus Shyu, Y. I., & Tang, W. R. (2007). Development and testing of a scale to measure caregiving load in caregivers of cancer patients in Taiwan, the care task scale-cancer. Cancer Nurs, 30(3), 223-231. doi:10.1097/01.NCC.0000270701.49543.64

28.          Chen, M. L.*, & Lin, C. C. (2007). Cancer symptom clusters: a validation study. J Pain Symptom Manage, 34(6), 590-599.


doi:10.1016/j.jpainsymman.2007.01.008

29.          Tang, S. T., Chen, M. L., Huang, E. W., Koong, S. L., Lin, G. L., & Hsiao, S. C. (2007). Hospice utilization in Taiwan by cancer patients who died between 2000 and 2004. J Pain Symptom Manage, 33(4), 446-453. doi:10.1016/j.jpainsymman.2006.09.027

30.          Chen, M. L.*, & Tseng, H. C. (2006). Symptom clusters in cancer patients. Support Care Cancer, 14(8), 825-830. doi:10.1007/s00520-006-0019-8

31.          Lin, C. C., Chang, A. P., Chen, M. L., Cleeland, C. S., Mendoza, T. R., & Wang, X. S. (2006). Validation of the Taiwanese version of the Brief Fatigue Inventory. J Pain Symptom Manage, 32(1), 52-59. doi:10.1016/j.jpainsymman.2005.12.019

32.          李秀枝、張文英、盧美秀、林佳靜、陳美伶2006建構癌症病人疼痛護理標準及成效評值北護理期刊,8

133-44

33.          林麗君、陳美伶、林佳靜、蔡培、陳秀娟(2006手術病患疼痛處置品質之探討長庚護理,1711-10

34.          呂佩佩、丁興祥、陳美伶、唐婉如2005學術洪流中護理研究的定位-從質性研究與量化研究之源流談起護理雜誌,52676-81

35.          唐秀治、陳美伶、鍾國彪、賴美淑、鄭守夏、邱秀渝、邱昭華、孔憲蘭、蕭淑純(2005臺灣癌症中心病人面向

的照護品質探討中華癌症醫學會雜誌,2147-21

36.          陳玉萍、曾振淦、陳美伶、洪志宏、曾雁明、李弘暉2005放射治療之惡性腦瘤患者接受另類療法與食物觀念的調查分析放射治療與腫瘤學,12159-65

37.          Chen, M. L.*, & Chang, H. K. (2004). Physical symptom profiles of depressed and nondepressed patients with cancer.

Palliat Med, 18(8), 712-718.

38.          Chen, M. L.*, Chu, L., & Chen, H. C. (2004). Impact of cancer patients' quality of life on that of spouse caregivers.

Supportive Care in Cancer, 12(7), 469-475. doi:10.1007/s00520-004-0636-z

39.          Lai, Y. H., Guo, S. L., Keefe, F. J., Tsai, S. L., Chien, C. C., Sung, Y. C., & Chen, M. L. (2004). Effects of brief pain education on hospitalized cancer patients with moderate to severe pain. Support Care Cancer, 12(9), 645-652. doi:10.1007/s00520-004-0626-1

40.          呂佩佩、陳美伶、鍾昌宏、唐婉如2004癌症病患及家屬對不予急救的認知與態度腫瘤護理雜誌,4115-22

41.          林玲華、林佳蓉、陳美伶*2004癌症與非癌症手術後住院病患照顧者的負荷及其相關因素之初探長庚護理,

152141-155

42.          陳秀娟、陳美伶*2004癌症病患家屬照顧者照顧工作之探討長庚護理,153258-270

43.          Chen, M. L.* (2003). Pain and hope in patients with cancer: a role for cognition. Cancer Nurs, 26(1), 61-67.

44.          Lai, Y. H., Chen, M. L., Tsai, L. Y., Lo, L. H., Wei, L. L., Hong, M. Y., . . . Guo, S. L. (2003). Are nurses prepared to manage cancer pain? A national survey of nurses' knowledge about pain control in Taiwan. J Pain Symptom Manage, 26(5), 1016-1025.

45.          Lai, Y. H., Dalton, J. A., Belyea, M., Chen, M. L., Tsai, L. Y., & Chen, S. C. (2003). Development and testing of the pain opioid analgesics beliefs scale in Taiwanese cancer patients. J Pain Symptom Manage, 25(4), 376-385.

46.          吳名珠、陳美伶、陳淑卿、劉會平2003肺部手術病患術後疼痛、疲倦及希望之相關性探討北護理期刊,

5125-36

47.          楊翠雲、陳美伶、王宏銘(2003肌肉放鬆於化學治療期間噁心及嘔吐之成效長庚護理,144353-365

48.          Chen, M. L.*, & Hu, L. C. (2002). The generalizability of Caregiver Strain Index in family caregivers of cancer patients.

Int J Nurs Stud, 39(8), 823-829.

49.          李梅琛、賴裕和、陳美伶、劉淑娟2002健康控制重心信念對術後病患使用非藥物疼痛因應策略之相關性醫護科技學刊4149-62

50.          林玲華、陳景彥、劉嘉逸、陳美伶*2002癌症住院病患憂鬱狀態的盛行率及預測因素臺灣醫學,64535-545


51.          徐麗琴、林佳靜、賴裕和、陳美伶2002腫瘤護理人員對癌痛之評估及處置與相關因素探討北護理期刊,

4229-38

52.          Chen, M.L.*, Deng, S.L., & Chang, H.K. (2001). A comparison of the health locus of control and perceived social support between cancer and AIDS patients. Scandinavian Journal of Caring Sciences, 15(1), 92-98.

doi:10.1046/j.1471-6712.2001.1510092.x

53.          Yeh, C. H., Chen, M. L., Li, W., & Chuang, H. L. (2001). The Chinese version of the Parenting Stress Index: a psychometric study. Acta Paediatr, 90(12), 1470-1477.

54.          向肇英、賴裕和、吳志雄、陳美伶、黃采薇2001探討衛教護理處置對乳癌婦女焦慮及術後疼痛改善之成效

北護理期刊,3191-102

55.          江靜儀、陳美伶*、余文彬、黃慈心(2001接受放射線治療之腦瘤病患其身心困擾之探討長庚護理,124),

271-281

56.          李梅琛、賴裕和、陳美伶、劉淑娟2001病人疼痛特質與疼痛信念對手術後使用止痛藥物之影響護理雜誌,

48149-58

57.          胡綾眞、陳美伶*、陳明岐、林佳靜、林玲華2001〃轉移性癌症病患之居家主要照顧者的照顧負荷及其影響因素〃

長庚護理,124282-293

58.          曾素美、翁麗雀、陳美伶*2001接受部分胃切除手術的胃癌病患術後進食情況及其相關因素之探討長庚護理,

123208-219

59.          楊嘉玲、陳美伶*2001Q 研究法之簡介長庚護理,122144-153

60.          Chen, M. L.*, Chang, H. K., & Yeh, C. H. (2000). Anxiety and depression in Taiwanese cancer patients with and without pain. J Adv Nurs, 32(4), 944-951.

61.          Yeh, C. H., Lee, T. T., Chen, M. L., & Li, W. (2000). Adaptational process of parents of pediatric oncology patients.

Pediatr Hematol Oncol, 17(2), 119-131. doi:10.1080/088800100276479

62.          蔡琇文、賴裕和、陳美伶、陳主智2000癌症疼痛生理感覺特質與疾病不確定感關係之探討護理研究,81),

59-70

63.          Chen, M. L.* (1999). Validation of the structure of the perceived meanings of cancer pain inventory. J Adv Nurs, 30(2), 344-351.

64.          Shyu, Y. I., Lee, H. C., & Chen, M. L. (1999). Development and testing of the Family Caregiving Consequences Inventory for home nursing assessment in Taiwan. J Adv Nurs, 30(3), 646-654.

65.          陳佩英、史麗珠、王正旭、賴裕和、張獻陳美伶*1999疼痛對癌症病患焦慮與憂鬱之影響臺灣醫學,3

4373-382

66.         陳美伶*1997癌症疼痛的意義護理新781-8

 

 

相關研討會發表:

1.            Chen, M. L. (2017, July). Changes in Anxiety and Depression after Diagnosis of Lung Cancer: The Role of Smoking Status.

Paper presented at the International Conference on Cancer Nursing 2017, Anaheim, America.

2.            Chen, M. L., Ting, C. W., Tang, S. T., & Wang, H. M. (2015, September). Quality of pharmacological pain management in terminally ill cancer patients: A comparison between hospice and non-hospice care. Paper presented at the The European Cancer Congress 2015, Vienna, Austria.

3.            Chen, M. L., Chen, Y. T., Tang, S. T., Ting, C. W., & Wang, H. M. (2014, December). Quality of pain management for

end-of-life cancer patients receiving hospice and non-hospice care: Pain assessment and patient education. Paper presented at the 2014 World Cancer Congress, Melbourne, Australia.


4.            Chen, M. L., & Yu, C. T. (2013, October). Pre-treatment Symptom Profiles Predict Survival in Patients with Non-small Cell Lung Cancer. Paper presented at the 15th World Conference on Lung Cancer, Sydney, Australia.

5.            Chen, M. L. (2013, May). Psycho-neurological symptom profiles of breast cancer women at diagnosis predict their quality

of life two years after diagnosis. Paper presented at the 13th World Congress of the European Association for Palliative Care, Prague, Czech Republic.

6.            Chen, M. L. (2011, February). The perceived attention function after breast cancer surgery: the change pattern and the effect of adjuvant treatment. Paper presented at the 11th National Conference on Cancer Nursing Research, Los Angeles, America.

7.            Chen, M. L. (2010, May). Depressive symptoms during the first chemotherapy cycle predict mortality in patients with advanced non-small cell lung cancer. Paper presented at the 35th ONS Congress, San Diego, America.

8.            Chen, M. L. (2009, September). The course of fatigue in women with breast cancer. Paper presented at the Fifth Annual Chicago Supportive Oncology Conference 2009, Chicago, America.

9.            Chen, M. L. (2008, August). Why cancer patients visit emergency department: the chief complaints and influencing factors.

Paper presented at the 2008 UICC World Cancer Congress International Union Against Cancer, Geneva, Switzerland.

10.          Chen, M. L. (2007, March). Assessment of cancer symptoms. Paper presented at the 2007 Annual Meeting of the Chinese Association for the Study of Pain (CASP), Taipei, Taiwan.

11.          Chen, M. L., & Huang, P. H. (2007, February). Symptom patterns of patients with nasopharyngeal cancer receiving radiation therapy. Paper presented at the 9th National Conference on Cancer Nursing Research, Hollywood, America.

12.          Chen, M. L., & Tseng, H. C. (2005, April). Symptom clusters in cancer patients: Identification and verification. Paper presented at the Oncology Nursing Society 30th Annual Congress, Orlando, America.

13.          Chen, M. L., & Tseng, H. C. (2005, February). Cancer-related symptom profiles between depressed and non-depressed patients with cancer. Paper presented at the 8th National Conference on Cancer Nursing Research, Fort Lauderdale, America.

14.          Chen, M. L. (2004, September). The Perceived Meanings of Cancer Pain Inventory: An instrument measuring cognitive dimension of pain. Paper presented at the The 48th Annual Meeting of Taiwan Society of Anesthesiologists, Taoyuan, Taiwan.

15.          Chen, M. L., Yang, H. Y., & Chang, H. K. (2004, April). The impact of depression on survival of esophageal cancer patients.

Paper presented at the Oncology Nursing Society 29th Annual Congress, Anaheim, America.

16.          Chen, M. L. (2003, February). The quality of life among spouse caregivers of cancer patient. Paper presented at the 7th National Conference on Cancer Nursing Research, San Diego, America.

17.          Chen, M. L. (2002, August). Cancer pain and hope. Paper presented at the 12th International Conference on Cancer Nursing, London, UK.

18.          Chen, M. L., Lin, L. H., & Liu, C. Y. (2001, June). The sensitivity and specificity of the Hospital Anxiety and Depression Scale-Depression subscale (HADS-D). Paper presented at the ICN 22nd Quadrennial Congress, Copenhagen, Denmark.

19.          Chen, M. L., & Chen, P. Y. (1999, August). Anxiety and depression between cancer patients with and without pain. Paper presented at the 9th World Congress on Pain, International Association for the Study of Pain, Vienna, Austria.

20.          Chen, M. L. (1998, July). The perceived meanings of cancer pain: An instrument development. Paper presented at the 10th International Nursing Research Congress, Sigma Theta Tau International, Utrecht, Netherlands.

21.          Chen, M. L. (1998). Applying the generalizability theory in estimating the reliability of measures Paper presented at the The Nursing Research Methodology Symposium, Sigma Theta Tau International Horror Nursing Society of Taiwan, Taipei, Taiwan.

22.          Chen, M. L. (1997). The psychometric study of the Perceived Meanings of Cancer Pain Inventory. Paper presented at the


14th Nursing Paper Presentation of the Nurses Association of Taiwan, Kao-Hsiung, Taiwan.