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[乳房切除术后身体表征与自我的关系]

[Body representation in the relation with the self after mastectomy].

作者信息

Ferreira Maria de Lourdes da Silva Marques, Mamede Marli Villela

机构信息

Faculdade de Medicina, Universidade Estadual Paulista, Botucatu, Brazil.

出版信息

Rev Lat Am Enfermagem. 2003 May-Jun;11(3):299-304. Epub 2003 Sep 2.

Abstract

This research aimed to understand how the mastectomized woman represents her body in the relations with herself. Social representations were used as a theoretical-methodological reference base. Ten mastectomized women were interviewed at their homes on the seventh day after leaving the hospital and once a month during four postoperative months. The contents of the body representation to the self converged towards four meaning units: a) mutilated bodies, the perception of which was demonstrated in difference ways; b) feeling of impotence at different times in the postoperative period; c) pain and limitation, mainly at the beginning of recovery; d) care with the body. It could be understood that, for the women, the beginning of self-care took the form of an attitude that was developed in practices reflected and taught as a continuous process after the surgery. The perception of the body/constitution/mind/spirit relation permeated every moment of their existence. The results offer important elements for reflection in relation to the assistance to mastectomized women.

摘要

本研究旨在了解接受乳房切除手术的女性在与自身的关系中如何呈现自己的身体。社会表征被用作理论 - 方法论的参考基础。对十名接受乳房切除手术的女性在出院后第七天于其家中进行了访谈,并在术后四个月内每月进行一次访谈。身体对自我的表征内容汇聚为四个意义单元:a)残缺的身体,其感知以不同方式表现出来;b)术后不同时期的无力感;c)疼痛和限制,主要在恢复初期;d)对身体的护理。可以理解的是,对这些女性来说,自我护理的开始表现为一种态度,这种态度在手术后作为一个持续的过程在实践中得以体现和传授。对身体/体质/心灵/精神关系的感知贯穿她们存在的每一刻。研究结果为思考对接受乳房切除手术女性的护理提供了重要元素。

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