Larouche Sandie S, Chin-Peuckert Lily
Department of Nursing, Sir Mortimer B. Davis-Jewish General Hospital, Montreal, Quebec, Canada.
J Pediatr Oncol Nurs. 2006 Jul-Aug;23(4):200-9. doi: 10.1177/1043454206289756.
Cancer and its treatments affect adolescents' body image. However, it is not known what factors impinge on adolescents' perception of their body image. This multiple case study explored how 5 adolescents with cancer perceived their body image and the impact of this perception on their daily life. Adolescents described their body image as "I don't look normal," a theme that comprised 2 dimensions: "I look ugly" and "I look sick." For the adolescent with cancer, these 2 dimensions evoked feelings of being vulnerably exposed: "People look at me." Consequently, adolescents adopted a new set of coping strategies to help them manage their physical appearance and social interactions: "avoiding," "maintaining normality," "testing the waters," and "peer-shield" themes. Although the adolescents perceived their body image as altered, coping mechanisms enabled adolescents to think of themselves as normal and re-establish their social lives. The results of this small study suggest 2 potential nursing approaches to facilitate adolescents' adaptation to their new body image.
癌症及其治疗会影响青少年的身体形象。然而，尚不清楚哪些因素会影响青少年对自身身体形象的认知。这项多案例研究探讨了5名患癌青少年如何看待自己的身体形象以及这种认知对他们日常生活的影响。青少年将自己的身体形象描述为“我看起来不正常”，这一主题包含两个维度：“我看起来很丑”和“我看起来生病了”。对于患癌青少年来说，这两个维度引发了一种脆弱暴露的感觉：“人们看着我”。因此，青少年采用了一套新的应对策略来帮助他们管理自己的外表和社交互动：“回避”“保持正常”“试探”和“同伴保护”主题。尽管青少年认为自己的身体形象发生了改变，但应对机制使他们能够将自己视为正常，并重新建立社交生活。这项小型研究的结果表明了两种潜在的护理方法，以促进青少年适应他们新的身体形象。
