School of Nursing, National Yang-Ming University, Taipei, Taiwan.
Nurs Health Sci. 2012 Sep;14(3):381-90. doi: 10.1111/j.1442-2018.2012.00695.x. Epub 2012 Jun 7.
Children and adolescents with cancer are confronted with many challenges. This review considered studies that used qualitative methods to examine the body image experience of children and adolescents with cancer. A systematic literature search of English and Chinese databases was undertaken, covering the period between 1960 and October 2010. Qualitative research findings were extracted and pooled using the Joanna Briggs Institute Qualitative Assessment and Review Instrument. Eight papers met the inclusion criteria. The derived four metasyntheses included being distanced from the body, loss of self-identity, self-protective strategies and support, and getting rid of the shackles of the body. In conclusion, children and adolescents with cancer also experience various problems associated with changes in their body image. Repeated courses of treatment lead to loss of a normal, orderly life, and might even result in changes in interpersonal interactions. In response to body image change, individuals with cancer develop self-protective, coping strategies. Children and adolescents who experience life-threatening cancer come to face body image change positively, and might hold a confident attitude toward their future.
儿童和青少年癌症患者面临着许多挑战。本综述考虑了使用定性方法研究癌症儿童和青少年体像体验的研究。对 1960 年至 2010 年 10 月期间的英文和中文数据库进行了系统的文献检索。使用 Joanna Briggs 研究所定性评估和综述工具提取和汇总定性研究结果。符合纳入标准的有 8 篇论文。得出的 4 个综合论述包括与身体疏远、自我认同丧失、自我保护策略和支持以及摆脱身体束缚。总之，癌症儿童和青少年也会经历与体像变化相关的各种问题。反复的治疗过程导致正常有序生活的丧失，甚至可能导致人际交往的变化。针对体像变化，癌症患者会发展出自我保护、应对策略。经历危及生命的癌症的儿童和青少年会积极面对体像变化，并对未来持有自信的态度。
