Gentofte University Hospital, Gentofte, Denmark.
Qual Health Res. 2012 Aug;22(8):1037-46. doi: 10.1177/1049732312448545. Epub 2012 Jun 6.
Little is known about the psychosocial effects of facial disfigurement. We present the results of a qualitative study following 15 patients who had been surgically treated for head, neck, or eye cancer over the course of their first postoperative year. Taped nurse-patient conversations and individual interviews were analyzed using the grounded theory method. The findings revealed that the main concern of the patients was feeling isolated, which was resolved using a process of interactional integration. Interactional integration begins by breaking the silence to enable the progression from a disfigured person to a person with a disfigurement. The model explains the process of adjustment and demonstrates various elements that could be used in interventions targeting patients who experience psychosocial problems.
关于面部毁容的心理社会影响知之甚少。我们介绍了一项定性研究的结果，该研究随访了 15 名在术后第一年接受头颈部或眼部癌症手术治疗的患者。使用扎根理论方法分析了录制的护士-患者对话和个人访谈。研究结果表明，患者最关心的是感到孤立，通过互动整合的过程来解决这个问题。互动整合始于打破沉默，从而使患者从毁容者转变为有缺陷的人。该模型解释了调整过程，并展示了可用于针对经历心理社会问题的患者的干预措施的各种要素。
