Institute of Health and Society, University of Oslo, Oslo, Norway;
Institute of Health and Society, University of Oslo, Oslo, Norway.
Int J Qual Stud Health Well-being. 2015 Apr 30;10:26720. doi: 10.3402/qhw.v10.26720. eCollection 2015.
In this paper, we explore how younger women in Norway construct their embodiment and sense of self after hysterectomy. To do this, we conducted in-depth interviews with eight ethnic Norwegian women aged between 25 and 43 who had undergone hysterectomy. In line with a broad phenomenological approach to illness, the study was designed to explore the trajectories of the women's illness with a specific focus on concrete human experience and identity claims from a subjective point of view. In analysing the stories, we encountered feelings of suffering due to the loss of the uterus as well as profound side-effects, such as menopause. However, we also found evidence of relief from being treated for heavy bleeding and serious illness. In order to accentuate the individual voices in these illness stories, we chose a case-oriented analysis in line with Radley and Chamberlain (2001) and Riessman (2008). From this, two main seemingly contradictory storylines stood out: They have removed what made me a woman versus Without a uterus, I feel more like a woman. We also identified heteronormativity as an unstated issue in both these storylines and in the research data as a whole. Acknowledging diversity in the way women experience hysterectomy is important for a better understanding of the ways in which hysterectomy may affect women as humans as well as for developing more cultural competent healthcare services for this group.
本文探讨了挪威年轻女性在接受子宫切除术（hysterectomy）后如何构建自身的身体和自我意识。为此，我们对 8 名 25 至 43 岁的挪威女性进行了深入访谈，她们都接受了子宫切除术。本研究遵循一种广泛的疾病现象学方法，旨在探索女性疾病的轨迹，特别关注从主观角度出发的具体人类体验和身份主张。在分析这些故事时，我们感受到了因失去子宫而带来的痛苦，以及更年期等严重的副作用。然而，我们也发现了因治疗大量出血和严重疾病而得到缓解的证据。为了突出这些疾病故事中的个体声音，我们选择了一种基于案例的分析方法，这与 Radley 和 Chamberlain（2001）以及 Riessman（2008）的方法一致。由此，两个主要的看似矛盾的故事线浮现出来：“他们切除了使我成为女人的东西”与“没有子宫，我更像一个女人”。我们还发现，异性恋规范在这两个故事线以及整个研究数据中都是一个未言明的问题。承认女性在经历子宫切除术时的多样性，对于更好地理解子宫切除术可能如何影响女性作为人类的方式以及为该群体提供更具文化敏感性的医疗保健服务至关重要。
