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凝视我的身体:乳腺癌长期幸存者的身体重建经历

Staring at My Body: The Experience of Body Reconstruction in Breast Cancer Long-term Survivors.

作者信息

Chuang Li-Yu, Hsu Yu-Yun, Yin Shu-Yuan, Shu Bih-Ching

机构信息

Author Affiliations: Department of Nursing, Fooyin University (Mss Chuang and Yin), Kaohsiung; and Department of Nursing (Drs Hsu and Shu) and Institute of Allied Health Sciences (Ms Chuang and Drs Hsu and Shu), College of Medicine, National Cheng Kung University, Tainan, Taiwan.

出版信息

Cancer Nurs. 2018 May/Jun;41(3):E56-E61. doi: 10.1097/NCC.0000000000000507.

Abstract

BACKGROUND

Breast cancer takes time for its survivors after a mastectomy to adjust to their changed bodies. There are limited studies about the process of how those survivors accept the changes of their bodies and how they reestablish their new selves.

OBJECTIVE

The aim of this study was to understand the perception of body from women diagnosed with breast cancer more than 5 years previously and whose treatment included a mastectomy.

METHODS

A phenomenological method was applied to this study. Women who received a mastectomy at least 5 years previously were invited to participate. Eight participants were recruited from southern Taiwan.

RESULTS

Twenty transcripts were obtained and analyzed using Colaizzi's method. Three themes were obtained from the data analysis: "restoration of the body image," "abandonment of objectification," and "redefinition of self." Subthemes were also identified and described.

CONCLUSION

The results indicate that women with breast cancer have embodied the recovering experience to a new self and have adapted to identify their new bodies. They overcome being a female body with an absent breast(s) by discovering the value of their existence and being free from self-objectification.

IMPLICATIONS FOR PRACTICE

This study contributes to the understanding of the perception of body in long-term breast cancer survivors, which reflects the process of adjusting to the loss of a breast/breasts to reconstructing a new body experience. Health professionals could help and encourage women undergoing a mastectomy to engage in self-recovery by searching for and affirming self-value.

摘要

背景

乳腺癌幸存者在乳房切除术后需要时间来适应身体的变化。关于这些幸存者如何接受身体变化以及如何重新塑造新自我的过程,研究有限。

目的

本研究旨在了解5年多前被诊断为乳腺癌且治疗包括乳房切除术的女性对身体的认知。

方法

本研究采用现象学方法。邀请至少在5年前接受过乳房切除术的女性参与。从台湾南部招募了8名参与者。

结果

获得了20份记录,并使用科莱齐的方法进行分析。数据分析得出了三个主题:“身体形象的恢复”、“摒弃物化”和“自我的重新定义”。还确定并描述了子主题。

结论

结果表明,乳腺癌女性经历了向新自我的恢复过程,并已适应认同自己的新身体。她们通过发现自身存在的价值并摆脱自我物化,克服了作为失去乳房的女性身体的状态。

对实践的启示

本研究有助于理解长期乳腺癌幸存者对身体的认知,这反映了从适应失去乳房到重建新身体体验的过程。健康专业人员可以通过寻找和肯定自我价值,帮助和鼓励接受乳房切除术的女性进行自我恢复。

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