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有标记的身体:通过艺术纹身探索乳房切除术后疤痕、身体形象和变化的体验。

The marked body: Exploring experiences of post-mastectomy scarring, body image and change through artistic tattooing.

机构信息

Charles Sturt University-Bathurst Campus, Australia.

出版信息

J Health Psychol. 2024 Apr;29(5):382-395. doi: 10.1177/13591053231215050. Epub 2023 Dec 15.

DOI:10.1177/13591053231215050
PMID:38102733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11005302/
Abstract

Breast cancer has become the most prevalent cancer globally, predominantly affecting women, with mastectomy surgery a frequent treatment. Women often experience a discrepancy between their post-mastectomy body, and their former sense of self, affecting negatively on wellbeing. The narratives of eight women who chose to artistically tattoo over their mastectomy scars were explored in this study, through semi-structured interviews and Interpretative Phenomenological Analysis (IPA). Seven master themes are presented. These themes follow the women from a state of disruption (of body image and gender identity) and surgical scarring as the first marking of the body, to the second marking of the body through artistic tattooing, bringing with it transformation, acceptance, feeling heard and connection with the artist, closure and control and the creation of significance and meaning. Viewed through Self-Discrepancy Theory, the findings of this study has implications for psycho-oncology and wellbeing support for women following mastectomy surgery.

摘要

乳腺癌已成为全球最普遍的癌症,主要影响女性,乳房切除术是常见的治疗方法。女性在乳房切除术后,常感到身体与自我认知之间存在差异,这对她们的幸福感产生负面影响。本研究通过半结构化访谈和解释现象学分析(IPA),探讨了 8 位选择艺术纹身覆盖乳房切除术疤痕的女性的经历。呈现了 7 个主要主题。这些主题描述了女性从身体形象和性别认同的中断状态(disruption)和手术疤痕开始,作为身体的第一个标记,到通过艺术纹身进行身体的第二次标记,带来了转变、接受、被倾听和与艺术家的联系、结束和控制以及意义和意义的创造。从自我差异理论的角度来看,本研究的发现对乳腺癌手术后的女性的心理肿瘤学和幸福感支持具有意义。

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Body image in women diagnosed with breast cancer: A grounded theory study.被诊断患有乳腺癌的女性的身体意象:扎根理论研究。
Body Image. 2022 Jun;41:417-431. doi: 10.1016/j.bodyim.2022.04.012. Epub 2022 May 5.
2
Unveiling beauty: Insight into being tattooed postmastectomy.揭开美丽的面纱:了解乳房切除术后纹身。
Nurs Forum. 2022 Jul;57(4):536-544. doi: 10.1111/nuf.12714. Epub 2022 Feb 26.
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The role of breast reconstruction choice on body image patient-reported outcomes at four years post-mastectomy for breast cancer: A longitudinal prospective cohort study.乳腺癌根治术后四年乳房重建选择对患者体像报告结局的影响:一项前瞻性队列研究。
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Int J Environ Res Public Health. 2021 Feb 9;18(4):1640. doi: 10.3390/ijerph18041640.
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The impact of scars on health-related quality of life after breast surgery: a qualitative exploration.乳房手术后疤痕对健康相关生活质量的影响:定性探讨。
J Cancer Surviv. 2021 Apr;15(2):224-233. doi: 10.1007/s11764-020-00926-3. Epub 2020 Aug 20.
6
Mastectomy tattoos: An emerging alternative for reclaiming self.乳房切除术纹身:一种重新获得自我的新兴选择。
Nurs Forum. 2020 Nov;55(4):695-702. doi: 10.1111/nuf.12486. Epub 2020 Jul 18.
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Principles of patient-centred care and barriers to their implementation: a case study of breast reconstruction in Australia.以患者为中心的护理原则及其实施障碍:澳大利亚乳房重建案例研究。
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How do breast cancer surgery scars impact survivorship? Findings from a nationwide survey in the United States.乳腺癌手术疤痕如何影响生存?来自美国全国性调查的结果。
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