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玛德琳·莱宁格从跨文化护理视角看乳房熨烫:一项叙述性综述

Breast Ironing from the Perspective of Transcultural Nursing by Madeleine Leininger: A Narrative Review.

作者信息

Cárdaba-García Rosa M, Velasco-Gonzalez Veronica, Cárdaba-García Inés, Pérez-Pérez Lucía, Durantez-Fernández Carlos, Muñoz-Del Caz Alba, Soto-Cámara Raúl, Aparicio-García Marta Evelia, Madrigal Miguel, Pérez Inmaculada

机构信息

Department of Nursing, Faculty of Nursing, University of Valladolid, Av. Ramón y Cajal, 7, 47005 Valladolid, Spain.

Nursing Care Research (GICE), Faculty of Nursing, University of Valladolid, Av. Ramón y Cajal, 7, 47005 Valladolid, Spain.

出版信息

Nurs Rep. 2024 Nov 27;14(4):3677-3688. doi: 10.3390/nursrep14040269.

Abstract

(1) Background: This article addresses the harmful traditional practice of breast ironing, which primarily affects girls and adolescents in several countries, particularly in Cameroon. The practice involves applying heat and pressure to developing breasts to delay their growth, with the goal of protecting girls from sexual abuse, early pregnancy, and forced marriages. While culturally accepted, breast ironing has severe physical, psychological, and social consequences, including damage to mammary glands, pain, infections, and potential long-term health complications. (2) Methods: A reflective analysis of the topic was conducted through a comprehensive search of various databases (PubMed, Scopus, Google Scholar, and CINAHL) following narrative review methodology. (3) Results: The practice is also examined through the lens of human rights and Madeleine Leininger's transcultural nursing theory, which promotes respect for cultural traditions in healthcare. However, the authors question whether such a theory can justify practices that violate women's physical integrity. (4) Conclusions: This study concludes that while cultural beliefs must be considered in healthcare, human rights and the elimination of violent practices, such as breast ironing, must take precedence. Educational campaigns and a more punitive approach in countries where this practice occurs are proposed as essential steps forward.

摘要

(1) 背景:本文探讨有害的传统习俗——乳房熨烫,这种习俗主要影响着多个国家的女孩和青少年,尤其是喀麦隆的此类人群。该习俗是对发育中的乳房施加热量和压力以延缓其生长,目的是保护女孩免受性虐待、早孕和强迫婚姻。尽管在文化上被接受,但乳房熨烫会带来严重的身体、心理和社会后果,包括乳腺损伤、疼痛、感染以及潜在的长期健康并发症。(2) 方法:按照叙述性综述方法,通过全面检索各种数据库(PubMed、Scopus、谷歌学术和CINAHL)对该主题进行反思性分析。(3) 结果:还从人权视角以及玛德琳·莱宁格的跨文化护理理论的角度审视了这种习俗,该理论提倡在医疗保健中尊重文化传统。然而,作者质疑这样一种理论是否能为侵犯女性身体完整性的习俗提供正当理由。(4) 结论:本研究得出结论,虽然在医疗保健中必须考虑文化信仰,但人权以及消除诸如乳房熨烫之类的暴力习俗必须优先。建议在出现这种习俗的国家开展教育运动并采取更具惩罚性的措施,作为向前推进的关键步骤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7cb/11678159/eb4dff205c04/nursrep-14-00269-g001.jpg

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