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婦女接受子宮頸抹片檢查之身體經驗

A Qualitative Study of Physical Experiences Associated with Cervical Screenings

摘要


背景 子宮頸抹片檢查為侵入婦女身體隱私部位的一項檢查,將身體作為經驗的主體來感知內在與外在世界,然而此項檢查的身體主體經驗,卻很少被探究。目的 本文旨在瞭解婦女接受子宮頸抹片檢查之身體經驗。方法 採現象學研究方法,深度訪談五位接受子宮頸抹片檢查的婦女;並以內容分析法進行資料分析及歸納。結果 研究結果可歸納為三項主題,分別為:(一)無法控制的身體:負向的感受、不聽使喚的身體;(二)交互感受的身體:物化的客體、性別的主體;(三)存有空間的身體:暴露、護持。結論 建議強化「互為主體性」的關係,著重接受子宮頸抹片檢查婦女身體感知經驗的內外交融及「身體空間」的營造,以提昇婦女的「身體知覺」及「身體情緒」。

並列摘要


Background: Papnicolauo (Pap) smear screening is an invasive examination that intrudes upon women's privacy, forcing them to physically perceive both inner and external worlds. This subjective physical experience has rarely been explored in the literature.Purpose: This article explores the subjective physical experiences of patients undergoing cervical screening.Methods: This phenomenological study employed purposive sampling; five females were recruited. All provided informed consent and were enrolled as participants. The content analysis method analyzed and categorized interview content.Results: The 3 main themes associated with participant experiences were: Loss of physical control (e. g., negative feelings, body unresponsive to mental commands); interaction between the subjective and objective body (e.g., objectification of the body, subjectification of gender); experiencing the spatial dimensions of the body (e.g., bodily exposure, protection).Conclusion: Findings recommend healthcare providers help pap smear recipients strengthen ”inter-subjectivity” and focus on ”body space” to enhance patients' ”physical consciousness” and ”physical emotions.”

參考文獻


余舜德(2006).物與身體感的歷史:一個研究取向的探索.思與言,44(1),5-47。
龔卓軍(2006a).身體感與時間性:以梅洛龐蒂解讀柏格森為線索.思與言,44(1),49-100。
龔卓軍(2006b).身體感:胡塞爾對身體的形構分析.應用心理研究,29,157-181。
Ackerson, K., Pohl, J., & Low, L. K. (2008). Personal influencing factors associated with pap smear testing and cervical cancer. Policy, Politics, & Nursing Practice, 9(1), 50-60. doi:10.1177/1527154408318097
Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105-112. doi:10.1016/j.nedt.2003.10.001

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