根治性子宮全切除手術對於婦女女性特質之衝擊與因應

The Impact of a Radical Hysterectomy on Coping Behavior and Patients' Womanhood

陳美伶(Mei-Ling Chen) ； 陳茗晞(Ming-Xi Chen)

《志為護理-慈濟護理雜誌》 8卷4期 (2009/08) Pp. 71-81

https://doi.org/10.6974/TCNJ.200908.0071

摘要

本研究目的為瞭解接受根治性子宮全切除手術對於婦女女性特質所產生的衝擊與因應。採田野研究法及立意取樣方式，選取三位罹患第一期子宮頸癌的婦女並接受根治性子宮全切除手術者，並以觀察者即參與者的方式進行資料收集。研究結果顯示衝擊的產生包括六個部份，而衝擊反映出的因應行為，對應如下：(1)對於性別定位的動搖：從試探中尋求與再確認重要他人的認同；(2)面臨失去外貌吸引力的威脅：尋求醫療的輔助、建立一套自我養身法、另造身體之優勢；(3)擔心術後無法勝任性伴侶角色之職：主動的尋求與收集相關資訊、澄清疑問；(4)本身的恥感情緒，預期社會的異樣眼光：刻意隱瞞疾病；(5)自我價值的貶抑：建立自己於家庭中功能性的位置、發揮所長致力於工作，從中獲得成就與自信；(6)害怕婚姻關係的改變：建立對配偶的正向評價、無奈的默許與接受未來婚姻關係的可能改變、準備自己。

關鍵字

根治性子宮全切除手術 ； 女性特質 ； 衝擊 ； 因應

並列摘要

The purpose of this research was to try and understand the impact of a radical hysterectomy on patients' womanhood and the coping behaviors associated with this operation. Using the field method and purposive sampling, the research subjects were three women who had been diagnosed with stage I cervical cancer and were undergoing radical hysterectomy. The observeras-participant approach was used to gather the data. The results indicated that the impact could be separated into six aspects, each with their own coping behaviors. These were as follows: (1) uncertainty over gender identification: seeking and reconfirming a recognition of identity; (2) fear of losing their appearance and attractiveness: seeking medical assistance and developing a personal health plan; (3) anxiety about their role as a sexual partner: searching and collecting relevant information; (4) humiliation and an expectation of discrimination within society: intentionally hiding their illness; (5) a loss of self-esteem: reestablishing their role in the family and gaining confidence from employment; (6) a fear of change in the marital relationship: giving positive support to their spouse, while preparing for and accepting possible changes to their marital relationship.

並列關鍵字

coping behavior ； impact ； radical hysterectomy ； womanhood