Body Image Concerns and Behavioral Responses in a Patient with Cerebellopontine Angle Tumor

Abstract

本研究採田野研究法，探討一位小腦橋腦角腫瘤病人在手術前後身體心像的改變及其 行爲反應，研究者將護理過程寫成行爲過程記錄12篇，再加以分析。結 果顯示個案身體心像的變化包括身體結構、身體功能、身體感覺及社會功能四方面， 而面對身體心像的改變個案出現的行爲有兩大類，（一）是再確定認身體心像 的改變包括(1)尋求相關資料，(2)尋求再保證，(3)比較；（二）是維護或生建自己 身體心像之完整性的行爲反應包括(1)合理化行，(2)維護行爲 ;，(3)積極配合，(4)尋求宗教支持。經由護理人員因應個案行爲反應給予的 護理措施，終能減輕個案的身心不適，並促其正向調適。 This case report investigates the behavioral responses of body image change of a cerebellopontine angle tumor patient. Twelve process recordings obtained from a field study comprised the data for analysis. The dimensions of the subject’s body image change were body structure, body function, body sensation, and social function change. Two types of behavioral response were delineated and categorized as the following: (1) Identifying the individual’s body image change, such as seeking information, seeking reassurance, and comparative behavior. (2) Maintaining the integrity of individual’sbody image, such as rationalizing behavior, maintenance behavior, cooperative behavior and seeking religious support . This paper reports how the investigators used nursing interventions to help the subject gradually get through the process and adapt to the body image changes properly.