一位口腔癌病患之護理－－身體心像護理模式之應用

Nursing Care for a Patient with Oral Cancer-- Application of Body Image Care Model

本文是敘述護理一位有負向身體心像的口腔癌病患之經驗。筆者應用Price(1990a)所發展的身體心像護理模式，評估發現個案罹患口腔癌後，雖運用個人因應策略、社會支持及環境因素等輔助，但在真實的身體像、理想的身體像及呈現的身體像三方面的認知，仍無法達到平衡，以致形成負向的自我心像。針對病患身體心像之問題，筆者聯絡其他機構，並提供預防、支持、衛教、諮商等護理措施，個案終能重建正向的自我心像。期望個人的護理經驗能提供給其他護理人員參考。

This case study described the nursing experience of an oral cancer patient with negative body image. Assessing with Price’s Body Image Care Model, the author found that subject’s perception about his body reality, body ideal, and body presentation was imbalance. In addition, the subject had negative self-image even after using personal coping strategies, social support network, and environment factor. After being provided with the intervention of prevention, supporting, education, counseling, and liaison with social support network and other agencies, the subject rebuilt positive self-image. This nursing experience is a reference for taking care of patients with body image problem.