一位顏面燒傷婦女住院期間之身體心像改變及因應行為

The Altered Body Image and Coping Behaviors of a Hospitalized Woman with Facial Burns

本個案研究之目的仍探討一位顏面燒傷婦女住院期間之身體心像改變及因應行為。研究者於護理個案期間，將所收集的資料寫成十四篇行為過程記錄，資料經整理及分析歸類，身體心像的改變分別呈現於身體結構、身體功能、身體感覺及社會功能等四方面。在治療過程中，個案不斷運用自己的調適過程，以及在醫護人員的細心照護之下，從抒發穩、拒絕與逃避行為、降低生理需求、退縮、命運歸咎到終能試著尋求協助、主動參與治療、重新構圖身體心像，甚至嘗試尋找新的價值觀、走出燒傷中心面對他人。

The purpose of this study was to explore the altered body image and coping behaviors of a hospitalized woman with facial burns. The data were collected by participant observation. Fourteen pieces of process recording were completed and the contents were analyzed inductively. The alterations of body image of this case were categoried into four domains: body structure, body function, body sensation and social function. She coped with the stress with help from team members, and adjusted herself to face her new life after discharge. The processes of her adaptation included denial, escape, resumption of physiological demands, withdrawal, and finally being able to call for help, to attend the treatment actively, and to reconstruct new body images. Eventually, she could even try to find the new value of her life and to face others after discharge.