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首页> 外文期刊>Journal of advanced nursing >Surgical facial cancer treatment: the silencing of disfigurement in nurse-patient interactions.
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Surgical facial cancer treatment: the silencing of disfigurement in nurse-patient interactions.

机译：外科手术性面部癌治疗：护理人员与患者互动中的容貌消失。

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TITLE: Surgical facial cancer treatment: the silencing of disfigurement in nurse-patient interactions. AIM: The aim of this study was to explore and explain how disfigurement is addressed in interactions between patient and nurse during the period in hospital immediately after undergoing disfiguring facial surgery. BACKGROUND: Facial disfigurement as a result of head and neck or eye cancer surgery is associated with psychosocial problems; however no successful intervention program has been developed. Empirically derived knowledge about what goes on in the patient-nurse interaction is missing. METHOD: A grounded theory design was used, with data derived from audio-recorded conversations between and individual interviews with 14 patients and their connected nurses, from three participating university hospitals. Data were collected in 2007. FINDINGS: A substantive model with silencing disfigurement as a core category was developed. The model included three categories; minimizing disfigurement, disfigurement is a luxurious problem and another time, another place. A condition of implicit and unverified professional assumptions about addressing the issue of disfigurement became an underlying character. Without this the core category could not exist. CONCLUSION: The model elucidates a silencing process maintained by preconceived assumptions which need to be challenged to help patients adjust to their changed appearance after facial cancer treatment.
机译：标题：外科性面部癌的治疗：护理人员与病人互动中容貌的降低。目的：本研究的目的是探讨并解释在面部毁容性手术后立即在住院期间如何解决患者和护士之间的毁容性问题。背景：由于头颈部或眼癌手术而导致的面部容貌缺失与社会心理问题有关。但是，尚未制定成功的干预计划。缺少根据经验得出的有关患者与护士互动过程的知识。方法：采用扎实的理论设计，数据来自于三所参与研究的大学医院的14位患者及其联系的护士之间的录音对话和个人访谈。在2007年收集了数据。结果：建立了以消声毁容为核心类别的实体模型。该模型包括三个类别：尽量减少毁容，毁容是一个豪华的问题，而另一个时间，另一个地方。解决毁容性问题的隐含且未经验证的专业假设条件成为一个潜在特征。没有这个，核心类别将不存在。结论：该模型阐明了由先入为主的假设所维持的沉默过程，需要对这些假设进行挑战，以帮助患者在面部癌治疗后适应其变化的外表。

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