破碎的臉--一位顏面傷殘患者之身體心像變化及心理反應

　　　　　臉部乃是身體外觀最明顯而又無法以衣著加以掩飾的部位。也是身體中最容易表達的部位，更是身體心像的核心。因此，一旦顏面受到損傷，身體心像勢必亦遭破壞，除了在外觀上會導致無可避免之改變外，更會對當事人的社會心理層面太來巨大衝擊。對本文顏面傷殘之個案而言，其所帶來的身體心像改變包括：身體結構、身體功能、身體感覺及社會功能等方面。此外，面對這些身體心像改變時個案也產生些心理反應。筆者經由照護過程協助個案進行正向調適。於個案出院後仍不定時以電話聯絡，提供相關醫療諮詢，使其順利走出「刀疤女郎」的陰霾，重返工作與外界大環境中。
　　　　　Because the face is one of the most visible parts of the body, usually not covered by clothing, and a major mode of nonverbal communication, it expresses a person's feelings and reflects body image. Once the face is injured, therefore, body image associated with the face changes. This change is reflected in facial expressions. This article discusses the mental responses and body image changes in persons with a facial injury. These include changes in body structure, body function, feelings and psychological responses, and social activities. The nursing process was used to plan interventions for helping facial injured patients adapt to changes and develop positive coping responses. Telephone follow up was conducted post-discharge to provide patients with medical consultation, to help them walk through the deep blue of “girls with markings”, and to discuss returning to work.