本個案研究目的在探討一拉行子宮全切除患者對子宮切除的主觀認知及調適行為。以田野研究法，於個案住院、開刀前、後，將護理個案期間與個案的互動及會談過程，採用敘述方式，寫成行為過程實錄，包括其語言及非語言行為，共計五篇，並予內容分析法歸納整理。結果香現個案在對切除子宮的主觀認知上為：(1)月經的停止，導致女性特質的喪失，(2)威脅到女性角色，產生自我價值低下，(3)破壞身體心像的完整性，(4)缺乏子宮的存在，改變了夫妻間的性生活；而其調適行為則包括：(1)逃避開刀，(2)補償行為，(3)接納正確資訊，更正錯誤觀念，(4)合理化的自我調適。護理人員藉由關懷的理念及照顧，陪同個案共同走過此一歷程後，深切體認出個案所處之困境與需求，而能協助個案重新面對開刀後的改變。

This is a case study about one patient's subjective perception on hysterectomy and her coping behaviors. Data were collected throughout the nursing process, which included during her pre-and post-operative stages of hospitalization. Both the verbal and non verbal behaviors, were included in the analysis. The results of the analysis on the subjective perception of hysterectomy included: 1. menstruation ceased which induced loss of femininity, 2. loss of femininity which resulted in lower self-esteem, 3. loss of womb which destroyed the physical and mental integrity, and 4.Ioss of sexual desire. The coping behaviors included: 1. escaping from the operation, 2. compensatry behaviors, 3. acceptance of correct information and ameliorating wrong concepts, and 4. adaptation with rationalization. By completing such an analysis, the attending nurse may serve as an important role in helping the patient to adapt to the change of life.