Institute for Social & Health Sciences, University of South Africa, Johannesburg, Gauteng, South Africa.
Qual Health Res. 2011 Sep;21(9):1165-81. doi: 10.1177/1049732311405686. Epub 2011 Apr 13.
The results of this exploratory study reflect a shift from public health studies that aim to examine the risk and prevalence of burn injury, toward eliciting survivors' subjective meaning-making processes beyond the injury event. We drew on a narrative framework to explore how young survivors' experiences of burn injury led to reconstructions of self and shifts in thinking about others and the world. Although participants' narratives revealed elements of heightened self-awareness, need for acceptance, and desire for recognition, these stood alongside counter narratives denoting positive, transformative, and resilient aspects of healing that reflected a rebirth of the self, life having purpose, and psychospiritual growth. A multidimensional and relational framework for resilience acknowledges the "deficient," but also recognizes the pathways to growth, healing, meaning, and purpose. This shift toward person-centered meanings has value in informing interventions beyond the immediate "wound care," toward the survivors' lifelong (re)negotiation of identity, appearance, psychological adjustment, and social reintegration.
本探索性研究的结果反映了一种转变，即从旨在研究烧伤风险和流行率的公共卫生研究，转向探讨烧伤事件之外的幸存者的主观意义建构过程。我们借鉴了叙事框架，探讨了年轻幸存者的烧伤经历如何导致自我重建，以及对他人和世界的思维方式的转变。尽管参与者的叙述揭示了自我意识增强、需要被接纳和渴望被认可的元素，但这些元素与正面、变革和富有弹性的治愈方面的反叙事并存，这些治愈方面反映了自我的重生、生命的目的和心理精神的成长。一个关于韧性的多维和关系框架承认“缺陷”，但也承认通向成长、治愈、意义和目的的途径。这种向以患者为中心的意义的转变在告知超越即时“伤口护理”的干预措施方面具有价值，这些干预措施旨在帮助患者终生（重新）协商身份、外貌、心理调整和社会重新融入。
