慢性患者中与肝炎相关的污名化:一项定性研究。

Hepatitis-related stigma in chronic patients: A qualitative study.

作者信息

HassanpourDehkordi Ali, Mohammadi Nooredin, NikbakhatNasrabadi Alireza

机构信息

Department of Medical-Surgical, Nursing and Midwifery Faculty, Shahrekord University of Medical Sciences, Shahrekord, I.R. Iran, 8815713471.

Department of Critical Care Nursing, Center for Nursing Care Research, Nursing and Midwifery Faculty, Iran University of Medical Sciences, Tehran, I.R. Iran, 1996713883.

出版信息

Appl Nurs Res. 2016 Feb;29:206-10. doi: 10.1016/j.apnr.2015.04.010. Epub 2015 Apr 30.

Abstract

BACKGROUND

Hepatitis is one of health problems throughout the world. It has numerous consequences on patients' life. Stigma, depression, social marginalization and financial problems are some of the challenges in these patients.

AIM

The purpose of this qualitative study was to examine hepatitis-related stigma and discrimination in patients living with chronic hepatitis in Iranian society.

METHODS

This present study was designed as a qualitative method, and this article shows up the results of a qualitative research study undertaken with patients living with hepatitis in Iran. The study uses a content analysis method. A purposive sample of 18 patients was chosen. Data were collected through a semi-structured interview and field note that the researchers will take during participants' observation. Data analysis process was performed on the texts which were generated from verbatim transcripts of the participants interviews.

RESULTS

Participants were between 18 and 61 years old. The main theme, Stigma, emerged from three themes during the process data analysis in this study. These themes were including fear to lose of family and social support, fear to present in public and fear of transmission.

CONCLUSIONS

This research indicates that stigma presents major challenges not only for patients living with chronic hepatitis but also for nurses, other healthcare practitioners, family and social networks, institutions and society. The researcher suggests that interventions to reduce or eliminate stigma should require individual, structural, cultural thought, society and systemic changes.

摘要

背景

肝炎是全球范围内的健康问题之一。它对患者的生活产生诸多影响。耻辱感、抑郁、社会边缘化和经济问题是这些患者面临的一些挑战。

目的

这项定性研究的目的是调查伊朗社会中慢性肝炎患者与肝炎相关的耻辱感和歧视情况。

方法

本研究采用定性方法设计,本文展示了对伊朗肝炎患者进行的定性研究结果。该研究使用内容分析法。选取了18名患者作为目的抽样样本。数据通过半结构化访谈和研究人员在参与者观察期间所做的实地记录收集。数据分析过程是对参与者访谈逐字记录生成的文本进行的。

结果

参与者年龄在18岁至61岁之间。在本研究的数据分析过程中,主要主题“耻辱感”从三个主题中浮现出来。这些主题包括害怕失去家庭和社会支持、害怕在公共场合露面以及害怕传播。

结论

这项研究表明,耻辱感不仅给慢性肝炎患者带来重大挑战,也给护士、其他医疗从业者、家庭和社会网络、机构及社会带来挑战。研究人员建议,减少或消除耻辱感的干预措施需要个人、结构、文化观念、社会和系统层面的改变。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索