Martin C, Bonas S, Shepherd L, Hedges E
University of Leicester, Clinical Psychology, 104 Regent Road, Leicester LE1 7LT, United Kingdom.
University of Leicester, Clinical Psychology, 104 Regent Road, Leicester LE1 7LT, United Kingdom.
Burns. 2016 Sep;42(6):1311-22. doi: 10.1016/j.burns.2016.03.002. Epub 2016 Mar 28.
Burns can have both physical and psychological effects on individuals. Pressure garments and silicone gels are used to improve the aesthetic appearance and functions of the skin, but these treatments have been associated with various physical, emotional, sexual and social difficulties. Interpretative phenomenological analysis (IPA) was used to explore participants' experiences of scar management. IPA examines individual experiences before comparing results across cases, and is suited to capture the different ways in which individuals experience a phenomena as well as cautiously looking at patterns across cases. Eight burn patients who had experienced scar management, including pressure garments, were interviewed. Two superordinate themes were identified: Assimilation of Pressure Garment Identity, and Psychosocial Functions of the Pressure Garments. The findings offered insight into the positive and negative experiences of scar management, describing the diverse personal and social functions of the pressure garments and how they became integrated into participants' identities. By understanding the individual nature of these experiences, healthcare professionals can enhance support around these issues and potentially aid adherence to treatment. Further research with different demographic groups as well as for other burn treatments would be useful to develop and contextualise these findings.
烧伤会对个体产生生理和心理影响。压力衣和硅胶凝胶被用于改善皮肤的美观外观和功能，但这些治疗与各种身体、情感、性和社会方面的困难有关。诠释现象学分析（IPA）被用于探索参与者在瘢痕管理方面的经历。IPA在比较不同案例的结果之前先考察个体经历，适合捕捉个体体验某一现象的不同方式，同时谨慎地审视不同案例之间的模式。对八名经历过包括压力衣在内的瘢痕管理的烧伤患者进行了访谈。确定了两个上位主题：压力衣身份的同化，以及压力衣的心理社会功能。研究结果深入了解了瘢痕管理的积极和消极体验，描述了压力衣的多种个人和社会功能以及它们如何融入参与者的身份认同。通过理解这些经历的个体性质，医疗保健专业人员可以加强围绕这些问题的支持，并可能有助于提高治疗依从性。对不同人口群体以及其他烧伤治疗方法进行进一步研究，将有助于拓展和结合这些研究结果。
