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烧伤成年幸存者挛缩的生活体验。

Lived Experiences of Adult Burn Survivors with Post-Burn Contractures.

机构信息

Center for Health and Mental Health, School of Social Work, Tata Institute of Social Sciences, Mumbai, India.

出版信息

Soc Work Public Health. 2022 Apr 3;37(3):209-223. doi: 10.1080/19371918.2021.1997862. Epub 2021 Nov 19.

Abstract

The article documents the life changes and challenges that are experienced by individuals who suffer from burns with long-lasting injury, and what are the available support mechanisms for these individuals. The experiences are drawn from a qualitative phenomenological inquiry conducted at a leading facility for burns treatment in Navi Mumbai, where people from across the country can access free non-cosmetic corrective surgery for burn-related contracture. In-depth interviews have been conducted with nine participants and three key informants. Burns are commonly experienced as a disabling phenomenon, with the repercussions being experienced in the activities of daily living, finances, social roles, and social participation. We have noted, not only the changes in physical and emotional self but also the difficulty in accepting the changed self. Traversing and negotiating the fragmented healthcare system has been a baffling experience that is riddled with expensive, complex, and protracted treatment procedures. The uncertainty around the prognosis and treatment are sources of distress for the participants and their families. The paper concludes by indicating the need and scope for social work interventions in the lived experiences of adult burn survivors.

摘要

本文记录了长期烧伤患者所经历的生活变化和挑战,以及为这些患者提供的可用支持机制。这些经历来自于在孟买Navi 市一家领先的烧伤治疗机构进行的定性现象学研究,全国的人都可以在这里获得免费的非美容性矫正烧伤挛缩手术。对 9 名参与者和 3 名关键知情人进行了深入访谈。烧伤通常被视为一种致残现象,其影响体现在日常生活、财务、社会角色和社会参与等方面。我们不仅注意到身体和情绪自我的变化,还注意到接受变化了的自我的困难。在零碎的医疗保健系统中穿行和协商是一种令人困惑的经历,其中充斥着昂贵、复杂和漫长的治疗程序。预后和治疗的不确定性是参与者及其家人痛苦的根源。本文最后指出,在成人烧伤幸存者的生活经历中,需要并需要开展社会工作干预。

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