Tyerman Catherine, Shepherd Laura, De Boos Danielle, Tickle Anna
Doctorate of Clinical Psychology, School of Medicine, University of Nottingham, YANG Fujia Building, B Floor, Jubilee Campus, Wollaton Road, Nottingham, NG8 1BB, United Kingdom.
Nottingham University Hospitals NHS Trust, Department of Clinical Psychology & Neuropsychology, Queens Medical Centre Campus, Derby Road, Nottingham, NG7 2UH, United Kingdom.
Burns. 2022 Sep;48(6):1435-1444. doi: 10.1016/j.burns.2021.08.019. Epub 2021 Aug 27.
Physical changes to appearance caused by burn injuries can have significant psychological consequences. Medical tattooing is an intervention aimed at restoring appearance but little is known about the experiences of patients or the psychological impact of medical tattooing following burns. This study aimed to explore burn patients' psychological experiences of medical tattooing.
In-depth interviews were conducted with eight adult women who had experienced a burn injury and subsequently undergone medical tattooing.
Using interpretative phenomenological analysis (IPA) to analyse the verbatim transcripts of interviews, two subordinate themes ('Management of Hope' and 'The Medical Tattooing Process') and one superordinate theme ('Impact of Medical Tattooing: 'Normal-ish is Fantastic'') emerged, which were set within a broader context of another superordinate theme: 'Inner Conflict about Acceptability of Perceived Need'. The findings suggested that medical tattooing is experienced positively, may have positive psychological consequences, and may allow women to regain a sense of normality and an improved sense of being acceptable in society following burn injuries. Findings additionally highlighted a conflicting narrative of a pressure to conform to certain expectations of appearance, alongside a sense that a desire to meet these expectations may also not be viewed as important, acceptable or legitimate.
Medical tattooing may be a potentially valuable intervention psychologically, although support and information seem important and further research is required.
烧伤导致的外貌生理变化会产生重大的心理影响。医学纹身是一种旨在恢复外貌的干预措施，但对于患者的经历或烧伤后医学纹身的心理影响却知之甚少。本研究旨在探讨烧伤患者对医学纹身的心理体验。
对八名成年女性烧伤患者进行了深入访谈，这些患者随后接受了医学纹身。
运用解释现象学分析（IPA）对访谈的逐字记录进行分析，出现了两个从属主题（“希望的管理”和“医学纹身过程”）以及一个上级主题（“医学纹身的影响：‘有点正常就很棒’”），这些主题置于另一个上级主题的更广泛背景之中：“对感知需求可接受性的内心冲突”。研究结果表明，医学纹身带来的体验是积极的，可能会产生积极的心理影响，并且可能使女性在烧伤后重新获得正常感以及在社会中更易被接受的感觉。研究结果还突出了一种相互矛盾的观点，一方面存在符合某些外貌期望的压力，另一方面又感觉满足这些期望的愿望可能也不被视为重要、可接受或合理。
医学纹身可能在心理上是一种潜在的有价值的干预措施，尽管支持和信息似乎很重要，还需要进一步研究。
