Hemmati Maslakpak Masumeh, Ajoudani Fardin, Lotfi Mojgan, Alinejad Vahid
Maternal and Childhood Obesity Research Centre, Urmia University of Medical Sciences, Urmia, Iran.
School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
Burns. 2022 Sep;48(6):1405-1416. doi: 10.1016/j.burns.2021.11.007. Epub 2021 Nov 16.
As burn self-stigma has not been addressed fully, the purpose of current study is to analyze dimensions of the concept using literature and lived experiences in burn survivors.
Using hybrid concept analysis method, we investigated self-stigma in three phases (i.e. theoretical, fieldwork, and final analytical phase). In the first phase we reviewed the literature using PubMed, SCOPUS, Web of Science, Cochrane Library, OVID, SID and Google Scholar. Thirteen semi-structured interviews with burn survivors were conducted during the fieldwork phase. Two extra interviews with health care providers were undertaken for the aim of data triangulation. Textual content analysis and inductive content analysis were used to analyze the data of the first and second phases of this study, respectively. The findings of both phases were combined in the final analytical phase and a comprehensive definition was emerged.
We assigned all our findings into three content areas (i.e. antecedents, properties and consequences), which are dimensions of self-stigma. In final analytical phase antecedent, properties and consequences of the concept were formed in one (society's misconception about burns), three (negative definition of self, emotional responses, and behavioral responses), and three (negative individual effects, negative social effects, and negative familial effects) categories, respectively. Based on these categories and their corresponding subcategories, a comprehensive definition of the concept was presented.
Burn self-stigma is a state in which burn survivors experience unfavorable thoughts and feelings about themselves as a result of society's misconceptions about them. They give emotional and behavioral responses that define them in a negative way. In the end, the burn survivor's individual, familial, and social dimensions are significantly impacted.
由于烧伤自我污名尚未得到充分解决，本研究旨在利用文献和烧伤幸存者的亲身经历来分析该概念的维度。
采用混合概念分析法，分三个阶段（即理论阶段、实地调研阶段和最终分析阶段）对自我污名进行研究。在第一阶段，我们使用PubMed、SCOPUS、科学网、考克兰图书馆、OVID、SID和谷歌学术搜索等数据库对文献进行了综述。在实地调研阶段，我们对13名烧伤幸存者进行了半结构化访谈。为了进行数据三角验证，我们还对医疗服务提供者进行了另外两次访谈。本研究的第一阶段和第二阶段的数据分别采用文本内容分析和归纳内容分析进行分析。在最终分析阶段，将两个阶段的研究结果相结合，得出了一个全面的定义。
我们将所有研究结果归入三个内容领域（即前因、属性和后果），这三个领域是自我污名的维度。在最终分析阶段，该概念的前因、属性和后果分别形成了一个类别（社会对烧伤的误解）、三个类别（自我的负面定义、情绪反应和行为反应）和三个类别（对个人的负面影响、对社会的负面影响和对家庭的负面影响）。基于这些类别及其相应的子类别，我们给出了该概念的全面定义。
烧伤自我污名是一种状态，在这种状态下，烧伤幸存者由于社会对他们的误解而对自己产生不利的想法和感受。他们会给出负面定义自己的情绪和行为反应。最终，烧伤幸存者的个人、家庭和社会层面都会受到显著影响。
