Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Department of Operating Room, School of Allied Medical Science, Tehran University of Medical Sciences, Tehran, Iran.
Sci Rep. 2024 Jan 19;14(1):1707. doi: 10.1038/s41598-023-50115-2.
People with chronic disability and uncontrollable long-term complications following hip fracture have characterist.ics that may predispose them to social death. Continuous physical disability can have negative physical, psychological, and social consequences in these patients. To design care interventions for preventing and controlling social death, it is essential to identify the dimensions and characteristics of this process. Therefore, the present study aimed to explain the process of social death in hip fracture patients. In this study, which was conducted using a grounded theory approach, 20 patients were selected with maximum diversity and 9 professional and non-professional caregivers also through purposive sampling followed by theoretical sampling. Data were collected through semi-structured in-depth interviews, field notes, and observations. Data were analyzed using the approach proposed by Corbin and Strauss in stages including data analysis for concepts and their dimensions and characteristics, the context, process extraction, and integration of the categories. One core category and 16 main categories, which consisted of 55 subcategories and 212 primary concepts, were extracted. The results showed that the core process of social death in hip fracture is an intentional self-destruction for getting liberated from the conditions of the illness and the disrupted social life after the fracture, which ultimately leads to outcomes such as isolation-seeking and death ideations in these patients. The core category of liberating self-destruction reflects the close relationship between the context, process, and outcomes of social death. The process of social death is social, multidimensional, and complex. So far, no explanatory theory has been presented for this group of patients. Therefore, the results of this study can play an important role in designing helpful interventions for preventing, modifying, and changing the phenomenon of social death.
慢性残疾和髋部骨折后无法控制的长期并发症的患者具有某些特征,这些特征可能使他们面临社会死亡。持续的身体残疾会给这些患者带来负面的身体、心理和社会后果。为了设计预防和控制社会死亡的护理干预措施,必须确定这一过程的维度和特征。因此,本研究旨在解释髋部骨折患者社会死亡的过程。在这项使用扎根理论方法的研究中,我们选择了 20 名具有最大多样性的患者,以及 9 名专业和非专业护理人员,通过目的抽样,随后进行理论抽样。通过半结构化深入访谈、现场记录和观察收集数据。数据采用 Corbin 和 Strauss 提出的方法进行分析,包括对概念及其维度和特征、背景、过程提取和类别整合进行数据分析。提取出一个核心类别和 16 个主要类别,包括 55 个子类别和 212 个主要概念。研究结果表明,髋部骨折患者社会死亡的核心过程是一种有意的自我毁灭,目的是摆脱疾病的状况和骨折后混乱的社会生活,最终导致这些患者出现孤立和死亡意念等结果。核心类别“自我毁灭的解放”反映了社会死亡的背景、过程和结果之间的密切关系。社会死亡的过程是社会的、多维的和复杂的。到目前为止,还没有针对这组患者的解释性理论。因此,本研究的结果可以在设计预防、改变和改变社会死亡现象的有帮助的干预措施方面发挥重要作用。