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首页> 外文期刊>Journal of Multidisciplinary Healthcare >The patient–body relationship and the 'lived experience' of a facial burn injury: a phenomenological inquiry of early psychosocial adjustment
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The patient–body relationship and the 'lived experience' of a facial burn injury: a phenomenological inquiry of early psychosocial adjustment

机译：病人与人的关系和面部烧伤的“生活经历”：早期心理社会适应的现象学探究

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Background: Throughout development and into adulthood, a person's face is the central focus for interpersonal communication, providing an important insight into one's identity, age, sociocultural background, and emotional state. The face facilitates important social, including nonverbal, communication. Therefore, sustaining a severe burn, and in particular a facial burn, is a devastating and traumatizing injury. Burn survivors may encounter unique psychosocial problems and experience higher rates of psychosocial maladjustment, although there may be a number of potentially mediating factors. Objectives: The purpose of this phenomenological study was to examine the early recovery experience of patients with a facial burn. In particular, this study focused on how the injury impacted on the participants’ relationship with their own body and the challenges of early psychosocial adjustment within the first 4 months of sustaining the injury. Methods: In 2011, six adult participants encompassing two females and four males ranging from 29 to 55 years of age with superficial to deep dermal facial burns (with background burns of 0.8%–55% total body surface area) were recruited from a severe burn injury unit in Australia for participation in a Burns Modified Adult Attachment Interview. Narrative data were analyzed thematically and informed by Colaizzi's method of data analysis. Results: Three overarching themes emerged: relationship to self/other, coping, and meaning-making. Themes identified related to how the experience affected the participants’ sense of relationship with their own bodies and with others, as well as other challenges of early psychosocial adjustment. All participants indicated that they had experienced some early changes in their relationship with their body following their burn injury. Conclusion: These findings highlight the struggle burn survivors experienced with postburn adjustment, but expressed altruism and optimism around their recovery. Past trauma was observed to be a significant finding in this sample. Understanding the “lived experience” supports the way clinical and family systems can foster positive adjustment and coping. Consequently, multidisciplinary burn teams and health care professionals need to understand the principles of trauma-informed care and translate these into practice in the treatment of this group of patients.
机译：背景：在整个发展过程中以及成年后，人的脸都是人际交往的重点，它提供了一个人的身份，年龄，社会文化背景和情绪状态的重要见识。面部可以促进重要的社交交流，包括非语言交流。因此，承受严重的烧伤，特别是面部烧伤，是毁灭性的和创伤性的伤害。尽管可能存在许多潜在的调解因素，但烧伤幸存者可能会遇到独特的社会心理问题，并遭受较高的社会心理失调。目的：这项现象学研究的目的是检查面部烧伤患者的早期康复经验。这项研究尤其着重于伤害如何影响参与者与自己身体的关系，以及在伤害持续的头4个月内及早进行心理社会调整的挑战。方法：2011年，从严重烧伤中招募了六名成人受试者，包括29岁至55岁的两名女性和四名男性，年龄范围为浅表至深层皮肤面部烧伤（背景烧伤占全身表面积的0.8％– 55％）。澳大利亚的伤害部门，参加“烧伤成年恋人访谈”。叙述性数据经过主题分析，并通过Colaizzi的数据分析方法提供信息。结果：出现了三个总体主题：与自我/他人的关系，应对和意义创造。确定的主题与经历如何影响参与者与自己的身体和他人的关系感以及早期心理社会适应的其他挑战有关。所有参与者均表示，烧伤后他们与身体的关系发生了一些早期变化。结论：这些发现突出了烧伤幸存者在烧伤后适应方面所经历的挣扎，但对他们的康复表示无私和乐观。观察到过去的创伤是该样本中的重要发现。了解“经验”将支持临床和家庭系统可以促进积极调整和应对的方式。因此，多学科的烧伤小组和医疗保健专业人员需要了解创伤知情治疗的原理，并将其转化为治疗此类患者的实践。

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