中华护理杂志 ›› 2024, Vol. 59 ›› Issue (3): 362-370.DOI: 10.3761/j.issn.0254-1769.2024.03.016
冯琦凡(), 涂发妹(), 吴季敏, 刘萍萍, 刘佳晨, 张思易, 张鑫
收稿日期:
2023-02-24
出版日期:
2024-02-10
发布日期:
2024-02-02
通讯作者:
涂发妹,E-mail:Tufamei@126.com作者简介:
冯琦凡:女,本科(硕士在读),护士,E-mail:fqf767194587@163.com
基金资助:
FENG Qifan(), TU Famei(), WU Jimin, LIU Pingping, LIU Jiachen, ZHANG Siyi, ZHANG Xin
Received:
2023-02-24
Online:
2024-02-10
Published:
2024-02-02
摘要:
目的 系统评价与整合烧伤患者身体意象心理体验和感受的相关质性研究,为临床制订有针对性的干预措施提供参考依据。方法 计算机检索中国知网、万方数据库、维普中文科技期刊数据库、中国生物医学文献服务系统、PubMed、Web of Science、Embase、Medline、Cochrane Library、PsycINFO、Scopus数据库。收集从建库至2022年12月关于烧伤患者身体意象体验的相关质性研究。采用2016版澳大利亚乔安娜布里格斯研究所循证卫生保健中心的质性研究质量评价标准对纳入文献进行质量评价,汇集性整合法整合文献结果。结果 共纳入12篇文献,提炼出40个研究结果,最终汇总成4个整合结果:烧伤患者面对身体意象改变的多元创伤感知、烧伤患者面对身体意象改变的积极探索和消极应对、情感信息需求及创伤后成长。结论 烧伤患者存在多方面身体意象问题,阻碍患者回归正常生活,医护人员应及时关注患者的身心状态,识别身体意象障碍,协助家庭满足情感需求,帮助患者自我调适,促其良性转归。
冯琦凡, 涂发妹, 吴季敏, 刘萍萍, 刘佳晨, 张思易, 张鑫. 烧伤患者身体意象体验质性研究的Meta整合[J]. 中华护理杂志, 2024, 59(3): 362-370.
FENG Qifan, TU Famei, WU Jimin, LIU Pingping, LIU Jiachen, ZHANG Siyi, ZHANG Xin. The experience of body image experience in burn patients:a meta-synthesis of qualitative studies[J]. Chinese Journal of Nursing, 2024, 59(3): 362-370.
[1] | James SL, Lucchesi LR, Bisignano C, et al. Epidemiology of in-juries from fire,heat and hot substances:global,regional and national morbidity and mortality estimates from the global burden of disease 2017 study[J]. Inj Prev, 2020, 26(Suppl 1):i36-i45. |
[2] |
Chen L, He X, Xian J, et al. Development of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes[J]. Sci Rep, 2021, 11(1):9374.
DOI PMID |
[3] | Van Baar ME. Epidemiology of scars and their consequences:burn scars.//Téot L,Mustoe TA,Middelkoop E,Gauglitz GG,eds.Textbook on scar management:state of the art management and emerging technologies[M]. Cham(CH):Springer, 2020:37-43. |
[4] |
Lawrence JW, Fauerbach JA, Heinberg L, et al. Visible vs hidden scars and their relation to body esteem[J]. J Burn Care Rehabil, 2004, 25(1):25-32.
PMID |
[5] | Cash TF, Pruzinsky T. Body image:a handbook of theory,research, and clinical practice[M/OL]. (2006-08-23)[2023-05-16]. https://www.tandfonline.com/doi/abs/10.1080/10640260390218738. |
[6] |
Huang YK, Su YJ. Burn severity and long-term psychosocial adjustment after burn injury:the mediating role of body image dissatisfaction[J]. Burns, 2021, 47(6):1373-1380.
DOI URL |
[7] | 庄园, 陈昊洋, 吴炀杨, 等. 烧伤病人身体形象障碍研究进展[J]. 护理研究, 2021, 35(20):3677-3680. |
Zhuang Y, Chen HY, Wu YY, et al. Research progress on body image disorder of burn patients[J]. Chin Nurs Res, 2021, 35(20):3677-3680. | |
[8] |
Cleary M, Kornhaber R, Thapa DK, et al. A quantitative systematic review assessing the impact of burn injuries on body image[J]. Body Image, 2020, 33:47-65.
DOI PMID |
[9] |
Lockwood C, Munn Z, Porritt K. Qualitative research synthesis:methodological guidance for systematic reviewers utilizing meta-aggregation[J]. Int J Evid Based Healthc, 2015, 13(3):179-187.
DOI URL |
[10] |
Connell KM, Coates R, Wood FM. Burn injuries lead to behavioral changes that impact engagement in sexual and social activities in females[J]. Sex Disabil, 2015, 33(1):75-91.
DOI URL |
[11] |
Cristall N, Kohja Z, Gawaziuk JP, et al. Narrative discourse of burn injury and recovery on peer support websites:a qualitative analysis[J]. Burns, 2021, 47(2):397-401.
DOI PMID |
[12] |
Dekel B, Van Niekerk A. Women’s recovery,negotiation of appearance,and social reintegration following a burn[J]. Burns, 2018, 44(4):841-849.
DOI URL |
[13] |
Giordano MS. CE:original research:the lived experience of social media by young adult burn survivors[J]. Am J Nurs, 2016, 116(8):24-32.
DOI PMID |
[14] |
Hodder K, Chur-Hansen A, Parker A. A thematic study of the role of social support in the body image of burn survivors[J]. Health Psychol Res, 2014, 2(1):1196.
DOI PMID |
[15] |
Hunter TA, Medved MI, Hiebert-Murphy D, et al. Put on your face to face the world:women’s narratives of burn injury[J]. Burns, 2013, 39(8):1588-1598.
DOI PMID |
[16] |
Jones BA, Buchanan H, Harcourt D. The experiences of older adults living with an appearance altering burn injury:an ex-ploratory qualitative study[J]. J Health Psychol, 2017, 22(3):364-374.
DOI URL |
[17] |
Kornhaber R, Wilson A, Abu-Qamar MZ, et al. Coming to terms with it all:adult burn survivors’ lived experience of acknowledgement and acceptance during rehabilitation[J]. Burns, 2014, 40(4):589-597.
DOI PMID |
[18] |
Lehna C. Childhood burn survivors’ and their siblings’ perceptions of their body image[J]. J Pediatr Nurs, 2015, 30(1):117-125.
DOI URL |
[19] | McLean LM, Rogers V, Kornhaber R, et al. The patient-body relationship and the lived experience of a facial burn injury:a phenomenological inquiry of early psychosocial adjustment[J]. J Multidiscip Healthc, 2015, 8:377-387. |
[20] |
Ren Z, Chang WC, Zhou Q, et al. Recovery of lost face of burn patients,perceived changes,and coping strategies in the rehabilitation stage[J]. Burns, 2015, 41(8):1855-1861.
DOI URL |
[21] |
Thakrar S, Hunter TA, Medved MI, et al. Men,fire,and burns:stories of fighting,healing,and emotions[J]. Burns, 2015, 41(8):1664-1673.
DOI PMID |
[22] |
Hemmati Maslakpak M, Ajoudani F, Lotfi M, et al. Burn self-stigma:a hybrid concept analysis[J]. Burns, 2022, 48(6):1405-1416.
DOI URL |
[23] | 李琳, 吴晓蕾, 许乐. 烧伤患者出院后伤残接受度及其影响因素[J]. 解放军护理杂志, 2018, 35(3):1-6. |
Li L, Wu XL, Xu L. Acceptance of disability in patients with burns after discharge and its influencing factors[J]. Nurs J Chin PLA, 2018, 35(3):1-6. | |
[24] |
Ajoudani F, Jasemi M, Lotfi M. Social participation,social support,and body image in the first year of rehabilitation in burn survivors:a longitudinal,three-wave cross-lagged panel analysis using structural equation modeling[J]. Burns, 2018, 44(5):1141-1150.
DOI PMID |
[25] | 赵瑾, 叶怡, 庄园, 等. 老年烧伤患者心理状况多维度调查及影响因素分析[J]. 国际老年医学杂志, 2022, 43(1):31-35. |
Zhao J, Ye Y, Zhuang Y, et al. Multi-dimensional survey and analysis of influential factors of the psychological states in older burn patients[J]. Int J Geriatr, 2022, 43(1):31-35. | |
[26] | 成荫, 陈书燕, 赵威威, 等. 自动思维在抑郁症患者自我怜悯和心理痛苦间的中介作用[J]. 中华护理杂志, 2022, 57(18):2192-2197. |
Cheng Y, Chen SY, Zhao WW, et al. Mediating effect of automatic thoughts on the relationship between self-compassion and mental pain in patients with depression[J]. Chin J Nurs, 2022, 57(18):2192-2197. | |
[27] | Seyedoshohadaee M, Khachian A, Seyedfatemi N, et al. The effect of short-term training course by nurses on body image in patients with burn injuries[J]. World J Plast Surg, 2019, 8(3):359-364. |
[28] |
Ozdemir A, Saritas S. Effect of yoga nidra on the self-esteem and body image of burn patients[J]. Complement Ther Clin Pract, 2019, 35:86-91.
DOI URL |
[29] |
姚芡芡, 蒲树英, 白阳娟, 等. 头颈癌患者身体意象体验质性研究的系统评价[J]. 中华护理杂志, 2021, 56(12):1860-1867.
DOI |
Yao QQ, Pu SY, Bai YJ, et al. A meta-synthesis of body image experience in patients with head and neck cancer[J]. Chin J Nurs, 2021, 56(12):1860-1867.
DOI |
|
[30] |
Mercado AE, Donthula D, Thomas JE, et al. Mediators and moderators of the relationship between body image and community integration among burn survivors[J]. Burns, 2022, 48(4):932-940.
DOI URL |
[31] |
张明, 穆妍, 章玉琪, 等. 污名化对被污名个体人际互动的影响[J]. 心理科学进展, 2020, 28(9):1564-1574.
DOI |
Zhang M, Mu Y, Zhang YQ, et al. The effect of stigmatization on interpersonal interactions of stigmatized individuals[J]. Adv Psychol Sci, 2020, 28(9):1564-1574.
DOI |
|
[32] |
朱飘飘, 谭惠仪. 同伴支持在烧伤患者康复中的应用进展[J]. 中华护理杂志, 2019, 54(9):1410-1414.
DOI |
Zhu PP, Tan HY. Application of peer support in rehabilitation of burn patients[J]. Chin J Nurs, 2019, 54(9):1410-1414. | |
[33] | 李茜, 宗鑫, 贺亭亭, 等. 自我决定理论的康复干预模式对重症烧伤患者心理状况、功能恢复及生活质量的影响[J]. 中国健康心理学杂志, 2020, 28(7):1004-1008. |
Li Q, Zong X, He TT, et al. Effects of rehabilitation intervention mode based on self-determination theory on psychological status,functional recovery and quality of life of patients with severe burns[J]. China J Health Psychol, 2020, 28(7):1004-1008. |
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