“我被困在我的身体”:对青少年特发性脊柱侧凸支架治疗期间身体体验的定性探索。

IF 2.3 4区 医学 Q2 NURSING
Marit Fure, Kristine Risum, Lena Fauske, Hedda Eik
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引用次数: 0

摘要

目的:青少年特发性脊柱侧凸(AIS)是一种脊柱畸形,通常需要长期支具来防止脊柱弯曲的进展。然而,支撑会影响青少年生活的几个方面。本研究探讨青少年AIS患者在接受支架治疗时的身体体验。方法:采用深度访谈法对13名佩戴支具6个月以上的青少年进行探索性质的研究。访谈探讨了青少年脊柱侧凸的经历,以及支架对日常生活的影响。通过体现现象学概念的反身性主题分析来分析数据。结果:在分析中确定了三个主题。首先是被抑制的身体,青少年描述了被支架限制的感觉,这限制了身体活动和社会互动。它的僵化阻碍了行动和参与。第二,异化的身体,佩戴支架导致异化和自我意识。青少年在身体形象上挣扎,害怕负面反馈,把支架藏在过大的衣服里。第三,纪律严明的机构,在这方面很难采纳令人振奋的建议。青少年在社交和学校活动中平衡了所需的时间,经常感到内疚和沮丧。结论:需要一个整体的方法来解决支具治疗的身体和情感挑战,并支持青少年的整体健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"I am trapped in my body": a qualitative exploration of bodily experiences during brace treatment among adolescents with idiopathic scoliosis.

Purpose: Adolescent idiopathic scoliosis (AIS) is a spinal deformity that often requires long-term bracing to prevent the progression of spinal curvature. However, bracing impacts several aspects of adolescents' lives. This study explores the bodily experiences of adolescents with AIS while receiving brace treatment.

Methods: An exploratory qualitative study was conducted through in-depth interviews with 13 adolescents who had worn a brace for at least 6 months. The interviews explored adolescents' experiences of scoliosis, and the brace's impact on daily life. Data were analysed via reflexive thematic analysis informed by the phenomenological concept of embodiment.

Results: Three main themes were identified in the analysis. First, the inhibited body, where adolescents described feeling restricted by the brace, which limiting physical activities and social interactions. Its rigidity hindered movement and participation. Second, the alienated body, where wearing a brace led to alienation and self-consciousness. Adolescents struggled with body image and feared negative feedback, and hid their brace under oversized clothing. Third, the disciplined body, where following bracing recommendations was difficult. Adolescents balanced required hours with social and school activities, often feeling guilt and frustration.

Conclusions: A holistic approach is required to address the physical and emotional challenges of brace treatment and support adolescents' overall well-being.

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来源期刊
CiteScore
3.20
自引率
5.60%
发文量
99
审稿时长
14 weeks
期刊介绍: International Journal of Qualitative Studies on Health and Well-being acknowledges the international and interdisciplinary nature of health-related issues. It intends to provide a meeting-point for studies using rigorous qualitative methodology of significance for issues related to human health and well-being. The aim of the International Journal of Qualitative Studies on Health and Well-being is to support and to shape the emerging field of qualitative studies and to encourage a better understanding of all aspects of human health and well-being.
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