«استیگما» چالش جدید در محیط بالینی در طول شیوع COVID-19: تجربیات کادر پزشکی

نوع مقاله : Original Article(s)

نویسندگان

1 دانشیار، گروه پرستاری مراقبت‌های ویژه، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی قزوین، قزوین، ایران

2 استادیار، گروه فوریت‌های پزشکی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی قزوین، قزوین، ایران

3 کارشناس پرستاری، بیمارستان شهید رجایی، دانشگاه علوم پزشکی قزوین، قزوین، ایران

4 عضو هیأت علمی گروه روان پرستاری دانشکده‌ی پرستاری مهاباد، دانشگاه علوم پزشکی ارومیه، ارومیه، ایران

5 کارشناس ارشد پرستاری مراقبت ویژه، دانشگاه علوم پزشکی البرز،کرج، ایران

چکیده

مقاله پژوهشی




مقدمه: بیماری‌های همه‌گیر و شیوع آن‌ها برای سلامتی انسان تهدید بزرگی به حساب می‌آید که منجر به اثرات سوء سلامت روان به دلیل بروز تغییرات شدید در زندگی می‌شود. این مطالعه با هدف کاوش در رابطه با تجربه‌ی استیگما در کادر پزشکی خط مقدم مبارزه با کرونا انجام شد.
روش‌ها: پژوهش کیفی حاضر به روش پدیدار‌شناسی هرمنیوتیک با تأکید بر روش ون مانن (van Manen's method) در مرکز آموزشی درمانی بوعلی سینای شهر قزوین، صورت گرفت. این پژوهش از اوایل آبان‌ماه تا اوایل بهمن‌ماه 1400 به طول انجامید، مشارکت‌کنندگان به شیوه‌ی نمونه‌گیری هدفمند تا رسیدن به مرحله‌ی اشباع داده‌ها، مورد مصاحبه قرار گرفتند.
یافته‌ها: مطالعه‌ی ما نشان داد که شرکت‌کنندگان، سه نوع استیگمای اجتماعی، وابستگان و استیگما به خود را تجربه کرده‌اند. ابتدا 190 کد استخراج شد و پس از کاهش، حذف و ادغام‌های صورت گرفته، 130 کد اولیه باقی ماند و در نهایت با تجزیه و تحلیل اطلاعات 8 طبقه، 63 زیر‌طبقه و 4 درون مایه «استیگما خود، استیگما اجتماعی، استیگما وابستگان و سازگاری با استیگما» استخراج گردید.
نتیجه‌گیری: مشارکت‌کنندگان در مطالعه به کاهش همکاری در محیط کار به دلیل مواجهه کمتر با بیماران مبتلا به کووید و همچنین تغییرات در خلق همانند ایجاد ترس، استرس، اضطراب و خشم و کاهش اعتماد به نفس و احساس شرم و غیره ناشی از استیگما اشاره کردند.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Stigma" A New Challenge in the Clinical Environment during the Outbreak of COVID-19: Experiences of Medical Staff

نویسندگان [English]

  • Leili Yekefallah 1
  • Peyman Namdar 2
  • Narges Hosseini 3
  • Kamal Ebrahimi 4
  • Sareh Mohammadi 5
1 Associate Professor, Department of Intensive Care Nursing, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
2 Assistant Professor, Department of Emergency Medicine, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran
3 Nursing Expert, Shahid Rajaei Hospital, Qazvin University of Medical Sciences, Qazvin, Iran
4 Instructor of Psychiatric Nursing, Mahabad School of Nursing, Urmia University of Medical Sciences, Urmia, Iran
5 Master of Intensive Care Nursing, Alborz University of Medical Sciences, Karaj, Iran
چکیده [English]

Background: Epidemic diseases and their spread pose a significant threat to human health, leading to adverse mental health effects due to the occurrence of severe changes in life, this study aims to explore the experience of stigma among medical staff on The frontline of the fight against COVID-19.
Methods: The present qualitative research was conducted using the hermeneutic phenomenological method, emphasizing Van Manen's method at the Bo Ali Sina therapeutic training center in Qazvin city. The study was conducted from November 2021 to February 2022, the participants were interviewed through purposeful sampling method until data saturation stage was reached.
Findings: The study showed that the participants experienced three types of social stigma, dependent and self-stigma. Initially, 190 codes were extracted, and after reduction, elimination, and mergers, 130 initial codes remained finally, by analyzing the information, 8 classes, 63 sub-classes, and 4 within the topic of "own stigma, social stigma, the stigma of family and compatibility with the stigma It was extracted.
Conclusion: The study’s participants pointed out a reduction in cooperation in the workplace due to less exposure to COVID patients, as well as changes in mood such as fear, stress, anxiety, and anger, and a decrease in self-confidence and feeling of shame, etc., caused by stigma.

کلیدواژه‌ها [English]

  • COVID-19
  • Medical staff
  • Self-confidence
  • Shame
  • Social stigma

مراجع

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مجله دانشکده پزشکی اصفهان
دوره 41، شماره 712
هفته 4 اردیبهشت
فروردین و اردیبهشت 1402
صفحه 188-195

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