The Process of Developing Resilience in Patients With Burn Injuries

10.1097/jnr.0000000000000342

Jing HAN；Xue-Ping ZHOU；Jun-E LIU；Peng YUE；Li GAO

burn ； resilience ； psychological rehabilitation ； grounded theory

The Journal of Nursing Research

28卷1期（2020 / 02 / 01）

1 - 8-013

英文

Background: Patients with burn injuries resulting in visible disabilities may face negative emotional experiences during rehabilitation. Understanding the development of resilience in these patients may help those who are seeking methods to better adapt to their new situation. Purpose: This study aimed to explore the development of resilience in patients with burns during their convalescence. Methods: Ten patients with burn injuries who were convalescing in a general hospital in China were recruited and enrolled as participants. Data were collected using recorded, semistructured in-depth interviews and analyzed following the principles of grounded theory. Results: The development of resilience in patients with burns included five stages of ＂black hole,＂ ＂introspection,＂ ＂integration,＂ ＂practice,＂ and ＂growth.＂ Both internal and external protective factors were identified. The internal protective factors included hope, sincerity, will, belief, and curiosity, and the external protective factor was mutual relationships that reflected the qualities of caring, support, sharing, commitment, and intimacy. Conclusions: Resilience was achieved gradually over several progressive steps through the five stages (black hole, introspection, integration, practice, and growth). The results of this research may provide insights and support to patients who seek to improve their adaptation to new situations.

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