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A Template Thematic Analysis of Self‐Concept and Self‐Compassion in People Living With Endometriosis: Analysis of Qualitative Survey Responses
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-12-02 , DOI: 10.1111/jan.16645
Kristi Mazalin, Subhadra Evans, Leesa Van Niekerk

AimsTo explore the influence of endometriosis on an individual's self‐concept and the potential applicability of self‐compassion in addressing alterations to self‐concept.DesignQualitative deductive template analysis study.MethodsWritten reflections completed by women (n = 157) with a self‐reported diagnosis of endometriosis were reviewed using a deductive template approach to gain an understanding of how people living with endometriosis view themselves in the face of the diagnosis.ResultsUtilising Neff's (2003) definition of self‐compassion, a series of themes emerged, with a higher number of reflections noted for each of the negative components of self‐compassion (self‐judgement, isolation, overidentification). Themes associated with negative changes to self‐concept centred around reflections of inadequacy, self‐blame, loneliness, withdrawal and avoidance, feeling misunderstood and judged by others, feeling like a burden and emotional suppression and numbing.ConclusionsEndometriosis influences three core domains of self‐concept for the person (personal, social and physical). These findings indicate that the components of self‐compassion therapy may be of relevance for healthcare providers in addressing the alterations to self‐concept experience by individuals living with endometriosis.Implications for Patient CareThis study supports the need for access to timely diagnosis and interdisciplinary care to buffer against the negative consequences for self‐concept. Nurses and allied healthcare professionals can use these findings to provide compassion‐focused care, with an emphasis on self‐kindness, common humanity and mindfulness for individuals with endometriosis.ImpactThis lived experience research highlights the influence of endometriosis on the personal, social and physical components of self‐concept, indicating a critical need to address self‐concept as part of endometriosis‐related treatment. Alterations to self‐concept may emphasise negative perpetuating cognitions and reinforce isolation, suppression of personal needs and self‐silencing.Patient or Public ContributionNo patient or public contribution.

中文翻译:


子宫内膜异位症患者自我概念和自我同情的模板主题分析:定性调查回答分析



目的探讨子宫内膜异位症对个人自我概念的影响以及自我同情在解决自我概念改变方面的潜在适用性。设计定性演绎模板分析研究。方法使用演绎模板方法回顾自我报告诊断为子宫内膜异位症的女性 (n = 157) 完成的书面反思,以了解子宫内膜异位症患者在面对诊断时如何看待自己。结果利用 Neff (2003) 对自我同情的定义,出现了一系列主题,对于自我同情的每个消极成分(自我评判、孤立、过度认同),都注意到了更多的反思。与自我概念的消极变化相关的主题集中在对不足、自责、孤独、退缩和逃避、感觉被他人误解和评判、感觉像个负担以及情绪压抑和麻木的反思。结论子宫内膜异位症影响个人自我概念的三个核心领域(个人、社会和身体)。这些发现表明,自我同情疗法的组成部分可能与医疗保健提供者在解决子宫内膜异位症患者对自我概念体验的改变相关。对患者护理的影响本研究支持需要获得及时诊断和跨学科护理,以缓冲对自我概念的负面影响。护士和联合医疗保健专业人员可以利用这些发现来提供以同情心为中心的护理,重点是子宫内膜异位症患者的自我善良、共同的人性和正念。影响这项生活经验研究强调了子宫内膜异位症对自我概念的个人、社会和身体组成部分的影响,表明迫切需要将自我概念作为子宫内膜异位症相关治疗的一部分来解决。自我概念的改变可能会强调消极的永恒认知,并加强孤立、压制个人需求和自我沉默。患者或公众捐款没有患者或公众捐款。
更新日期:2024-12-02
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