The main concern of burn survivors in Iran

Vahid Zamanzadeh, Lila Valizadeh, Mojgan Lotfi, Feridoon Salehi, Assef Khalili


Background: The present work was conducted to study the burn patients’ experiences to get an insight into their main concerns when they suffer the tragic event, recover from it, and adjust back in the society, so that better rehabilitation programs can be planned corresponding to their needs as well as to the needs of the society and the existing situations.

Materials and Methods: In this qualitative study, 17 burn survivors were enrolled. Unstructured interviews were used for data collection. All the interviews were recorded, transcribed, and analyzed using qualitative content analysis method.

Results: Based on the existing elements of the explicit textual meanings, two categories of threat and disturbance were formed. The category of “threat” was extracted from the following five subcategories: (a) Threat to physical life; (b) threat to the process of living; (c) psychological threat; (d) spiritual threat; and (e) social threat. The category of “disturbance” was extracted from the following three subcategories: (a) Sensory disturbance: Suffering pain; (b) self-concept disturbance; and (c) behavioral disturbance.

Conclusions: Burn survivors experience severe pain, enduring and suffering in their daily activities after burn. Passing through these difficult trajectories is perceived as a threat and disturbance in self-integrity.

Key words: Burn, Iran, qualitative research, survivors


Burn; Iran; qualitative research; survivors

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Peck MD. Epidemiology of burns throughout the world. Part I: Distribution and risk factors. Burns 2011;37:1087‑100.

Mohammadi R, Ekman R, Svanström L, Gooya MM. Unintentional home‑related injuries in the Islamic Republic of Iran: Findings from the first year of a national programme. Public health 2005;119:919‑24.

Othman N, Kendrick D. Epidemiology of burn injuries in the East Mediterranean Region: A systematic review. BMC Public Health 2010;10:83.

Salimzadeh H, Ardeshir Larijani F, Abedian S, Kalantar Motamedi SM, Malekzadeh MM, Mohaghegh H, et al. The trend of national and sub‑national burden of gastrointestinal and liver diseases in Iran 1990 to 2013; study protocol. Arch Iran Med 2014;17:33‑53.

Cohen SS. Trauma Nursing Secrets Philadelphia. Pennsylvania: Hanley and Belfus; 2003. p.115‑25.

Shirkhoda M, Far KK, Narouie B, Shikhzadeh A, Rad GM, Bojd HH. Epidemiology and evaluation of 1073 burn patients in the southeast of Iran. Shiraz E Medical Journal 2011;12:11‑21.

Bahar M, Panahi A, Ahmadian A. Burning, Psychiatric Symptom and Psychosocial Intervention. The 2nd Internatinal Theran Burn Symposium. Tehran: Iran medical sciences university: 2014. p. 32‑3

Ganjaee S, Fatemi M, Kamrani A. Quality of Life in Patients with Burn Injuries after Discharge from the Shahid Motahari hospital in 1392. The 2nd Internatinal Theran Burn Symposium. Theran: Iran medical sciences university; 2014. p. 52‑3.

Zamanzadeh V, Valizadeh L, Lotfi M, Salehi F. Burn survivors’ experience of core outcomes during return to life: A qualitative study. J Caring Sci 2014;3:227‑37.

Rahzani K, Taleghani F, Nikbakht Nasrabadi A. Disfiguring burns and the experienced reactions in Iran: Consequences and strategies‑‑a qualitative study. Burns 2009;35:875‑81.

Wiechman SA. Psychosocial recovery, pain, and itch after burn injuries. Phys Med Rehabil Clin N Am 2011;22:327‑45, vii.

Dyster‑Aas J, Willebrand M, Wikehult B, Gerdin B, Ekselius L. Major depression and posttraumatic stress disorder symptoms following severe burn injury in relation to lifetime psychiatric morbidity. J Trauma 2008;64:1349‑56.

Ferrell BR, Coyle N. The Nature of Suffering and the Goals of Nursing. Oncol Nurs Forum 2008;35:241‑7.

Conrad P, Barker KK. The social construction of illness: Key insights and policy implications. J Health Soc Behav 2010;51(Suppl):S67‑79.

Rashidinejad M, Karimi A, Jafarpoor M, Mohammadi M. Psychosocial problems of clients suffering from burn deformities. Iran J Nursing 2001;13:44‑9.

Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs 2008;62:107‑15.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24:105‑12.

Kishman MC. The Lived Experience of Adolescents with Burn Injuries: [Dissertation]. Cincinnati, Ohio, USA: University of Cincinnati; 2004.

Viazzoli C. Adult burn patients in the post‑hospitalization phase of recovery: A Discussion of Psychotherapy Treatment Guidelines for Psychologists: [Dissertation]. San Francisco Bay: Alliant International University, California School of Professional Psychology; 2002.

Kowal‑Vern A, Sharp‑Pucci MM, Walenga JM, Dries DJ, Gamelli RL. Trauma and thermal injury: Comparison of hemostatic and cytokine changes in the acute phase of injury. J Trauma 1998;44:325‑9.

Deitch EA, Ananthakrishnan P, Cohen DB, Xu da Z, Feketeova E, Hauser CJ. Neutrophil activation is modulated by sex hormones after trauma‑hemorrhagic shock and burn injuries. Am J Physiol

Heart Circ Physiol 2006;291:H1456‑65.

Esfahlan AJ, Lotfi M, Zamanzadeh V, Babapuor J. Burn pain and patients’ responses. Burns 2010;36:1129‑33.

Procter F. Rehabilitation of the burn patient. Indian J Plast Surg 2010;43(Suppl):S101‑13.

Willebrand M, Kildal M, Andersson G, Ekselius L. Long‑term assessment of personality after burn trauma in adults. J Nerv Ment Dis 2002;190:53‑6.

Brewin CR, Andrews B, Valentine JD. Meta‑analysis of risk factors for posttraumatic stress disorder in trauma‑exposed adults. J Consult Clin Psychol 2000;68:748‑66.

Sacks OW. The Man who Mistook his Wife for a Hat: And Other Clinical Tales. United States: Simon and Schuster; 1998. p. 100‑50.

Leblebici B, Adam M, Bağiş S, Tarim AM, Noyan T, Akman MN, et al. Quality of life after burn injury: The impact of joint contracture. J Burn Care Res 2006;27:864‑8.

Noyes R Jr, Kletti R. The experience of dying from falls. Omega (Westport) 1972;3:45‑52.

Lupton D. Medicine as Culture: Illness, Disease and the Body. London: SAGE Publications Ltd.; 2012. p. 180‑200.

Wiechman Askay S, Magyar‑Russell G. Post‑traumatic growth and spirituality in burn recovery. Int Rev Psychiatry 2009;21:570‑9.

Corry N, Pruzinsky T, Rumsey N. Quality of life and psychosocial adjustment to burn injury: Social functioning, body image, and health policy perspectives. Int Rev Psychiatry 2009;21:539‑48.

Franche RL, Krause N. Readiness for return to work following injury or illness: Conceptualizing the interpersonal impact of health care, workplace, and insurance factors. J Occup Rehabil 2002;12:233‑56.

Charmaz K. Stories and silences: Disclosures and self in chronic illness. Qual Inq 2002;8:302‑28

Walker LO, Avant KC. Concept analysis. In: Walker L, Avant K, editors. Strategies for Theory Construction in Nursing. Vol. 3. Upper Saddle River, NJ: Prentice Hall; 2005. p. 37‑54.

Miller J. Coping with Chronic Illness: Overcoming Powerlessness. 3rd ed. Philadelphia, PA: FA Davis Company; 2000. p. 20‑30.

Falder S, Browne A, Edgar D, Staples E, Fong J, Rea S, et al. Core outcomes for adult burn survivors: A clinical overview. Burns 2009;35:618‑41.


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