Self-Care Strategies and Its Effective Factors in Veterans with Chronic Posttraumatic Stress Disorder: A Qualitative Study

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Khalili Robabe; SIRATI NIR MASOUD; FALLAHI KHOSHKNAB MASOUD; MAHMOUDI HOSEIN; EBADI ABBAS

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Journal: Journal of Mazandaran University of Medical Sciences Year:2019 | Volume:29 | Issue:176 Page(s): 151-166

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Title

Self-Care Strategies and Its Effective Factors in Veterans with Chronic Posttraumatic Stress Disorder: A Qualitative Study

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Keywords

chronic posttraumatic stress disorderQ1

self-careQ2

care giversQ1

veteransQ1

qualitative studyQ2

Abstract

Background and purpose: self-care activities can be effective in empowering patients with posttraumatic stress disorder (PTSD) in their recovery and health. There are limited information on selfcare practices undertaken by veterans with chronic PTSD, so, this study aimed at exploring these strategies in this population. Materials and methods: The present study is the part of grounded theory that was carried out during 2015-2017. Data were collected via semistructured in-depth interviews and field notes. Twelve veterans with chronic PTSD and 13 caregivers participated. They were selected via purposive sampling from Baqiyatallah-Azam Hospital, Sadr Psychiatric Clinic, and West Tehran Consulting Center. Data were analyzed by Corbin and Strauss approach. Results: The loss of existential integrity was identified as the main concern of veterans with chronic PTSD. Effective and intervening factors in performing self-care activities included spirituality, personal knowledge, family supports, social supports, and institutional facilities, while the dimensions and outcomes of the disease, personality traits, the nature and dimensions of treatments, and inadequate organizational supports were the barriers to self-care. self-care strategies included incompatible coping (escape or avoidance, isolation, repression and impulsive behavior) and compatible coping (adherence to treatment, seeking social supports, spiritual holding, and attempts to gain and maintain independence). Conclusion: self-care strategies of combat veterans with chronic PTSD could be different based on contextual-structural factors. Supportive sources (family, society, and organization) could help in facilitating the use of consistent and effective coping strategies to reconstruct existential integrity.

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APA: Copy

Khalili, Robabe, SIRATI NIR, MASOUD, FALLAHI KHOSHKNAB, MASOUD, MAHMOUDI, HOSEIN, & EBADI, ABBAS. (2019). Self-Care Strategies and Its Effective Factors in Veterans with Chronic Posttraumatic Stress Disorder: A Qualitative Study. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, 29(176), 151-166. SID. https://sid.ir/paper/363718/en

Vancouver: Copy

Khalili Robabe, SIRATI NIR MASOUD, FALLAHI KHOSHKNAB MASOUD, MAHMOUDI HOSEIN, EBADI ABBAS. Self-Care Strategies and Its Effective Factors in Veterans with Chronic Posttraumatic Stress Disorder: A Qualitative Study. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2019;29(176):151-166. Available from: https://sid.ir/paper/363718/en

IEEE: Copy

Robabe Khalili, MASOUD SIRATI NIR, MASOUD FALLAHI KHOSHKNAB, HOSEIN MAHMOUDI, and ABBAS EBADI, “Self-Care Strategies and Its Effective Factors in Veterans with Chronic Posttraumatic Stress Disorder: A Qualitative Study,” JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, vol. 29, no. 176, pp. 151–166, 2019, [Online]. Available: https://sid.ir/paper/363718/en

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