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Patients who self-mutilate - Their experiences of their behavior and nursing care
Abstract Of the Thesis And Background: Self-mutilation often starts in adolescence but is established through traumatic experiences in early childhood. The behavior is a conscious act that is performed to alleviate psychological pain, resulting in tissue damage. The patients often feel stigmatized and treated like objects when they need to feel supported and understood in the nursing care.
Aim Of Thesis: To highlight patients who self-mutilate, their experiences of their behavior and of the attitudes in the nursing care.
Method of Thesis: A literature review based on 11 scientific articles. Result: The analysis of the articles resulted in three major categories; ”Experiences of self-injury and underlying reasons”, ”Patients wishes of worthy treatment” and ”Negative experiences of nursing care”. Patients who self-mutilate experienced that their behavior took control over their daily life. Feelings of hope, support and understanding were important parts of the nursing care but the patients often felt disregarded and misunderstood.
Conclusion Of Thesis: Patients who self-mutilate often feel misunderstood and alone. The nurses need guidelines for how to treat these patients who need to feel involved in their nursing care and how to get continuous support. More research is needed from the patient perspective to improve nurses attitudes towards patients who self-mutilate.
Keywords: Self-mutilation, patient, experience, attitude and nursing.
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