The Lived Experience of Psoriasis Patients from Social Stigma and Rejection: A Qualitative Study

نویسندگان

1 Nursing Care Research Center in Chronic Disease, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran

2 Department of Nursing, Nursing and Midwifery School, Khorasgan Branch, Islamic Azad University, Khorasgan, IR Iran

3 Nursing Care Research Center in Chronic Disease, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran

4 PhD, Associate Professor of Nursing Department, University of SocialWelfare and Rehabilitation Sciences (USWR), Tehran, IR Iran

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چکیده

Background: Psoriasis is a common, chronic skin disease that causes challenges such as stigma and labeling from both the communityand individuals due to its effects on appearance.Objectives: The objective of this study was to describe and explain the social stigma and rejection experienced by patients withpsoriasis.Patients and Methods: The present research is a qualitative study with a hermeneutic phenomenological approach conductedamong psoriasis patients referring to the dermatology clinic and ward of Imam Khomeini hospital in Ahvaz, Iran between Juneand December 2014. In this study, 15 patients with psoriasis were selected by purposeful sampling, and they were asked to expresstheir experience of stigma and rejection. The data were collected through in-depth semi-structured interviews, and Diekelmannand colleagues’ method was used for data analysis.Results: After analysis of interviews, four themes were extracted: lack of social support, unrealistic and inappropriate labeling,rejection and isolation, and feeling of absurdity and futility. These can be indicative of the patients’ experience from social stigmaand rejection phenomena.Conclusions: Patients’ experiences of stigma and rejection phenomena indicated that all aspects of their lives are affected. Moreover,these findings highlight the significance of stigma and rejection concepts in providing better care to these patients.