The perception of trauma patients from social support in adjustment to lower-limb amputation: A qualitative study

Objectives. To explore the coping strategies used following a lower limb amputation and their relationship to adjustment in the hospital, rehabilitation, and home setting. Method. Sixteen individuals who had a lower limb amputation due to vascular disease completed questionnaires, including the Ways of Coping Questionnaire (WCQ), during hospitalization (T1), at the end of rehabilitation (T2), and 2-3 months after discharge from rehabilitation (T3). A subsample (n=10) also participated in three semistructured interviews analyzed using the approach of Miles and Huberman. Results. Self-controlling was the coping strategy used most, followed by seeking social support and positive reappraisal. Three additional coping strategies not found in the WCQ were identified in the qualitative data: noticing progress, learning new things, and using humor. Confrontive coping (T1) and escape-avoidance (T1, T2, and T3) were related to adjustment problems while positive reappraisal (T1 and T3), seeking social support (T1 and T3), and planful problem solving (T3) were associated with positive adjustment. Conclusion. Coping strategies used to deal with the amputation seem to vary across settings, thus signifying the complexity of the coping process following a lower limb amputation due to vascular disease.

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Experiences and needs of patients with lower limb amputation in Saudi Arabia: a qualitative study

Eastern Mediterranean Health Journal ◽

10.26719/emhj.20.124 ◽

2020 ◽

Author(s):

Noura Abouammoh ◽

Wassim Aldebeyan ◽

Rabab Abuzaid

Keyword(s):

Saudi Arabia ◽

Qualitative Study ◽

Lower Limb ◽

Lower Limb Amputation ◽

Limb Amputation

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The Perspectives and Experiences of Individuals with Dysvascular Lower Limb Amputation: A Qualitative Study

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2019.08.401 ◽

2019 ◽

Vol 100 (10) ◽

pp. e132

Author(s):

Crystal MacKay ◽

Stephanie Cimino ◽

Sara Guilcher ◽

Michael Devlin ◽

Steven Dilkas ◽

...

Keyword(s):

Qualitative Study ◽

Lower Limb ◽

Lower Limb Amputation ◽

Limb Amputation

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Self‐Efficacy and Social Support are Associated with Disability for Ambulatory Prosthesis Users After Lower‐Limb Amputation

PM&R ◽

10.1002/pmrj.12464 ◽

2020 ◽

Author(s):

Matthew J. Miller ◽

Paul F. Cook ◽

Dawn M. Magnusson ◽

Megan A. Morris ◽

Patrick J. Blatchford ◽

...

Keyword(s):

Social Support ◽

Lower Limb ◽

Self Efficacy ◽

Lower Limb Amputation ◽

Limb Amputation

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Expectations of rehabilitation following lower limb amputation: a qualitative study

Disability and Rehabilitation ◽

10.3109/09638288.2013.833311 ◽

2013 ◽

Vol 36 (14) ◽

pp. 1169-1175 ◽

Cited By ~ 16

Author(s):

Chantel Ostler ◽

Caroline Ellis-Hill ◽

Maggie Donovan-Hall

Keyword(s):

Qualitative Study ◽

Lower Limb ◽

Lower Limb Amputation ◽

Limb Amputation

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Let's talk about sex: lower limb amputation, sexual functioning and sexual well-being: a qualitative study of the partner's perspective

Journal of Clinical Nursing ◽

10.1111/jocn.12433 ◽

2013 ◽

Vol 22 (23-24) ◽

pp. 3557-3567 ◽

Cited By ~ 6

Author(s):

Jesse EA Verschuren ◽

Mariya A Zhdanova ◽

Jan HB Geertzen ◽

Paul Enzlin ◽

Pieter U Dijkstra ◽

...

Keyword(s):

Qualitative Study ◽

Lower Limb ◽

Sexual Functioning ◽

Well Being ◽

Lower Limb Amputation ◽

Limb Amputation

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The Mental Health of Individuals With Post-Traumatic Lower Limb Amputation: A Qualitative Study

Journal of Patient Experience ◽

10.1177/2374373520932451 ◽

2020 ◽

Vol 7 (6) ◽

pp. 1665-1670

Author(s):

Nuray Şimsek ◽

Gülhan Küçük Öztürk ◽

Zeliha Nilüfer Nahya

Keyword(s):

Mental Health ◽

Qualitative Study ◽

Lower Extremity ◽

Lower Limb ◽

Self Esteem ◽

Lower Extremity Amputation ◽

Lower Limb Amputation ◽

Limb Amputation ◽

Post Traumatic ◽

Extremity Amputation

Aim: The study was performed in order to identify how the post-traumatic amputation of the lower extremity affects the mental health of the individuals. Methods: This study is a qualitative study. A total of 12 individuals with post-traumatic lower extremity amputation were interviewed. The data were collected using the personal information form and the interview form that includes the questions on the effect of amputation on mental health, which were designated by the researchers. Data obtained from the survey were evaluated to attain descriptive situation determination. Based on the analysis, the effects of post-traumatic lower extremity amputation on mental health were found 5 themes. Results: In the study, it was found that individuals with post-traumatic lower limb amputation changed their emotions and behaviors after amputation, their body image and self-esteem were negatively affected, their families and the society differentiated themselves, they had negative feelings about their future, and they needed mental support to develop coping skills. Conclusion: The study shows that after amputation, individuals have severe mental problems such as anger, introversion, helplessness, and decreased self-esteem. Negative attitude of their families, who are expected to be supportive during this period, negatively affect the adaptation process of the individuals. A notable point is that the individuals stated that they could talk and feel relieved and get supported if they had access to a mental health professional.

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Suitability of ‘Guidelines for Screening of Prosthetic Candidates: Lower Limb’ for the Eastern Cape, South Africa: A qualitative study

South African Journal of Physiotherapy ◽

10.4102/sajp.v74i1.396 ◽

2018 ◽

Vol 74 (1) ◽

Cited By ~ 1

Author(s):

Luphiwo L. Mduzana ◽

Surona Visagie ◽

Gubela Mji

Keyword(s):

Qualitative Study ◽

Lower Limb ◽

Resistance To Change ◽

Occupational Therapists ◽

Functional Mobility ◽

Lower Limb Amputation ◽

Limb Amputation ◽

Western Cape ◽

Eastern Cape ◽

Group Discussions

Background: Major lower limb amputation has a severe impact on functional mobility. Mobility can be salvaged with a prosthesis, but this is not always the best option. It is often difficult to decide whether to refer someone for a prosthesis or not. A prosthetic screening tool ‘Guidelines for Screening of Prosthetic Candidates: Lower Limb’ was developed and is used for prosthetic prescription in parts of the Western Cape province of South Africa.Objectives: This study aimed to explore the suitability of the tool ‘Guidelines for Screening of Prosthetic Candidates: Lower Limb’ for use in the Eastern Cape province of South Africa.Method: A qualitative study was conducted with conveniently sampled occupational therapists (OTs) (n = 10), physiotherapists (PTs) (n = 12) and prosthetists (n = 6) in government employment in the Buffalo City Metro Municipality. Participants were trained in the use of the tool and used it for four weeks with patients. Their experiences of the tool were assessed through three focus group discussions with emergent themes being identified during inductive data analysis.Findings: Participants indicated that the tool could assist with prosthetic prescription, goal setting, communication and teamwork. They thought that the tool was multidisciplinary in nature, comprehensive and practical. Findings showed a lack of teamwork in this study setting. Resistance to change and a lack of time might also hamper implementation of the tool.Conclusion: The tool can assist with managing the backlog for prostheses and to guide prosthetic prescription in the Eastern Cape province.Clinical implications: A prosthesis can help to salvage functional mobility after lower limb amputation. However, not all people who had above knee amputation manage to walk with a prosthesis. The tool reported on in this article provides information that can guide prosthetic prescription and rehabilitation goals.

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