An exploratory phenomenological study exploring the experiences of people with systemic disease who have undergone lower limb amputation and its impact on their well-being.

Article English OPEN
Washington, ED ; Williams, AE (2014)

Study Design\ud A qualitative study utilising an iterative approach in line with the philosophy of interpretive phenomenology.\ud Background\ud Amputation is a life-changing event accompanied by challenges for the affected person with time-dependent depression often used to quantify its level of impact. There are varied factors that contribute to the occurrence of depression and its persistence. The aim of this study was to explore the experiences over time of people with diabetes and/or peripheral vascular disease following an amputation and the impact on their psychological wellbeing.\ud Objectives\ud To develop an understanding of the experience of living with an amputation and a chronic condition in order to help clinicians identify those in need of counselling support. \ud Methodology\ud 6 participants who had experienced a lower limb amputation associated with peripheral vascular disease/diabetes were interviewed on two occasions (baseline and four months). An Interpretative Phenomenological approach was utilised for both data collection and analysis.\ud Results\ud For these participants, amputation was part of the chronology of their chronic disease. It was the individual’s variable experience of health which impacted on their psychological well-being rather than the length of time since amputation.\ud Conclusion\ud The multivariable experience of amputation means that individually tailored counselling/psychological support is recommended.
  • References (18)
    18 references, page 1 of 2

    1. Ferguson AD, Richie BS & Gomez MJ. Psychological factors after traumatic amputation in landmine survivors: The bridge between physical healing and full recovery. Disability and rehabilitation 2004; 26(14-15), 931-938.

    2. Hanley MA, Jensen MP, Ehde DM, Hoffman AJ, Patterson DR & Robinson LR. Psychosocial predictors of long-term adjustment to lower-limb amputation and phantom limb pain. Disability and rehabilitation 2004; 26(14-15), 882-893.

    3. Whyte A & Carroll LJ. The relationship between catastrophizing and disability in amputees experiencing phantom pain. Disability and rehabilitation 2004; 26(11), 649- 654.

    4. Oaksford K, Frude N, & Cuddihy R. Positive coping and stress-related psychological growth following lower limb amputation. Rehabilitation Psychology2005; 50(3), 266-277.

    5. Atherton R & Robertson N. Psychological adjustment to lower limb amputation amongst prosthetic users, Disability and Rehabilitation 2006; 28(19), 1201-1209.

    6. Desmond DM & MacLachlan M. Coping strategies as predictors of psychosocial adaptation in a sample of elderly veterans with acquired lower limb amputations. Social science & medicine 2006; 62(1), 208-216.

    7. Fisher K & Price ME. The Use of a standard measure of emotional distress to evaluate early counselling intervention in patients with amputations, Journal of Prosthetics and Orthotics 2003; 15(1) 31

    8. Rybarczyk BD, Edwards R & Behel J. Diversity in adjustment to a leg amputation: Case illustrations of common themes. Disability and Rehabilitation 2004; 26(14/15), 944-953.

    9. MacKenzie EJ, Bosse MJ, Pollack AN, Webb LX, Swiontkowski MF, Kella JF, Smith DG, Sanders RW, Jones AL, Starr AJ, McAndrew MP, Patterson BM, Burgess AR & Castillo RC. Long-term persistence of disability following severe lower-limb trauma. Journal of Bone and Joint surgery 2005; 87, 1801-1809.

    10. Graham L, Parke RC, Paterson MC & Stevenson M. A study of the physical rehabilitation and psychological state of patients who sustained limb loss as a result of terrorist activity in Northern Ireland 1969-2003. Rehabilitation in Practice2006; 28(12), 797-801.

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