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首页> 外文期刊>International journal of orthopaedic and trauma nursing >Lived experience of persons with an amputation of the upper limb
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Lived experience of persons with an amputation of the upper limb

机译:上肢截肢者的生活经验

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摘要

Background: Amputations are done daily over the world in an attempt to save a person's life, treat a disease symptomatically or to improve the functionality of a person. Amputation causes disfiguration, a mutilated body image and physical disability with multiple aspects that the person has to deal with.Objectives: This qualitative phenomenological study was designed to explore the lived experience of individuals with an amputation of an upper limb to provide an evidence base to support nursing interventions.Methods: A sample of eight participants with amputation of an upper limb, living in the southern sub-district of Tshwane, Gauteng, South Africa, took part in a semi-structured interview. One open-ended central question was used to focus the interview: ' 'Please tell me about your lived experience after losing your arm through an upper limb amputation". Data were analysed using content analysis with open coding. Seven themes were identified from the data.Results: The themes emerging from the interviews were: Initial reaction post amputation, support from immediate family, support facilitated adaptation and independence, amputation had financial implications, external response to disability, recurrent physical problems and acceptance is a process. Data have shown that effective communication between multidisciplinary team members; discharge information and ongoing support on an outpatient basis are needed to assist with the adaptation process of the individual to amputation.Discussion: Individuals with an amputation of an upper limb need an effective multidisciplinary approach to care, clear discharge information and ongoing support on an outpatient basis to accept amputation of an upper limb effectively.
机译:背景:截肢手术每天在世界范围内进行,以挽救生命,对症治疗或改善患者的功能。截肢会导致肢体畸形,肢体残缺的肢体残障和身体残障,需要多方面的处理。目的:这项定性的现象学研究旨在探讨上肢截肢患者的生活经验,为以下方面提供证据方法:在南非豪登省Tshwane南部分区居住的八名上肢截肢的参与者进行了半结构化访谈。一个开放式的中心问题被用来集中访谈内容:“'请告诉我您的上肢截肢后失去手臂的经历。”使用内容分析和开放式编码对数据进行了分析。从数据中识别出七个主题结果:访谈中出现的主题是:截肢后的初步反应,直系亲属的支持,支持促进适应和独立,截肢对经济有影响,外部对残疾的反应,反复出现的身体问题和接受是一个过程。数据表明,多学科团队成员之间的有效沟通;需要出院信息并在门诊基础上提供持续支持,以协助个体适应截肢过程。讨论:上肢截肢的个体需要有效的多学科方法进行护理,明确出院门诊患者接受截肢的信息和持续支持有效地上肢。

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