“After Cutting It, Things Have Never Remained the Same”: A Qualitative Study of the Perspectives of Amputees and Their Caregivers

IF 3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Health Expectations Pub Date : 2025-01-09 DOI:10.1111/hex.70148
Esther Ohenewa, Joana Salifu Yendork, Benjamin Amponsah, Frances Emily Owusu-Ansah
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Abstract

Introduction

Physical and emotional loss from amputation and associated physical disability are associated with adverse physical and psychological experiences. However, little research, within the Ghanaian context, has focused on the impact of amputation on the well-being of amputees and their caregivers and the coping strategies they use to mitigate challenges experienced. Therefore, the present study explored the impact of amputation on the well-being of amputees and caregivers, and the coping strategies they employ to manage distress associated with amputation and caregiving.

Methods

The aim of this present study was explored using a qualitative descriptive design. Twenty (20) participants (comprising 10 amputees and 10 caregivers) responded to a semi-structured interview guide.

Results

Findings show that whereas amputees experienced phantom limb sensation and loss of job, caregivers reported economic hardship and fear. Though stress was a common experience, the source of stress was different for amputees and caregivers. Regarding coping, whereas amputees used social distancing, social reference and social support to cope with their traumatic ordeal, caregivers simply coped by encouraging themselves. Both amputees and caregivers used religious coping.

Conclusion

Amputees and their caregivers experience varied stressors yet whereas the amputees get the needed support to deal with their predicament, caregivers lack adequate support.

Patient or Public Contribution

The findings underscore the need for diverse support systems and psychoeducation on adaptive coping strategies for amputees and caregivers.

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“切断它之后,事情从来没有保持不变”:对截肢者及其照顾者观点的定性研究。
截肢和相关的身体残疾导致的身体和情感损失与不良的身体和心理经历相关。然而,在加纳的背景下,很少有研究关注截肢对截肢者及其照顾者的福祉的影响,以及他们用来减轻所经历挑战的应对策略。因此,本研究旨在探讨截肢对截肢者和照顾者幸福感的影响,以及他们在处理截肢和照顾相关痛苦时所采用的应对策略。方法:本研究的目的是探讨使用定性描述性设计。二十(20)名参与者(包括10名截肢者和10名护理人员)回答了半结构化的访谈指南。结果:研究结果表明,虽然截肢者有幻肢感和失业,但护理者报告经济困难和恐惧。虽然压力是一种常见的经历,但对于截肢者和护理者来说,压力的来源是不同的。在应对方面,截肢者使用社会距离、社会参考和社会支持来应对创伤性磨难,而护理人员只是通过鼓励自己来应对。截肢者和护理人员都采用宗教应对方式。结论:截肢者及其照顾者面临着不同的压力源,而截肢者得到了必要的支持来处理他们的困境,照顾者缺乏足够的支持。患者或公众的贡献:研究结果强调了对截肢者和护理人员进行适应性应对策略的多样化支持系统和心理教育的必要性。
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来源期刊
Health Expectations
Health Expectations 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.20
自引率
9.40%
发文量
251
审稿时长
>12 weeks
期刊介绍: Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.
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