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Beyond the body image: A qualitative study on how adults experience lower limb amputation
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Orientador(es)
Resumo(s)
Objective: To explore adults’ experiences of lower limb amputation, focusing on the changes in
self-identity related to the impairment.
Design: A cross-sectional and qualitative study, using semi-structured interviews. Interviews were
transcribed, coded and analysed by two independent researchers.
Setting: A rehabilitation medicine service from a general public hospital.
Participants: A convenience sample of 42 patients with lower limb amputation performed after the age
of 18 and followed up in the physical medicine and rehabilitation department of a general hospital.
Main outcome measures: A semi-structured interview, addressing three core areas: the emotional
impact of amputation; the adjustment process; and the relation with the external resources.
Results: Eight themes emerged from interviews: reactions and feelings about becoming amputee; changes
in own life; problems in well-being; relation with the prosthesis; self-perceptions; aims related to the
rehabilitation and future plans; relation with the rehabilitation; and perceived social support. These results
supported a theoretical model for the self-identity changes related to limb loss.
Conclusions: The self-identity changes after a lower limb amputation appear beyond the patient’s body
image and functioning, affecting the patient’s awareness of the impairment, biographical self and any future
projections.
Descrição
Palavras-chave
Amputation Lower limb Qualitative Self-identity
Contexto Educativo
Citação
Clinical Rehabilitation, 26 (2), 180-191