A qualitative study exploring individuals' experiences living with dysvascular lower limb amputation

被引：26

作者：

MacKay, Crystal ^{[1
,2
,3
]}

Cimino, Stephanie R. ^{[3
]}

Guilcher, Sara J. T. ^{[3
,4
,5
,6
]}

Mayo, Amanda L. ^{[7
,8
,9
]}

Devlin, Michael ^{[1
]}

Dilkas, Steven ^{[1
,9
]}

Payne, Michael W. ^{[10
,11
]}

Viana, Ricardo ^{[10
,11
]}

Hitzig, Sander L. ^{[3
,7
,12
]}

机构：

[1] West Pk Healthcare Ctr, 82 Buttonwood Ave, Toronto, ON M6M 2J5, Canada

[2] Univ Toronto, Dept Phys Therapy, Fac Med, Toronto, ON, Canada

[3] Univ Toronto, Rehabil Sci Inst, Fac Med, Toronto, ON, Canada

[4] Univ Toronto, Leslie Dan Fac Pharm, Fac Med, Toronto, ON, Canada

[5] Univ Toronto, Inst Hlth Policy Management & Evaluat, Fac Med, Toronto, ON, Canada

[6] St Michaels Hosp, MAP Ctr Urban Hlth Solut, Toronto, ON, Canada

[7] Sunnybrook Res Inst, St Johns Rehab Res Program, Evaluat Clin Sci, Toronto, ON, Canada

[8] Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada

[9] Univ Toronto, Fac Med, Dept Phys Med & Rehabil, Toronto, ON, Canada

[10] St Josephs Healthcare, Parkwood Inst, London, ON, Canada

[11] Western Univ, Schulich Sch Med & Dent, London, ON, Canada

[12] Univ Toronto, Fac Med, Dept Occupat Sci & Occupat Med, Toronto, ON, Canada

来源：

DISABILITY AND REHABILITATION | 2022年 / 44卷 / 10期

关键词：

Adult; amputation; interview; qualitative research; limb loss; impact; OF-LIFE; SOCIAL-ISOLATION; ELDERLY-PEOPLE; DISEASE; REHABILITATION; INTERVENTIONS; LONELINESS; DEPRESSION; MOBILITY;

D O I：

10.1080/09638288.2020.1803999

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Purpose The majority of lower extremity amputations (LEAs) are the result of diabetes or peripheral vascular disease. There is a paucity of literature on individuals' experiences living with dysvascular LEAs in the community, particularly in Canada. The purpose of this study was to explore the perceptions and experiences of community-dwelling adults living with dysvascular LEA. Methods Semi-structured qualitative interviews were conducted with individuals with a dysvascular LEA recruited from three rehabilitation hospitals. Participants were included if they were English-speaking adults at least three months post-amputation and no longer receiving inpatient rehabilitation. Sampling was purposive to ensure variation by gender, level of amputation, and geographic location. Data were analyzed using an inductive content-analysis approach. Results Thirty-five interviews were completed with individuals with dysvascular LEA. Study participants portrayed LEA as having an impact on many aspects of their lives, resulting in changes in their mobility, social activities and roles, and psychological wellbeing. Three main factors shaped individuals' experiences with dysvascular LEA including social support, accessibility, and socioeconomic factors. Conclusion Our findings highlight the impacts of dysvascular LEA in peoples' lives. Future research is warranted to explore how community-based interventions and strategies can address the ongoing needs of individuals with dysvascular LEA.

引用

页码：1812 / 1820

页数：9

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