叙利亚战争中因创伤导致肢体缺失的成年人的身体形象、自尊和生活质量之间的关系。

IF 1.1 Q3 NURSING
Fatema Ahmed PhD , Aili Lyu , Na Xu , Waleed ksebe , Yazan Ksaibe , Rasha Kadoun
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引用次数: 0

摘要

背景:在叙利亚战争中,许多军人失去了四肢。虽然军人和平民因创伤而截肢的情况有所不同,但这两种情况都会造成改变生活的伤害:探索与创伤相关的大截肢后身体形象、自尊和生活质量(QOL)之间的关系。这将是叙利亚第一项关于自尊与身体形象相关性的研究。这将有助于提高我们的护理质量,以满足病人的需求并增加幸福感,这反过来又有助于解决身体形象、自尊和 QOL 问题:这项横断面研究在拉塔基亚和塔尔图斯的两个中心和两家军队医院招募了 235 名截肢士兵。患者接受了 81 项问卷调查,其中包括截肢者身体形象量表 (ABIS)、罗森伯格自尊量表 (RSE)、WHOQOL-BREF 问卷和单维疼痛测量。统计分析采用了方差分析、学生 t 检验、多元线性回归、内部一致性和重复测试可靠性:结果:身体形象、自尊和 QOL 之间关系密切,身体形象问题的存在与较低的自尊评分和较低的 QOL 评分显著相关(p=0.001)。有幻痛感觉的患者自尊心明显降低(p=0.001),对身体形象的顾虑增加(p=0.001),在所有 QOL 领域的得分都较低。我们发现,身体形象和自尊对心理、社会和环境领域都有影响。在控制了疼痛程度和并发症数量后,身体形象和自尊并不能预测 WHOQOL-BREF 的得分,但环境领域除外,无痛和低自尊可预测较好的环境领域得分:结论:下肢截肢严重影响了患者的身体形象和自尊。此外,幻痛进一步影响了自尊、身体形象和 QOL。身体形象对心理、社会和环境领域有着深远的影响,而自尊则几乎影响到 QOL 的所有方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The relationships between body image, self-esteem and quality of life in adults with trauma-related limb loss sustained in the Syrian war

Background

Numerous military soldiers have lost limbs as a result of the Syrian War. While there are variations between trauma-related amputations in military and civilian populations, both scenarios result in life-changing injuries.

Objective

To explore the relationship between body image, self-esteem, and quality of life (QOL) domains following trauma-related major amputation.

It will be the first study in Syria on the correlation between self-esteem and body image. It will help improve our quality of care to meet patient needs and increase well-being, which in turn will help to address body image, self-esteem, and QOL.

Method

A cross-sectional study that recruited 235 soldiers with amputations in two centers and two military hospitals in Latakia and Tartous. Patients were given an 81-item questionnaire that included the Amputee Body-Image Scale (ABIS), the Rosenberg Self-esteem (RSE) scale, the WHOQOL-BREF questionnaire, and unidimensional pain measures. The ANOVA test, a student's t-test, multiple linear regression, internal consistency, and test-retest reliability were utilized for statistical analysis.

Results

There was a strong relationship between body image, self-esteem, and QOL, with the presence of body image concerns significantly associated with lower self-esteem scores and lower QOL scores (p=0.001). Patients with phantom pain sensation had significantly reduced self-esteem (p =0.001), greater body image concerns (p =0.001), and lower scores in all domains of QOL. We found that body image and self-esteem impacted the psychological, social, and environmental domains. After controlling for pain level and number of co-morbid conditions, body image and self-esteem did not predict WHOQOL-BREF scores, with the exception of the environmental domain, where no pain and low self-esteem predicted better environmental domain scores.

Conclusion

Patients' body image and self-esteem were greatly impacted by lower-limb amputations. Additionally, phantom pain further impacted self-esteem, body image, and QOL. The image of the body had a profound effect on psychological, social, and environmental domains, and self-esteem was influenced by almost all aspects of QOL.

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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
33
期刊介绍: Journal of Vascular Nursing provides clinical information regarding aortic and peripheral aneurysms, upper and lower extremity arterial disease, acute and chronic venous disease, and more. Original, peer-reviewed articles present descriptions, etiologies, diagnostic procedures, medical and surgical treatment and nursing implications of vascular system disorders.
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