Joel Montanez, Dahlia Kairy, Maxime Gilbert, Nicolas Gulino, Ilja Ormel, Ruth Pytka-Jones, Susan Law
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Individual qualitative interviews with 10 adult amputees were conducted between 2018 and 2019.</p><p><strong>Results: </strong>Thematic analysis revealed seven key themes: (a) overcoming public scrutiny; (b) intrapersonal challenges; (c) stakeholders as sources of motivation; (d) the role of play; (e) recognizing normality in situations of disability; (f) acceptance and personal development; and (g) shortcomings in IFR services.</p><p><strong>Conclusion: </strong>This research stresses the impact IFR and long-term follow-up can pose on physical and psychosocial development and on going back to a normalized lifestyle. As such, fostering stakeholders for motivational support, strengthening work and sports activities focused on challenging and playful activities to improve limb-loss-affected skills, and providing sustained rehabilitation support, appear to facilitate recovery, postamputation development, and psychosocial adaptation. Improved access to information on postrehabilitation aids, including financial rights and prosthetics, appears important. Although the study sample was restricted in terms of representation, the findings may support the consideration of diverse patient perspectives and distinct types of amputations to better understand the impact of IFR and follow-up throughout the lifespan. 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引用次数: 0
摘要
目的:在魁北克,生活在强化功能康复(IFR)之后的截肢患者代表了一个研究不足的群体。这项试点研究旨在通过探索魁北克截肢成人的个人叙述来检查他们的健康经历。设计/研究方法:采用定性描述性设计,旨在捕捉和传达下肢或上肢截肢者在其生命的任何时刻遵循IFR的生活经历。在2018年至2019年期间,对10名成年截肢者进行了个体定性访谈。结果:专题分析揭示了七个关键主题:(a)克服公众监督;(b)个人挑战;(c)利益相关者作为激励的来源;(d)扮演的角色;(e)承认残疾情况下的正常情况;(f)接纳和个人发展;(g) IFR服务的缺点。结论:本研究强调IFR和长期随访对身体和心理发展以及回归正常生活方式的影响。因此,培养利益相关者的动机支持,加强工作和体育活动,重点关注具有挑战性和趣味性的活动,以提高肢体丧失的技能,并提供持续的康复支持,似乎有助于康复,截肢后的发展和社会心理适应。改善获得康复后辅助工具信息的途径,包括经济权利和假肢,似乎很重要。虽然研究样本在代表性方面受到限制,但研究结果可能支持考虑不同的患者观点和不同类型的截肢,以更好地了解IFR的影响和整个生命周期的随访。(PsycInfo Database Record (c) 2025 APA,版权所有)。
"I would not want my leg back": Living experiences of adult amputees following intensive functional rehabilitation.
Purpose: Individuals living with amputations following intensive functional rehabilitation (IFR) represent an under-researched group in Quebec. This pilot study aimed to examine the health experiences of adults living with an amputation in Quebec by exploring their personal narratives. Design/Research Method: A qualitative descriptive design was adopted aiming to capture and convey the lived experiences of people with lower limb amputations or upper limb amputations who, at any point of their lives, followed IFR. Individual qualitative interviews with 10 adult amputees were conducted between 2018 and 2019.
Results: Thematic analysis revealed seven key themes: (a) overcoming public scrutiny; (b) intrapersonal challenges; (c) stakeholders as sources of motivation; (d) the role of play; (e) recognizing normality in situations of disability; (f) acceptance and personal development; and (g) shortcomings in IFR services.
Conclusion: This research stresses the impact IFR and long-term follow-up can pose on physical and psychosocial development and on going back to a normalized lifestyle. As such, fostering stakeholders for motivational support, strengthening work and sports activities focused on challenging and playful activities to improve limb-loss-affected skills, and providing sustained rehabilitation support, appear to facilitate recovery, postamputation development, and psychosocial adaptation. Improved access to information on postrehabilitation aids, including financial rights and prosthetics, appears important. Although the study sample was restricted in terms of representation, the findings may support the consideration of diverse patient perspectives and distinct types of amputations to better understand the impact of IFR and follow-up throughout the lifespan. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍:
Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.