School of Health and Medicine, Lancaster University, Lancaster, UK.
Disabil Rehabil. 2013 Jul;35(14):1133-42. doi: 10.3109/09638288.2012.723790. Epub 2012 Oct 4.
To identify and synthesize qualitative literature on the experience of amputation and prosthesis use for adults, and to make recommendations based on these findings for rehabilitation services.
A systematic search of three databases for qualitative research exploring the experience of amputation and prosthesis use for adults was undertaken. Included papers were evaluated using the Critical Appraisal Skills Programme (CASP) quality guidelines. Data were extracted and themes synthesized in accordance with accepted procedures for qualitative metasyntheses.
From the 15 papers (13 studies) included in there view, five concepts were identified: (i) Becoming an amputee and facing prosthesis use; (ii) Adjustment to and coping with amputation and prosthesis use; (iii) The role of valued relationships in recovery; (iv) Amputation and prosthesis use in social interaction; and (v) Prosthetically enabled identities.
The findings provide a base from which to make suggestions regarding the provision of health rehabilitation services for this population. It is recommended that such services make greater use of psychological interventions and education, include patients' social support networks, use psychotherapy to support and develop positive coping strategies, and facilitate peer support from those who have already made positive adjustments to amputation and prosthesis use.
识别和综合成人截肢和假肢使用经验的定性文献，并根据这些发现为康复服务提出建议。
对三个数据库中探索成人截肢和假肢使用经验的定性研究进行了系统搜索。使用批判性评估技能计划 (CASP) 质量指南评估纳入的论文。根据定性综合的既定程序提取数据并综合主题。
从审查中纳入的 15 篇论文（13 项研究）中，确定了五个概念：（i）成为截肢者并面对假肢使用；（ii）适应和应对截肢和假肢使用；（iii）有价值的关系在康复中的作用；（iv）假肢在社会互动中的作用；和（v）假肢启用身份。
这些发现为为这一人群提供健康康复服务提供了建议的基础。建议此类服务更多地使用心理干预和教育，包括患者的社会支持网络，使用心理治疗来支持和发展积极的应对策略，并促进已经对截肢和假肢使用做出积极调整的人的同伴支持。
