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创伤患者对社会支持在下肢截肢适应过程中的感知:一项定性研究。

The perception of trauma patients from social support in adjustment to lower-limb amputation: a qualitative study.

作者信息

Valizadeh Sousan, Dadkhah Behrouz, Mohammadi Eissa, Hassankhani Hadi

机构信息

Department of Child and Family Health, School of Nursing and Midwifery, Student's Research Committee, Tabriz University of Medical Sciences, Tehran, Iran.

Department of Medical Surgical Nursing, School of Nursing and Midwifery, Student's Research Committee, Tabriz University of Medical Sciences, Tehran, Iran.

出版信息

Indian J Palliat Care. 2014 Sep;20(3):229-38. doi: 10.4103/0973-1075.138401.

Abstract

INTRODUCTION

The effect of amputation on an individual's psychological condition as well as family and social relationships is undeniable because physical disability not just affects the psycho-social adjustment, but also the mental health. When compared to normal people, such people are mostly experiencing social isolation. On the other hand, social support is known as the most powerful force to cope with stressful situations and it allows patients to withstand problems. The present study aims to explain understanding the trauma of patients and the experience of support sources during the process of adaptation to a lower limb amputation.

MATERIALS AND METHODS

The present study was conducted using qualitative content analysis. Participants included 20 patients with lower limb amputation due to trauma. Sampling was purposive initially and continued until data saturation. Unstructured interviews were used as the main method of data collection. Collected data were analyzed using qualitative content analysis and constant comparison methods.

RESULTS

The main theme extracted from the data was support sources. The classes include "supportive family", "gaining friends' support", "gaining morale from peers", and "assurance and satisfaction with the workplace."

CONCLUSION

Given the high number of physical, mental and social problems in trauma patients, identifying and strengthening support sources can be effective in their adaptation with the disease and improvement of the quality of their life.

摘要

引言

截肢对个人心理状况以及家庭和社会关系的影响是不可否认的,因为身体残疾不仅会影响心理社会适应,还会影响心理健康。与正常人相比,这类人大多经历着社会隔离。另一方面,社会支持被认为是应对压力情况的最强大力量,它能让患者承受各种问题。本研究旨在阐释对患者创伤的理解以及在适应下肢截肢过程中支持来源的体验。

材料与方法

本研究采用定性内容分析法。参与者包括20名因创伤导致下肢截肢的患者。抽样最初采用目的抽样法,持续进行直至数据饱和。非结构化访谈被用作主要的数据收集方法。收集到的数据采用定性内容分析法和持续比较法进行分析。

结果

从数据中提取的主要主题是支持来源。类别包括“支持性家庭”“获得朋友的支持”“从同龄人那里获得士气”以及“对工作场所的安心与满意”。

结论

鉴于创伤患者存在大量身体、心理和社会问题,识别并强化支持来源对他们适应疾病及改善生活质量可能是有效的。

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