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一项关于截肢者照镜子时自我认知体验的研究。

A Study of the Amputee Experience of Viewing Self in the Mirror.

作者信息

Freysteinson Wyona, Thomas Lisa, Sebastian-Deutsch Amy, Douglas Denika, Melton Danielle, Celia Tania, Reeves Kristin, Bowyer Patricia

机构信息

1 Nelda C. Stark College of Nursing, Texas Woman's University, Houston, TX, USA2 Education, TIRR Memorial Hermann, Houston, TX, USA3 Cancer Services, Memorial Hermann Health System, Houston, TX, USA4 Psychology and Philosophy, Texas Southern University, Houston, TX, USA5 Amputee Clinic, TIRR Memorial Hermann, Houston, TX, USA6 Department of Physical Medicine and Rehabilitation, The University of Texas (UT) Health Science Center-Medical School, Houston, TX, USA7 School of Occupational Therapy-Houston, College of Health Sciences, Texas Woman's University, Houston, TX, USA.

出版信息

Rehabil Nurs. 2017 Jan/Feb;42(1):22-32. doi: 10.1002/rnj.256.

DOI:10.1002/rnj.256
PMID:26879100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5228627/
Abstract

PURPOSE

To describe the trajectory of viewing self in a mirror after an ampu-tation and participants' perceptions of what health care professionals should know about mirrors.

DESIGN

Hermeneutic phenomenologyMETHODS: Focus groups were conducted to collect the research data.

FINDINGS

The mirror experience had three key moments: decision, seeing, and consent. The trajectory of viewing self in a mirror had four key themes: mirror shock, mirror anguish, recognizing self, and acceptance: a new normal. Participants' recommendations for introducing the mirror after an amputation and using a mirror to avoid skin breakdown and infection, and correct gait and balance are described.

CONCLUSIONS

This study provides a unique viewpoint into the world of those who have suffered amputation of a limb.

CLINICAL RELEVANCE

Rehabilitation nurses and other health care professionals are encouraged through these participants to consider the effect and value of mirrors when caring for those who have had an amputation.

摘要

目的

描述截肢后在镜子中审视自我的轨迹以及参与者对于医护人员应了解镜子哪些方面的看法。

设计

诠释现象学

方法

通过焦点小组收集研究数据。

结果

照镜子的体验有三个关键阶段:决定、观看和认同。在镜子中审视自我的轨迹有四个关键主题:镜子冲击、镜子痛苦、认识自我和接纳:一种新的常态。描述了参与者对于截肢后引入镜子以及使用镜子避免皮肤破损和感染、纠正步态和平衡的建议。

结论

本研究为肢体截肢者的世界提供了独特视角。

临床意义

通过这些参与者鼓励康复护士和其他医护人员在护理截肢者时考虑镜子的作用和价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa13/5228627/689dd6845c42/rnj-42-22-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa13/5228627/689dd6845c42/rnj-42-22-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa13/5228627/689dd6845c42/rnj-42-22-g002.jpg

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本文引用的文献

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Nurs Forum. 2015 Oct-Dec;50(4):252-7. doi: 10.1111/nuf.12108. Epub 2014 Aug 17.
2
Helping burn patients to look at their injuries: how confident are burn care staff and how often do they help?帮助烧伤患者正视自身伤痛:烧伤护理人员的信心如何,以及他们提供帮助的频率怎样?
Burns. 2014 Dec;40(8):1602-8. doi: 10.1016/j.burns.2014.02.017. Epub 2014 Jun 7.
3
Traumatic amputation: psychosocial adjustment of six Army women to loss of one or more limbs.
Nurs Inq. 2020 Oct;27(4):e12351. doi: 10.1111/nin.12351. Epub 2020 Mar 27.
创伤性截肢:六名陆军女性对肢体缺失的心理社会调适
J Rehabil Res Dev. 2012;49(10):1443-56. doi: 10.1682/jrrd.2011.12.0228.
4
The experience of viewing oneself in the mirror after a mastectomy.乳房切除术后对着镜子审视自己的经历。
Oncol Nurs Forum. 2012 Jul;39(4):361-9. doi: 10.1188/12.ONF.361-369.
5
Factors affecting outcome after traumatic limb amputation.影响创伤性肢体截肢后结局的因素。
Br J Surg. 2012 Jan;99 Suppl 1:75-86. doi: 10.1002/bjs.7766.
6
The clinical aspects of mirror therapy in rehabilitation: a systematic review of the literature.镜像疗法在康复中的临床应用:文献系统综述
Int J Rehabil Res. 2011 Mar;34(1):1-13. doi: 10.1097/MRR.0b013e3283441e98.
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VA paradigm shift in care of veterans with limb loss.退伍军人事务部(VA)在肢体缺失退伍军人护理方面的范式转变。
J Rehabil Res Dev. 2010;47(4):vii-x. doi: 10.1682/jrrd.2010.03.0030.
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