Reichmann James P, Bartman Kimberly R
Marietta, Georgia, 30068.
Lehigh Valley Health Network, LV Amputee Support Group, 4K Medical Surgical Unit, Allentown, Pennsylvania, 18105-1556.
J Vasc Nurs. 2018 Mar;36(1):34-39. doi: 10.1016/j.jvn.2017.10.002. Epub 2017 Nov 22.
Medical literature is replete with evidence regarding physical rehabilitation of the amputee; however, scant attention has been paid to psychological rehabilitation. The objective was to perform an integrative review of the published medical evidence regarding amputee peer support in the civilian population and provide an evidence-based clinical practice recommendation. This study was based on an exhaustive examination of the civilian amputee peer support medical evidence, bibliographic search, and on the experience of the authors when performing this integrative review. Our search uncovered 10 published peer-reviewed pieces of medical evidence including one level III retrospective case controlled trial, two level IV case series, and seven level V expert opinions. Given the totality of the published evidence, albeit limited, in favor of amputee peer support, an abundance of unpublished anecdotal evidence, virtually no potential risk of harm, and low cost, it seems reasonable to recommend incorporating a preoperative and/or postoperative peer visit in clinical protocols for all patients incurring a major limb amputation.
医学文献中充斥着关于截肢者身体康复的证据；然而，对心理康复的关注却很少。目的是对已发表的关于平民截肢者同伴支持的医学证据进行综合综述，并提供基于证据的临床实践建议。本研究基于对平民截肢者同伴支持医学证据的详尽审查、文献检索以及作者进行此项综合综述时的经验。我们的检索发现了10篇已发表的经同行评审的医学证据，包括1篇III级回顾性病例对照试验、2篇IV级病例系列和7篇V级专家意见。鉴于已发表的证据总体上虽有限但支持截肢者同伴支持，有大量未发表的轶事证据，几乎没有潜在危害风险，且成本较低，建议在所有接受大肢体截肢手术的患者的临床方案中纳入术前和/或术后同伴探访似乎是合理的。
