Department of Hand Surgery, Skåne University Hospital, Malmö, Sweden.
Department of Hand Surgery, Skåne University Hospital, Malmö, Sweden; Department of Translational Medicine - Hand Surgery, Lund University, Malmö, Sweden.
J Hand Ther. 2020 Oct-Dec;33(4):520-527. doi: 10.1016/j.jht.2019.03.010. Epub 2019 May 9.
Qualitative study.
An amputation injury to the hand may lead to not only impaired hand function but also psychosocial consequences.
The purpose of the study was to explore personal experiences of social participation for persons provided with an esthetic prosthesis after acquired upper limb amputation.
Thirteen persons with acquired upper limb amputation, who were in need of and had received an esthetic prosthesis, were interviewed. The transcribed text was subjected to content analysis.
The emotional reactions to a visibly different hand were linked to a changed appearance and a feeling of being exposed. Recollecting the accident could result in nightmares and sleeping disorders. A change of personality, due to sadness after the amputation was expressed, as well as social insecurity and impact on relations and life roles. Adapting to social challenges comprised hiding or exposing the hand, using personal internal resources and receiving support from others. The esthetic prosthesis contributed to an intact appearance and could serve as a facilitator for initial or long-term social participation. The time that had passed since the injury made it easier to deal with the consequences or in achieving acceptance.
Coping with emotions and social relations after an acquired amputation can be difficult and complex.
Individual needs must be considered and questions about appearance and how it may affect social participation must be asked. An esthetic prosthesis can normalize the appearance and offer the confidence needed to facilitate social participation in those struggling with appearance-related concerns.
定性研究。
手部截肢不仅会导致手部功能受损，还会带来心理社会后果。
本研究旨在探讨上肢截肢后接受美容假肢者的社会参与个人体验。
对 13 名上肢截肢、需要并已接受美容假肢的患者进行了访谈。对转录文本进行了内容分析。
对手外观明显不同的情绪反应与外观改变和暴露感有关。回忆起事故可能会导致噩梦和睡眠障碍。由于截肢后的悲伤而导致的性格改变，以及社交不安全感和对人际关系和生活角色的影响。适应社会挑战包括隐藏或暴露手部、利用个人内部资源和获得他人的支持。美容假肢有助于保持完整的外观，并可作为初始或长期社会参与的促进因素。受伤后时间的流逝使人们更容易应对后果或接受现实。
上肢截肢后的情绪和社会关系的应对可能很困难且复杂。
必须考虑个人需求，并提出有关外观以及外观如何影响社会参与的问题。美容假肢可以使外观正常化，并提供在因外观问题而挣扎的患者中促进社会参与所需的信心。
