Şimsek Nuray, Öztürk Gülhan Küçük, Nahya Zeliha Nilüfer
Department of Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey.
Department of Psychiatric Nursing, Faculty of Semra Vefa Küçük Health Sciences, Nevşehir Hacı Bektaş Veli University, Nevşehir, Turkey.
J Patient Exp. 2020 Dec;7(6):1665-1670. doi: 10.1177/2374373520932451. Epub 2020 Jun 9.
The study was performed in order to identify how the post-traumatic amputation of the lower extremity affects the mental health of the individuals.
This study is a qualitative study. A total of 12 individuals with post-traumatic lower extremity amputation were interviewed. The data were collected using the personal information form and the interview form that includes the questions on the effect of amputation on mental health, which were designated by the researchers. Data obtained from the survey were evaluated to attain descriptive situation determination. Based on the analysis, the effects of post-traumatic lower extremity amputation on mental health were found 5 themes.
In the study, it was found that individuals with post-traumatic lower limb amputation changed their emotions and behaviors after amputation, their body image and self-esteem were negatively affected, their families and the society differentiated themselves, they had negative feelings about their future, and they needed mental support to develop coping skills.
The study shows that after amputation, individuals have severe mental problems such as anger, introversion, helplessness, and decreased self-esteem. Negative attitude of their families, who are expected to be supportive during this period, negatively affect the adaptation process of the individuals. A notable point is that the individuals stated that they could talk and feel relieved and get supported if they had access to a mental health professional.
进行本研究以确定创伤后下肢截肢如何影响个体的心理健康。
本研究为定性研究。共访谈了12名创伤后下肢截肢患者。使用个人信息表和访谈表收集数据，访谈表包含研究人员指定的关于截肢对心理健康影响的问题。对调查获得的数据进行评估以确定描述性情况。基于分析，发现创伤后下肢截肢对心理健康的影响有5个主题。
在该研究中，发现创伤后下肢截肢患者在截肢后情绪和行为发生了变化，身体形象和自尊受到负面影响，家人和社会对他们区别对待，他们对未来有消极情绪，并且他们需要心理支持来培养应对技能。
该研究表明，截肢后个体存在愤怒、内向、无助和自尊下降等严重心理问题。在此期间本应给予支持的家人的消极态度对个体的适应过程产生了负面影响。一个值得注意的点是，个体表示如果能够接触到心理健康专业人员，他们可以倾诉并感到宽慰，从而获得支持。
