Altıntaş Sibel, Çelik Sevim, Karahan Elif, Uçar Özge
Bartin University, Bartin, Turkey.
Eur J Trauma Emerg Surg. 2024 Dec;50(6):3233-3242. doi: 10.1007/s00068-024-02664-y. Epub 2024 Sep 3.
To mitigate future health risks and improve body image coping strategies among individuals who experienced amputation due to the 2023 Kahramanmaraş earthquake, through an early rehabilitation program.
A semi-experimental prospective study was conducted with 18 individuals who experienced amputation due to the earthquake. Data were collected using the "Individual Identification Form" "Amputee Body Image Scale" and "Body Image Coping Strategies Scale". The earthquake survivors included in the study were provided with a 5-day online interactive rehabilitation training program developed based on expert opinions. Prior to the training, participants were sent healthcare materials to be used during the sessions, interactive practices were conducted throughout the training to enhance individual self-care through interaction with peers and the trainer.
The average age of individuals who experienced amputation earthquake survivors was 38.72 ± 14.53 years, with 72.2% being male and 55.6% being married. Among them, 44.4% had leg amputations, and one survivor had lost three extremities. The average scores on the Body Image Coping Strategies Scale showed a statistically significantly increase after the training and at one month post-training compared to before the training (p < 0.05). Conversely, the average scores on the Amputee Body Image Scale showed a statistically significant decrease after the training at one month post-training compared to before the training (p < 0.05).
The development of early rehabilitation models is essential for improving psychological well-being among individuals who experience amputation following an earthquake.
通过一项早期康复计划,减轻因2023年卡赫拉曼马拉什地震而截肢的个体未来的健康风险,并改善其身体形象应对策略。
对18名因地震而截肢的个体进行了一项半实验性前瞻性研究。使用“个人识别表”“截肢者身体形象量表”和“身体形象应对策略量表”收集数据。研究中纳入的地震幸存者接受了一个基于专家意见开发的为期5天的在线互动康复训练计划。在训练前,向参与者发送了训练期间使用的医疗材料,在整个训练过程中进行互动练习,以通过与同伴和训练师的互动增强个体自我护理能力。
经历截肢的地震幸存者的平均年龄为38.72±14.53岁,其中72.2%为男性,55.6%已婚。其中,44.4%为腿部截肢,一名幸存者失去了三个肢体。与训练前相比,训练后及训练后一个月,身体形象应对策略量表的平均得分在统计学上有显著提高(p<0.05)。相反,与训练前相比,训练后及训练后一个月,截肢者身体形象量表的平均得分在统计学上有显著下降(p<0.05)。
早期康复模式的发展对于改善地震后截肢个体的心理健康至关重要。